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Alua Arthur and a man in hospice care.

Death is a highly complicated and mysterious subject that rightfully makes a lot of us uncomfortable. But, according to Alua Arthur, a death doula who is an expert on the topic and works closely with the dying and their families, by embracing this uncomfortable fact of life, we can all find more joy in the time that we have left.

Arthur, a former lawyer, experienced a life-changing moment in Cuba when he met a traveler battling uterine cancer. Their time together changed her perspective on life. “We spent the 14-hour bus ride talking about her life and also her death,” she recounted in a 2023 TED Talk. “And it was a highly illuminating conversation. I heard firsthand how hard it was for her even to be able to talk about her fears around mortality and her disease because people censored their own discomfort with mortality rather than make space for her.”

Arthur says the woman helped her “see that I did not like the life that I was living.” After that interaction and the death of her brother from cancer, she left her law career and decided to work with those who are dying and their families. Arthur’s experiences with the dying led her to an important life lesson: "I took that invitation to start living like I was dying,” she told Simon Sinek on his “A Bit of Optimism” podcast.

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As a death doula, Arthur provides non-medical support for people at the end of their lives, as well as their friends and family. This support can include anything from legal advice to counseling. She says she’s like a birth doula, but “for the other side” of life.

Ten years of working with those transitioning out of life have profoundly changed how Arthur sees the world. "I think I speak a little bit more clearly about how I feel. I brush up against my vulnerability a lot more often. The idea of individualism seems to be fading in me. I'm more comfortable being needed and needing people in my life because I see how communal our lives are and can be, and I want that for myself,” she told Sinek.

Arthur also embraces a lot more pleasures in life. “I eat more delicious foods, I'm not as concerned about my weight, if we're going to be silly about it. Like, I eat whatever I want because this life is short, and I want to use my taste buds as long as I got them. I love French fries and cake, so I'm trying to get 'em while I can,” she admits.

The death doula is skeptical of those with rigid habits who want to increase their longevity. "I think it's death denial at its core. I think we live in a highly death-avoidant culture, and that tells you if you pop enough supplements and if you drink enough baby's blood, you'll live to 177,” she told Sinek. “But why do you want to live to 117 anyway? What is it that we're trying to avoid by wanting to live forever, and what are you doing with that extra time that you wouldn't do now with the finite time that you have?"

As a death doula, Arthur often counsels people in their final days to help them understand their lives, and in doing so, she found meaning in her own. "Tomorrow could be it, and if that's the case, why not live my life right now with the fullness that I can while I'm still here?" she told Sinek.

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Chaplain J.S. Park and a man on his deathbed.

The regrets of the dying are tragedies for those who are leaving this world. However, for the living, they can be valuable lessons on how to live a happy and meaningful life that benefits others. That way, when we reach the end, we can do so peacefully, knowing that we got the most out of this one lifetime.

Joon Park, who goes by J.S. Park on social media, is a chaplain at Tampa General Hospital who describes himself as a “grief catcher” and is the author of “As Long as You Need: Permission to Grieve.” He has sat at the bedsides of thousands of people who are in the process of passing away, and that’s given him a very unique perspective on life. He knows the greatest gift to give to the dying is listening so they can feel heard before they leave this world.

What’s the biggest regret of the dying?

He told CNN that in his conversations with the dying, there is one regret that he hears the most: “I only did what everyone else wanted, not what I wanted.”

“Many of us near the end realize we were not able to fully be ourselves in life – we had to hide to survive,” he continued. “It was not always our fault. Sometimes, our resources, the systems, and culture around us did not allow us to. My hope is always to fully see and hear this patient, who is now finally free. ”

dying, hospice, j.s. parkA man in the final moments of his life.via Canva/Photos

It must feel terrible to walk through life feeling like a square peg in a round hole, having a job you don’t like, a spouse who doesn’t understand you, or having to live up to standards that you didn’t create. It’s upsetting that many people experience this, and Park’s advice reminds us to ask ourselves a serious question: Am I living my life or the life someone else has chosen for me?

Park said that people's most common fear towards the end of their lives is whether their loved ones will be okay after they’re gone.

“Will my loved ones be OK without me? Who will look after Mom? Who will take my dad to the doctor? How will my son and daughter get along without me? Even my patients who are most at peace with their dying are still anxious about how their own death will affect their family,” he says. The fear shows that even when people are ready to leave this world, they never stop caring for those closest to them.

“This is almost an empathic anticipatory grief, experiencing the grief of the other person’s future loss. We are so connected that often we worry about how other people will be affected by our own death,” Park said.


How to know if you're living your own life

How do we know if we are living our own life and not that of others? It’s a big question, but according to Follow Your Own Rythm, a great place to start is to stop letting fear or society’s expectations dictate your path. Instead, express yourself freely, follow your passions, live by your core values, and spend time with yourself, touching base with your thoughts and feelings. You’ll know you’re living your life when it begins to feel more harmonious and authentic.

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Hospice nurses share their patients' wildest death bed confessions, and it's eye-opening

Sometimes people wait until the very end to deliver a "mic drop" moment.

Impending death is the ultimate confessional, it seems.

