Category Archives: End-of-Life-Care

Intellectual Gratitude: the Symbolism of Doves During End of Life Practices

I began my walk to gratitude when learning of an illness in 2017. In 2023, a recurrence causes even deeper reflection on end of life choice. I continue to claim good health, but it’s time to think about necessary choices. Rather than feeling sad, I experience deep gratitude as I learn about symbolism behind choice. Let me provide a few examples for you to think about for your own future.

It is unfortunate that we do not typically talk about decisions we make near the end of life, or we leave such decisions to our family or friends. As I grow older, my family members are passing, as are my friends and neighbors, and thus it is not uncommon for me to observe choices made. After a death, an early choice is what to do with the body: burial, cremation, donation for science, etc. Individuals have strong feelings/emotions, cultural and religious practices, and family histories with these decisions. Have you reflected on your own choices? On what basis did you/ will you make your decisions?

Towards a deeper understanding of “choice”, I searched the origins of the common phrase: “ashes to ashes, dust to dust”, and was pleased to learn that Genesis18:27, Job 30:19, and Ecclesiastes 3:20 in the Bible directly refer to “ashes” or “dust”. I thought it wonderful that in the Bible either burial or cremation is supported by Scripture. Family traditions, economic circumstance, location, density of population, etc. also determine choice. In other words, it is up to each of us to choose what we wish for our bodies, after death.

Many people have different opinions and emotions when thinking about where/what will happen to their body after death. Some persons do not like to imagine “fire” , while others do not like to think about a body in the ground for years. The memory of cremation of the Jewish population during the Holocaust is strong and would cause one to prefer burial, but people are changing, The preference for burial in a blanket under an old Oak tree is becoming popular (more natural return to the earth) for some, versus being embalmed, placed in a casket, and then into a vault to be preserved forever. These visual images cause discomfort in many persons, so typically they put off the decision of what to do, choice. Is there a strategy through which we may encourage persons to make necessary choices?

After evaluating my choices, I am satisfied that my body returning to dust (burial) or ashes (cremation) would yield a similar outcome: separating the physical body from energies within the body, the soul (consciousness).

This outcome is directly addressed by most religions. That is, after death the body (vessel) is no longer of importance, rather the “soul” or “spirit” is the emphasis. In Christian religion, the Trinity conception of God (the Father, the Son, and the Holy Spirit) is often the focus. What happens to one’s “Soul” at death is what matters.

Some religions/persons focus further on the physical body. That is, some religious practices frown upon destroying the physical body which would be an argument against cremation, but religious scholars, priests, and others do believe that God (Catholicism) can resurrect a body, even if cremated. So, again, the choice is up to you.

Personally, during my lifetime I have observed both practices. Each choice seems to make the family and friends very sad during the funeral service. However, in recent years I discovered a practice that makes me joyful, though still sad when a person dies. I discovered the peace and hope that “Doves” create when introduced to family and friends. Thus, I offer introducing doves during end of life services as one strategy to ease the pain of choice.

When we buried my mother, my son requested doves, released at graveside. I will never forget the feeling I had as I released one dove and watched it join the flock of doves, which circled above, and then flew to the Heavens. It was a beautiful, moving memory.

Recently, on the day of cremation, I had the opportunity to again see the release of doves. Rather than experiencing sadness at the thought of the concurrent cremation, persons present experienced peace, hope, and love as the doves escorted the deceased to the Heavens. During that day, I learned the symbolism behind releasing one dove, four doves, 100 doves etc. I was so moved that when I returned home, I read the history of the white dove in religion during funerals, and decided that my choice was to have doves at my end of life.

Doves offer such beautiful moments, and give us joyful memories. The visual images of a flock of doves during a cremation, or graveside burial are everlasting. Doves are symbolic angel escorts guiding our souls to God.

Because I still feel deep gratitude to each little dove I have observed at funerals, I made a video to capture/explain dove symbolism at end of life. Please enjoy. Then consider: What choice will you make someday?

Doves Represent Peace, Hope, and Love Guiding Souls to Heaven

#gratitudeultra

The Emotion of Gratitude: Why It Is So Meaningful and Necessary In Our Lives

Last weekend a family held the hands of their beloved mother as she passed. It was a sacred moment. Through tears, they gave gratitude for mom’s parenting, joy, and deep spiritual teachings. The colors of the cloth around her neck represented memories from her grandchildren, children, and spouses.

After the death of a loved one, family members/friends reflect on life, focusing with gratitude for the individual they lost. But, life gets busy and hectic so that soon people have to move on to “the living”, while tucking away fond memories of the person who just passed … These life moments are full of various emotions, including gratitude. Deaths link to deep reflection as evidenced by the words of ministers, priests, and rabbis during funerals. The moment a person “slips through” from life to death is profound.

The pathway of Gratitude leads one through the interesting walk of life. Gratitude is multi-dimensional. Gratitude is simple, yet complex. Gratitude causes one to appreciate what you have – now. Gratitude brings deep joy, happiness, and satisfaction. When one experiences gratitude, they are drawn to more positive outcomes in their personal life. Sometimes Gratitude has been described as the strongest of emotions!

Why is Gratitude so meaningful and necessary in our lives?

Is there any stronger emotion that Gratitude?

