Recently, I sat down with my friend Anna to listen to some of her stories.
It might surprise you that this young woman told me, “The happiest time of my life was working 16-hour days in a retirement home during COVID.”
“My body ached and my heart rejoiced,” Anna testified.
She spoke with such empathy about the elderly residents.
“Imagine! A person who has lived a hundred years might be reduced to ‘June at Table 20.’ The residents might have lived a long, fruitful life only to be reduced to their dietary preferences in their final months and years.”
Because Anna regards these seniors’ long lives with reverence, she does not like to see nor participate in taking such a reductive view of the human person.
Instead, she relishes doing her utmost to serve the residents and considers every conversation as an opportunity for a meaningful interaction.
“My favourite residents are the ones who would get agitated easily,” Anna told me. “And it became a challenge: ‘How can I make them happy?'”
Surveys consistently indicate that the majority of people would prefer to die at home instead of in a hospital. However, a minority actually do.
Cicely Saunders International just published You Matter Because You Are You, an action plan better palliative care, in which the charity explores the key challenges faced at the end of life.
The report notes that “Too many people with life-limiting illnesses – as well as those approaching death – spend long periods of time in hospital, in part due to a lack of social or community care. Meanwhile, hospital admissions are rising to unsustainable levels across the country, something that was made all the more apparent as parts of the NHS risked being overwhelmed during the COVID-19 pandemic.”
Most people want to die at home and most hospital workers would be in favour of much greater home care.
Some of the main obstacles to this include: the weakness of social and familial ties, lack of “coordination and information sharing between health and social care providers”, and inadequate emphasis on professional palliative home care.