Death comes for us all, and with it often comes one last opportunity to speak our full truth. Whether for religious reasons or to finally release psychological baggage, many find themselves wishing to expose long held secrets once they know the end is drawing near.

Of course, there are reasons why people wait until they are on their deathbed to make such confessions. Often they revolve around illegal activity, abuse, cheating, or other choices that might either incriminate themselves or hurt relationships if shared while they are still living.

Most of the time, these confessions aren’t even made to a family member or loved one, but to strangers providing hospice care. This undoubtedly offers an additional level of safety while disclosing sensitive information. However, for the nurses and other hospice workers, hearing these stories can’t be an easy part of the job.

Recently, nurses shared some of the more shocking deathbed confessions they’ve heard in their professional careers, and while the conversation shines a light on the darker side of humanity, it’s also a glimpse into the beauty of this brief candle that is life.

Many nurses shared moments when their patients simply knew the end had come.

This isn’t a confession, per se, but clearly a common phenomenon:

I've had a few people casually tell me, "I'm going to die today." The first time someone who was awake, alert and not-in-distress told me that (then died later that day), I was spooked. Then, I learned to believe them.

hospice nurse and patient talking to each other "I took her to the bathroom and right there in my arms she went home…Photo credit: Canva

Brought a pediatric patient back for emergency heart surgery (about 14yrs old). He was very nervous. Outlook looked grim. I held his hand as they began to induce anesthesia. He looked like he was about to cry. I told him there was nothing to worry about. He was gonna be just fine. He gripped my hand super tight as the propfol took hold, looked me in the eye and said 'I'm going to die, aren't I?' I told him I would be there in PACU when he woke up. He died on the table. I was the last thing he ever saw. 8 years later I still think about that kid. I still see his face. The fear in his eyes. I still feel guilty that I lied right to his face…

I don’t know if this fits in here, but the first death I witnessed was in a dementia ward. The patient has been sad and depressed as long as I’d known her. No matter what we did to cheer her up, it just didn’t stick. One morning I went in to her room to get her out of bed and make her ready for the day, she sat up in her bed with her feet straight out. She somehow looked like a little child and she was smiling. Delighted that she looked happy I exclaimed : 'Are you already up, friend?' She answered, so happy and so smiley: 'yes, I’m going home today' I took her to the bathroom and right there in my arms she went home…I was young and it scared me back then, but now I cherish that memory. We should all be so lucky to leave the world happy and content.

Then there are other signs, such as seeing an already deceased loved one, or seeing celestial beings.

When they tell me this or that deceased relative visited them the day or night before, I know something will go down.

I’m a nurse now and honestly have seen much more sudden and traumatic deaths since this one, but this one always is the first I think of…There was this one resident who was much younger than most there, only in her mid 60s. She was in really rough physical and mental shape due to severe liver failure and other compounding issues for years…The day I was wearing new scrubs and in there cleaning her like normal, she suddenly looked right at me and in a very soft, clear voice said, ‘you look like an angel.’ I remember being pretty shocked that she spoke out loud and kinda just said, ‘isn’t this a pretty color??’ She went back to being nonverbal the rest of the shift and I remember thinking about it a lot until I went home. When I got back 2 days later I found out she had died in her sleep that night.

As hinted at earlier, there were a LOT of death bed confessions involving, well, salacious secrets.

nurse holds the hand of elderly person in bed“An old lady told me she had a 22 year long affair with a bus driver, and all five of her adult children might be his."Photo credit: Canva

Working in oncology at the time, had an older gentleman with liver cancer that had spread everywhere including his brain. Having brain mets made him very vague, often nonsensical, he was in and out of consciousness…He also had a thick Eastern European accent…Anyways, one day I’m taking his vitals and he grabs my hand, looks me straight in the eyes and just says to me ‘you know, I have killed so many people’ in his very strong accent. I kind of just froze and didn’t know what to say but he let go and went back to sleep/reduced consciousness.

An old lady told me she had a 22 year long affair with a bus driver, and all five of her adult children might be his. I didn't pass that along.

I work with dementia clients…A mind blowing confession I always think about was a veteran who confessed to all the war crimes he committed and how he felt so terrible for all the things he did. He said this was the reason he had no relationship with his family and to be honest I don't blame his family for not having anything to do with him.”

I've had a few senior women who are in different stages of dementia describe violent SA they experienced as children, many of the stories were similar in the sense of when they told their parents they were blamed or not taken seriously. Really heart breaking but I never knew if they were actually true stories.”

I once had a man who was extremely sick, confused and at the end stages of life. I had only dealt with him on 2 separate occasions a few days apart so wasn't super familiar with him. He confessed on both occasions to beating a woman to death in great detail…not sure if it was the confusion or true, but the amount of details he had and the way he said he was ready to be put away for it was really disturbing.

