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Andrea Warnick RN, MA

... who specializes in helping families, professionals, volunteers, and communities prepare children for a death and supporting them in their grief.

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CANADIAN VIRTUAL HOSPICE ( "CVH" ) LEGAL NOTICES INTENDED FOR USE IN CANADA ONLY Table of Contents 1. Medical Advice Disclaimers 2. "Ask A Professional" 3. Privacy Policy 4. Service Use and Restrictions...

Harvey Max Chochinov OM, MD, PhD, FRCPC, FRSC

Dr. Harvey Max Chochinov is known around the world for his research into the emotional and psychological needs of dying patients. His work exploring dignity in palliative care has been published in journals...

Ceilidh Eaton Russell PhD, CCLS

... and Paediatric Psychosocial Care at McMaster University, a Research Fellow with the Association for Child Life Professionals, and Child Life Lead at Canadian Virtual Hospice.

We have a middle-aged patient who appears troubled and anxious much of the time. When he is alone, his anxiety increases almost to the point of panic. His physical symptoms are well controlled, but he seems to be suffering emotionally and, perhaps, spiritually. He does not talk easily about what he is experiencing. How can we respond to his anxiety?

When patients are uncomfortable or in distress, even though their physical symptoms are well controlled, they may be experiencing spiritual pain. Spiritual pain is often experienced in the midst of a...

Can you provide some guidance about oral nutrition at the end of life?

... interventions in progressive life-limiting illness, it is usually helpful to consider the hoped-for goals and whether the intervention is expected to achieve them. With feeding, there are various goals...

I’m providing care to a patient who belongs to a religion that is totally unfamiliar to me. I sense that religion is very important to her, but how do I support her in her religious belief and practice?

... this when a patient’s religion is unfamiliar. A good place to begin is by gathering appropriate information about the patient’s spiritual needs. Supporting a patient’s religious faith or spirituality...

My religious beliefs and practice support me in my palliative care work.

... palliative care philosophy and practice. Clearly, you have spirituality on your radar as you care for patients and have integrated it into your practice. Your comfort in opening up conversations with...

What can health care providers do if they do not have patient debriefing sessions or grief support services in their workplace?

... assistance programs across the country include this service as a work benefit. It is important for health care providers to pay attention to their own needs for self-care and to do what works for them.

I am aware that the patient has the right to know or not to know if he or she is dying, even if the family wishes otherwise. Do you have any articles or hints on how to talk about this delicate topic with family members?

Talking about death and dying is difficult for many patients, families and health care providers. Death is not often talked about openly in society, so when faced with having to start that difficult discussion,...