Gratitude is meaningfully linked with appreciation and gratefulness for what you already have in life. If you are not grateful for what you have, you most likely will not achieve what you desire in the future, because you do not value what you already have. Anthony Peluso on April 3, 2019. Another way one might explain this concept is what you put out into the universe determines what you receive as in expressions of positivity, love, or light. Also, through gratitude one receives joy, happiness and emotional rewards that were never anticipated.

There is one emotion stronger than Gratitude. That is the emotion of “Regret”. Sometimes “regret” is observed during the death and dying process between family members. Regret is sad to witness. When a person waits until death, it is too late. Regret is oppositional to gratitude.

There is no room for regret in anyone’s life. What you appreciate will always reward you in ways you can’t even imagine.

Peluso, 2019

So, during tough times in life, like death, for example, we must remember the necessity of gratitude. The emotion of gratitude helps us embrace grief as a tool, propelling us toward healing. Through gratitude we will find joy and happiness again, and identify the blessings we still have in spite of the pain of loss we feel. Lean towards gratitude and away from regret.

Be grateful, always. It is necessary and will give meaning to your life.

#gratitudeultra

Blessed At The Mission of Saint Agnes of Rome, Virgin and Martyr, in Solvang, California

Recently, I visited the Mission in Solvang, CA, attending a Mass led by an Irish Priest, and experiencing the spiritual and social life of the Santa Ynez Valley. Through serendipity I received a blessing for my upcoming medical tests, as well as a blessing for a precious Bible purchased by a dear friend whose mother is nearing her end of life. The kind greetings from all of the staff at the Mission were most memorable as were the old fashioned gospel songs played through guitar by yet another priest. None of this was pre-planned which is why I am blogging, with gratitude, about my experience this day. It was a very special day!

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Grateful For Wisdom When Ending The Journey Of Life: An Overview

I have always loved elderly people because they are wise and have wonderful stories to tell, if you listen. Unfortunately, we often get too busy during our own life’s journey to notice that older persons among us need more care from us. It is as though our journeys through life demand extra care when we begin our life, and again when we are nearing the end-of-life.

This posting includes my observations for you as a daughter, mom, friend, and health care professional regarding End-of-Life Care.

It is well known that people tend to like to stay at home as their journey through life comes to an end, but that is not always possible because of health issues, personal care needs, nutritional requirements, family distances, and so on. So, as we all age, the questions before us are: “What do we do?” “How do we plan for ourselves as we grower older and need extra care?”

Why am I posting this information for us today? Because I have watched my younger sister, my mom, and my dad pass away. Now I am watching dear friends and neighbors age, and I myself am growing older. As I was recently listening to Amanda Stead’s lecture on End-of-Life Care, I felt so grateful that Amanda reminded me, and helped me to summarize the wisdom we all have access to for our own planning:

  1. We are all going to die at the end of our life journey, so how does one prepare for the best end of life? There are multiple resources to inform us about end-of-life care just as there is knowledge regarding beginning life, as in birth, parenting, etc.
  2. As each of us, or our family members and friends age, it is important to learn about choices we each have regarding Hospice care, or Palliative care. Our choices do not need to be permanent as our health and care needs will change over time, but it is better to plan ahead and learn about such choices before being faced with an emergency.
  3. As one ages there needs to be decisions regarding independence, dignity, spiritual preferences, psychological, emotional needs, ethical decisions, and personal wishes.
  4. We all need to have people (family members or friends), who are our spokespeople in case we are unable to communicate clearly. We, or others, need to have an advanced directive (a written document) regarding our wishes for end-of life care.
  5. We all need to discuss realistic outcomes as we anticipate what may be coming in our future. Thus, before you become ill or lose the ability to communicate, you need to talk about what you imagine to be a good plan for your End-of-Life. You might begin such conversations by answering the question: “What matters to me most at the end of life is ______________________________________?”
  6. Sharing information is so important during this time. Information regarding your location preferences for where you wish to be as you grow older is important. Your financial costs, insurance coverage, wish for pain control, treatment preferences for eating, feeding, and swallowing should be identified.
  7. Your personal wishes, and cultural values are important and necessary to understand and honor during this time period.
  8. Reach out to Chaplains, Priests, Pastors, and Rabbis to incorporate your spiritual needs during these times of decision making.
  9. Take care of the above types of decisions before you grow too old for such planning. Make sure you share your thoughts with your family and friends.
  10. Know there is a “Dying Patient’s Bill of Rights”, and an abundance of resources provided through Medicare to assist you. Don’t put off till tomorrow what you should do today!

In the future, I plan to introduce a new “gratitude category” regarding end-of-life care as I am so grateful that information is available to me to provide for my dignity, spiritual, medical, psychological, and emotional needs as I grow older. In the context of generational differences in perception, as well as societal changes in our family constellations, it is more important than ever before to allow the elderly to prioritize their needs for independence as well as dependence on others.

I am grateful for knowledge regarding end-of-life care. How ’bout you?

For a spiritual perspective on End-Of-Life, let me conclude this blog with a poem written and read by my mother from her Book of Poetry titled, A House Inside of Me. The relevant poem for today is, I Don’t Want to Die I Like It Here. When you click on this link you will hear this poem. It seems relevant, in a more personal style of writing, to our topic today.

At this time in your life, What Matters Most to you for Planning? Please think about it as I am watching friends dealing and struggling with these issues right now.

#gratitudelite