That none of her adult kids were her husband’s - and there were 4 of them , and none of them knew.”

woman helps an elderly woman walk with a cane in a room with other elderly people socializing "Approach everything with gusto ladies and gentlemen, like it might be your last time.”Photo credit: Canva

I work in a nursing home. One of our residents was a well-known local pimp in his younger years. It involved filming videos of young girls for his rental business. Nicest man in the world now…Another resident harbored a known serial killer when there was a statewide manhunt for him. She was related by marriage and this was what women did for the men back in the day… A third resident did hard time for having stockpiled explosives in his house…Those are just a couple of backstories I know. It can make caring for people…complicated. You really have to suspend judgement and deal compassionately with what’s right in front of you.”

Then there were some that really just fell into their own category…

That she liked Hitler because she was poor as a child and she would only get new shoes when she went to the train station to see the Jews off to the concentration camps.”

I've got several, but this is one of my favorites. 98 yrs old guy heart failure…I asked him ‘so, 98 yrs. What have you learned?’ His response was awesome. He said ‘sex. If I knew the last time I had it was going to be the last time, I would not have been such a gentleman’…Approach everything with gusto ladies and gentlemen, like it might be your last time.”

But on a brighter note, not every daybed confession contained so much gloom and doom.

Just as many stories, though still heartbreaking in their own way, revolved around forgiveness, gratitude, and a longing to feel or express love.

hospice nurse shows elderly woman in chair something on her phone"They basically just held hands and apologized to each other and died together.”Photo credit: Canva

A mother and son were cooking meth and the house exploded. They both had enough burns they were not going to make it. They basically just held hands and apologized to each other and died together.

Working in dementia care I was helping a resident with a bath having a typical conversation with him about his day, my day, etc…Near the end he thanked me [my name] for the help but then he quickly grabbed my hand saying “Thank you for being here [daughters name]”, she hadn’t visited him in a long time. He dozed off as I was cleaning up supplies and when patted his hand as a goodbye gesture not to wake him, I realized he had passed. I was 16, it really shaped my perception of both death and love.

Patient once told me he wished he had worked less and spent more time traveling and being with friends and family. He died the next day, not on my shift. It stuck in my head. A few years later I retired and this was one of the reasons. It changed my perspective.”

I had an elderly lady in for shortness of breath…She had been with us for about 5 hours at this point, she's ready for imaging so the husband goes to get her an overnight bag and we head to imaging. Fully lucid…[she] asks me to tell her husband when he came back that she loves him very much and has enjoyed her life with him. 15 minutes later we return to the room, I plug her monitor back into the podium and she arrests. She didn't get to tell him she loved him that one last time like I reassured her she would. I often think about that man, I think he would have shortly passed from a broken heart. The way he looked at her after 70+ years of marriage.”

One has to wonder what holding onto such things does to our quality of life. On the other hand, maybe there never is a right time to share our secrets, until there isn’t any time left.

via Canva

A nurse and a man in hospice care.

Death is the final mystery that we all must face and it’s natural to be scared about going through the process. However, a new video by a hospice nurse shows an excellent reason for people to feel comfortable facing the unknown.

Julie McFadden, aka Hospice Nurse Julie on YouTube, has witnessed over a hundred deaths, says that people are often comforted by friends and relatives who have passed away in their final days. She says that when people begin experiencing these visions, it’s a sign that they will be passing away within a few weeks.

McFadden is also the author of the bestseller, “Nothing to Fear.”

"Here's one sign that someone is close to death that most people don't believe happens,” Julie began the video.

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"Usually a few weeks to a month before someone dies, if they're on hospice, they will start seeing dead loved ones, dead relatives, dead pets. This happens so often that we actually put it in our educational packets that we give to patients and their families when they come on hospice so they aren't surprised or scared when it happens,” she continues.

The experience is called visioning; although no one knows how or why it happens, it’s common among all her patients.

"We don't know why it happens, but we see it in definitely more than half of our patients," she continues.

People often believe that the visions are caused by a lack of oxygen to the brain. However, Juie says that isn’t true. “Because when it does happen, most people are alert and oriented and are at least a month from death, so they don't have low oxygen," she said.

The good news is that the visioning experience is always comforting for those who are nearing the end. It often involves relatives who come from the other side to let them know everything will be okay and encourage them to let go and pass away. People also experience being taken on journeys with loved ones or having sensory experiences from the past, such as smelling their grandmother's perfume or father’s cigar.

Christopher Kerr, a CEO of Hospice & Palliative Care, an organization that provides palliative care in Buffalo, New York, says that the relatives that often appear in these visions are people who protected and comforted the dying parent when they were alive. So, they may see a parent who nurtured them but not one they feared.

Kerr has extensively studied the mysterious phenomena that happen when people die but has no real explanation for why the visioning experience happens. “I have witnessed cases where what I was seeing was so profound, and the meaning for the patient was so clear and precise, that I almost felt like an intruder,” he told BBC Brazil. “And trying to decipher the etiology, the cause, seemed futile. I concluded that it was simply important to have reverence, that the fact that I could not explain the origin and process did not invalidate the experience for the patient.”

It's comforting to know that for many, the final days of life may not be filled with pain and fear but instead with a sense of peace and joy. While we may never fully understand the reasons behind these mysterious visions, if they bring calm during such a daunting time, we can simply be grateful for their presence. They’re kind of like life, in general. In the end, we may not really know what it was all about, but we can be happy that it happened.

This article originally appeared last year.