I am in the tail end of the baby boomer generation and the elder care industry is preparing for the Silver Tsunami we will create. I suspect that you, as well as I, have pretty much not prepared ourselves for the health care and end-of-life care we will need.

As my father's disease progresses, I find that what I am learning for my work for Caring Companion Health Care is extremely helpful for my own family. Hospice started working with my father and mother about 18 months ago. Our hospice social worker provided answers to every question I could come up with and gave us emotional support. They are a wonderful, caring, and knowledgeable group of health professionals.

I was lucky enough to attend the recent hospice conference in Bangor, ME. Women I had not met talked to me in the buffet line, at my table and in the halls. That conference room was full of kind people, working in health care. The woman seated next to me, quietly left the room during the key note speech and returned with a muffin. When I whispered "Where did you get that?" she offered it to me. I glanced down at her nametag, already guessing; yes, she was a hospice social worker.

The first thing Dr. Ira Byock, (palliative care expert, author of three books, a Dartmouth professor, and a frequent TV and radio guest), said was: "I have some bad news that I hate to tell you, but...we all are going to die". After about two seconds of shocked silence, the laughter erupted.  Of course we are all going to die, but how often do we talk about it?

Did you know that hospice is available starting 6 months before death? Right now, 1/3 of the patients use it only for 7days or less. Hospice actually provides many kinds of care, including pain management, while not hastening or postponing death, just making it easier. Dr. Byock pointed out that the end-of-life has many aspects. Relationships can be resolved. Families can talk about the meaning of life.

The most important thing I learned that day was actually the basis of his book, The Four Things That Matter Most About Living.

When your loved one is dying and you don't know what to say, say these four things:
1- Please forgive me
2- I forgive you
3- Thank you
4- I love you

As Dr. Byock says, "You will never be sorry that you did."