Death and Life

The “Not Top Ten” Ways to Prepare for a Spouse’s Death

The “Not Top Ten” Ways to Prepare for a Spouse’s Death

By Lisa Pahl, LCSW Apr 8, 2025

We found that proper preparation can ease the pain of losing a spouse. We've identified the "Not Top Ten" ways to prepare for widowhood, highlighting the importance of planning for...

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A Day in the Life of a Hospice Social Worker

A Day in the Life of a Hospice Social Worker

By Lisa Pahl, LCSW Mar 25, 2025

Explore a day in the life of a hospice social worker as they navigate interdisciplinary meetings, family consultations, and patient care. The role involves addressing social factors, anticipatory grief, and...

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Externalizing the Problem: A Tool for End-of-Life Providers and Caregivers

Externalizing the Problem: A Tool for End-of-Life Providers and Caregivers

By Lisa Pahl, LCSW Mar 18, 2025

In my work with family caregivers, I use the "externalizing the problem" technique from narrative therapy, which involves seeing the issue as separate from the individual. For example, Bob, who...

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Examples of Eulogies: Eulogies People Won't Forget

Examples of Eulogies: Eulogies People Won't Forget

By Special Guest Blogger Jan 30, 2025

Written by Guest Author: Jude Mannion  Eulogies can balance heartfelt tribute with humor, celebrating a person's life by sharing funny stories and fond memories. Humor helps lift spirits amidst grief,...

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How My Experience with Loss Inspired Me to Help Others Die Well

How My Experience with Loss Inspired Me to Help Others Die Well

By Lisa Pahl, LCSW Oct 21, 2024

Written by Su Park It was a couple of days before Christmas in 2019. Dad called to tell me that Mom had been diagnosed with cancer. My heart sank and...

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Picturing Our Deathbed Can Help Us Live Better

Picturing Our Deathbed Can Help Us Live Better

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW   What does your dying self have to say about the life you are living?   Preparing for our own death isn’t just about making things...

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Sharing Personal Stories Can Help Increase Awareness About Hospice

Sharing Personal Stories Can Help Increase Awareness About Hospice

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW   My mother-in-law Kay died in 2020, three months after a Pancreatic Cancer diagnosis.    Less than a month before her death, she decided to host...

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Atheists Too Can Find Peace in Their Beliefs

Atheists Too Can Find Peace in Their Beliefs

By Lisa Pahl, LCSW Jan 28, 2024

  By Lisa Pahl, LCSW   “There are no atheists in the foxhole.” I’ve heard this phrase used many times through my work in end-of-life care.   I think for...

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Sitting With The Dying

Sitting With The Dying

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW    "Eye contact is more intimate than words will ever be." -Poets Cafe  When sitting with someone who is seriously ill or dying, oftentimes they are...

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Early Conversations Save Later Heartache

Early Conversations Save Later Heartache

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW  It’s not always easy to ask difficult questions, even if it’s your job to do so.It’s one of my responsibilities, as the hospice social worker, to...

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Hard Conversations Bring Us Closer

Hard Conversations Bring Us Closer

By Lisa Pahl, LCSW Jan 28, 2024

 By Lisa Pahl, LCSW    Awhile back, I had a very moving conversations with the daughter of one of my hospice patients. These were her words:   “It was so...

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Conversations About End-of-Life Preferences Builds Confidence

Conversations About End-of-Life Preferences Builds Confidence

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW Completing your advance directive and living will is important. Yet, often, that’s all that happens. It's common for the person to complete these documents and tuck...

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Hospice Myths Debunked

Hospice Myths Debunked

By Lisa Pahl, LCSW Jan 28, 2024

  There is a lot of misinformation and misconceptions about hospice, which leads to people underutilizing the support that is available to them. Below are some common myths about hospice. ...

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Start Preparing For Death by Building and Nurturing Friendships

Start Preparing For Death by Building and Nurturing Friendships

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW I was visiting a hospice patient who lived alone and had very few people in her life. She was relatively young to be on hospice. When...

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Caring For Transgender Patients on Hospice

Caring For Transgender Patients on Hospice

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW Gender-affirming end-of-life care is a basic human right. It is the responsibility of each end-of-life provider to educate ourselves on how to care for transgender individuals....

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What to Consider When Choosing a Health Care Decision Maker

What to Consider When Choosing a Health Care Decision Maker

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW People often choose their healthcare surrogate because of the relationship alone (spouse, child, etc).Before making your decision, we encourage you to consider a few factors:Openness in...

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To Support Someone in Grief You Need to be Comfortable With Death

To Support Someone in Grief You Need to be Comfortable With Death

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW There are many practical ways to support a friend that is grieving; grocery shopping, dropping off a meal, watching their children. These helpful tasks are appreciated...

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How To Support Someone Whose Family Member is on Hospice

How To Support Someone Whose Family Member is on Hospice

By Lisa Pahl, LCSW Jan 28, 2024

By Lisa Pahl, LCSW  “Every morning, I go into my mom’s room and I can feel my heart racing. She sleeps with her mouth open, and many mornings she looks...

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Why Didn't the Doctor Tell Us About Hospice Sooner?

Why Didn't the Doctor Tell Us About Hospice Sooner?

By Lisa Pahl, LCSW Jan 27, 2024

By Lisa Pahl, LCSW Not long ago, I had a conversation with the daughter of a hospice patient who was upset.She asked, “Why didn’t my mom’s doctor tell us about...

