Discussing End-of-Life With a Family Member

Medical professionals and counselors who deal with families facing end-of-life issues offer a few suggestions to the rest of us on “how to start a conversation” when we have a very sick loved one. They say the first thing to consider is having a conversation in one’s kitchen is a whole lot easier than having it in the hospital. It may also encourage your family to start the conversation if they learn that studies find families who have talked about it beforehand express less feelings of guilt after the person passes away. Moreover, they say they had an easier time grieving and were less likely to experience depression.

The type of questions to ask to get a conversation started include “what does the person value most about their life?” Other topics of discussion could be to find out what the person understands about their illness; what matters most to them at the end of life; how they want to handle medical decisions; and what their fears and physical needs are.

As a family member, you need to remember to practice active listening. It is important to leave your own views out of the discussion and try to understand what the person is feeling. Find out if they want to spend their last days at home; and who do they wish to be surrounded by as they face death. This is also a good time to encourage them to express their wishes regarding burial.

Ask if the person has an advanced directive, which is a legally binding document that gives instructions for healthcare if they are no longer able to make or communicate those decisions themselves. This can include their wishes around discontinuing treatment and medications; and saves the family from having to make difficult decisions.

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Source: aarp.org/caregiving/basics/info-2020/end-of-life-talk-care-talk.html

Determining the Cause of Shoulder Blade Pain Can Be Difficult

The shoulder blade, referred to as the scapulae, consists of triangular bones on the back of the shoulders; and are attached to the top of the arm at the shoulder joint and the clavicle (at the acromioclavicular joint). As the area is surrounded by muscles, tendons and ligaments, doctors say determining the cause of shoulder blade pain can be difficult. 

The Medical News Today website explains shoulder blade pain can be caused by a number of conditions including a heart attack. Other causes may be sleeping in an uncomfortable position, strain from lifting a heavy object, and physical trauma. 

Examples of bone or joint problems are pain caused by a fall or accident that results in a fracture. Other bone and joint issues include degenerative conditions like arthritis, bursitis or frozen shoulders. One type of arthritis called ankylosing spondylitis primarily affects the spine and can cause pain and inflammation in the surrounding area including the shoulders. 

Shoulder pain that arises beneath the bone that forms the “roof” of the shoulder (the acromion) is often referred to as shoulder impingement. Experts say the cause is often unknown and in about 50% of people, the pain gets better after around 6 months. Treatment includes pain medication, cooling the area and physical therapy. 

Muscle and tendon problems causing shoulder pain include the rotator cuff, muscle strain and overuse of the area. The rotator cuff is a set of muscles that helps the arm and shoulder move and injuries are common including tears to one of the cuff tendons. Treatment includes taking over-the-counter nonsteroidal anti-inflammatory drugs or pain medications to minimize swelling and discomfort, applying ice packs and physical therapy. In some cases your doctor may recommend surgery. 

Consult your healthcare provider about lingering shoulder blade pain. Also, remember shoulder pain is associated with a heart attack, so anyone experiencing shoulder pain along with shortness of breath, or other signs of a heart attack, should seek immediate medical attention. 

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MorningStar is guided by a culture rooted in our mission of honoring God, valuing seniors, and investing in our team, which allows us to deliver services with warmth, sincerity and depth of purpose. We have built a reputation for creating homes filled with an atmosphere of love and community. Please contact us for more information about the finest independent living Houston offers.

Source: medicalnewstoday.com/articles/319774