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Grieving Your Family Member With Dementia While They Are Still Alive

Grieving Your Family Member With Dementia While They Are Still Alive

By Lisa Pahl, LCSW Jan 27, 2024

grieving while a person is still living, over the course of the disease progression. There is so much grief in dementia. We grieve the losses. We grieve the future. We grieve...

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Tips For Caring For an Engineer At End-Of-Life

Tips For Caring For an Engineer At End-Of-Life

By Lisa Pahl, LCSW Jan 27, 2024

By Lisa Pahl, LCSW  We live in a part of Los Angeles where the top Aerospace companies are located.This means that the hospice provider that I work for has a...

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Visiting Memories: Thoughts From a Woman With Dementia

Visiting Memories: Thoughts From a Woman With Dementia

By Lisa Pahl, LCSW Jan 27, 2024

By Lisa Pahl, LCSW Over the years, I have worked with countless individuals who live with a Dementia diagnosis. Within hospice, some people’s terminal diagnosis is Dementia (and it’s very...

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Who Cares What Happens After I Die, I will Be Dead

Who Cares What Happens After I Die, I will Be Dead

By Lisa Pahl, LCSW Jan 27, 2024

When talking about advance care planning, disposition options, and getting your affairs in order, people will tell me, “I don’t care what happens when I die, I will be dead.”My...

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My Husband Was Just Admitted to Hospice and My Phone Won’t Stop Ringing

My Husband Was Just Admitted to Hospice and My Phone Won’t Stop Ringing

By Lisa Pahl, LCSW Jan 27, 2024

Recently, the spouse of a new hospice patient shared with me that she felt a bit overwhelmed by all of the calls she was receiving from the hospice team. While...

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Leaving Less Unsaid by Michelle Gomes, Co-Founder & CEO, Evaheld

Leaving Less Unsaid by Michelle Gomes, Co-Founder & CEO, Evaheld

By Lisa Pahl, LCSW Sep 25, 2023

While we all innately know that connection is not severed with death, we grieve death as an ending, a grand finale to this thing we call life. As a society...

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The Meaning of Life is That it Stops

The Meaning of Life is That it Stops

By Lisa Pahl, LCSW Aug 7, 2023

The meaning of life is that it stops. One of the cards in The Death Deck asks if you would want to live forever if you could. Most people answer...

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What Happens After President Jimmy Carter is on Hospice for Six Months?

What Happens After President Jimmy Carter is on Hospice for Six Months?

By Lisa Pahl, LCSW Aug 7, 2023

Former President, Jimmy Carter has now been on hospice five months, which begs the question, “How long can someone be receiving hospice services for?” For an individual to begin to...

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It was Time to Listen to my Mom

It was Time to Listen to my Mom

By Lisa Pahl, LCSW May 16, 2023

“I realized in that moment, that I needed to stop thinking about what I want, which was every last second with my mom, and start thinking about what she wanted....

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Death is an Achievement

Death is an Achievement

By Lisa Pahl, LCSW May 16, 2023

  I’ve had the privilege of mentoring and supervising MSW interns this year at my hospice job. I’ve been supervising interns for many years and find it to be an...

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Million Little Things Shows the Weight of Anticipatory Grief

Million Little Things Shows the Weight of Anticipatory Grief

By Lisa Pahl, LCSW May 16, 2023

The second to last episode of the series  Million Little Things showed the challenges that people with a terminal diagnosis (and those that love them) experience at the end of...

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Why is it So Hard to Tell Me What I Already Know; I’m Dying

Why is it So Hard to Tell Me What I Already Know; I’m Dying

By Lisa Pahl, LCSW May 16, 2023

“Frank” was pissed off when I met him. He wasn’t afraid to talk about it, either. He was upset that he felt like everyone was trying to protect him from...

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The Complexities of Living Beyond a Prognosis

The Complexities of Living Beyond a Prognosis

By Lisa Pahl, LCSW May 16, 2023

When someone lives far beyond the prognosis that has been given, for reasons often unknown to healthcare professionals, it would seem that they would only be feeling happy with the...

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End-of-Life Professionals Can Help The Dying Feel Less Alone

End-of-Life Professionals Can Help The Dying Feel Less Alone

By Lisa Pahl, LCSW May 16, 2023

“If I was healthy, there’s no way I would want to die. But this, how I’m living, it’s exhausting. I’m okay if death sneaks in one night to rescue me...

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I Just Wish I Didn’t Feel So Alone With My Dying Thoughts

I Just Wish I Didn’t Feel So Alone With My Dying Thoughts

By Lisa Pahl, LCSW May 16, 2023

I had a Hospice patient “Mary” that I was seeing weekly for emotional support. Initially, she was living alone and fiercely independent, as many people are. Each week, she was...

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I Tried (And Failed) To Give The Perfect Death

I Tried (And Failed) To Give The Perfect Death

By Lisa Pahl, LCSW Feb 21, 2022

When I began caregiving for my mother-in-law, I came in with an agenda. Over the course of her illness, I understood that I had to put aside my idealized version...

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Human Composting. Want The Dirt?

Human Composting. Want The Dirt?

By Special Guest Blogger Jan 27, 2022

Guest Blogger Katey Houston of Return Home shares the ins and outs of an alternative to burial and cremation. Human composting, sometimes called Natural Organic Reduction, is an age-old science optimized to...

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