Planning the future for your loved ones

Get What You Need

At some time, each individual involved in your life will need something different from each other. It should be possible for everyone to receive support based on their needs.

What You Might Need From Others

You will need ongoing love and support from your family and friends. Some of the support needed will change as your condition changes. These are some support measures you may need from your loved ones and how you may get it.

  • It is important to have ongoing contact with others, especially your loved ones.
    • It is the best way to keep up your morale.
    • Give them permission to visit as often as you are comfortable with.
  • You need continued emotional support from your loved ones when they are with you.
    • You will need to share your feelings openly with them. 
    • For this to be most beneficial for you, they will need to be empathetic to your feelings.
    • Don’t expect them to be positive all the time. They will likely be experiencing their own grief regarding your impending end of life.
  • Your loved ones should continue to affirm your life.
    • This is one of the major fears of those facing death that need to be eased.
    • Focusing on the good times during visits will help this.
  • You may need continuing reassurance about many issues to better ease anxieties, including that:
    • you are not a burden;
    • they will continue to stick with you through your illness; and/or
    • they will accept your death and carry your memory.
  • Sometimes it helps if they give you permission to let go. 

From your Palliative Care/Hospice team you will need empathy and whatever professional services they can offer.

  • The team will work to make sure you always feel in control of your circumstances.
  • You will benefit from individual, family, and/or group therapy with a qualified counselor. Techniques may also include biofeedback, hypnosis, relaxation, and imagery.
  • In some cases, medication can be used to relieve depression and anxiety.
  • Medical professionals can provide other medical treatments to make you comfortable.
  • Members of your team can help you arrange those practical things, like financial and legal consults, advance directives, estate planning, funeral and burial services, medical insurance, or support groups.

What Your Loved Ones Need To Do for You

Despite the emotions your family and friends are feeling, they must try and put them aside while they support you. While there can be some mutual support, they must focus on your needs if they choose to be with you in these trying times.

  • Your loved ones need to spend as much time with you as they can.
    • Some of them may find it difficult, so be patient with them. 
    • They should ask you how you’re doing and what you need.
    • A great way to spend this time is to allow you to talk about your life to both affirm your good deeds and gain perspective on the process of dying.
    • Whether they talk to you, read to you, watch movies with you, just listen to you, or simply sit and hold your hand, it is your company that is most important.
  • As you are supporting each other, it is natural for them to share their feelings of fear, sadness, and loss with you.
    • It is important that they don’t burden you with these feelings and expect you to put aside your needs to support them.
    • They should seek out other resources to talk to about their feelings and learn how to process them.
  • Don’t be reluctant to express your fears of death.
    • It can be difficult for your loved ones to hear, but communicating these fears can help you come to terms with the fact that you are dying.
    • They may want to express their feelings or offer reassurances, but it is best if they just listen without interrupting.
  • In most situations, medical professionals should not be informing your loved ones about your situation before telling you unless you are unable to comprehend it.
    • Your family should insist that you be included in discussions about issues that concern you before they hear anything.
    • If it does happen, they should share any information with you, no matter how difficult, as soon as you are able to understand what it means.
  • Your loved ones need to reassure you that they will honor your wishes as outlined in your advance directives and living wills, even if they seriously object to them.
  • If you need some time to be alone, they should also respect your need to establish barriers.
    • Wanting to be alone at times is normal, even if you are dying.
    • They must remember that end-of-life care also involves efforts to preserve your dignity and there may be situations that you do not want your loved ones to see you in.
    • However, they should assure they will be there if needed.

What Your Loved Ones Need

The most important things you can do for your family and friends are to let them know you love them, allow them to stay involved in your life, and keep them informed about your prognosis.

  • Allow them to help you in any way they are comfortable with, while not pushing them to do things that they would find difficult to do.
  • Although you may want to shield them from the reality of your impending death, don’t keep anything from them and let them spend whatever time they need with you.
  • To help with keeping them involved, you may want to allow your Palliative Care/Hospice team to share information with them, but only after they have given it to you.
  • Acknowledge their role in supporting you and your understanding of what they are going through.

Although your family and friends may require significant support during this time, it is not your role to set aside your needs to provide it.

  • Your loved ones may benefit from individual, family, and/or group therapy with a qualified counsellor, but they need to turn to other resources for this.
  • They can either make their own arrangements or ask the Palliative Care/Hospice team to provide this.
  • They can also seek family support groups themselves or through the team.

See “Dealing with Grief” in the “Information For Families” section.

Saying Goodbye

The last important task is to find a way to say goodbye. A final farewell is not easy and often involves reluctance. However, if your loved ones miss the chance to do this properly, they may regret it for the rest of their lives. Since death may not be predictable, many of your loved ones should prepare to say goodbye well in advance of your death, although it does not mean they wouldn’t continue to visit you.

Most loved ones may prefer saying goodbye to you in person and while alone with you, but this is not always possible if the situation does not allow this. While your death may be predictable and slow enough to allow you to spend time with each individual or arrange for the family to get together, it may also happen quickly and require a different approach.

  • If time and opportunity allow, your family and friends could take turns with you, holding hands, sharing good memories, or just sitting quietly. The experience will be unique for each person who spends time with you.
    • This is your chance to express your love and appreciation for each other, and say any last things that are necessary for closure.
    • It is important for everyone to be reassuring and honest, and to speak from the heart.
    • This process does not need to be repeated every time this person leaves your presence.
  • If this is not possible, other types of communication can be used for people who may be out of town or traveling, such as phone calls, video apps such as FaceTime or Skype, or other technology.
  • Even if you are not conscious, your loved ones can be reassured that you may still be able to sense they are there and hear them say goodbye.
  • If anyone is having a lot of trouble with this, it may help to talk with a counselor or clergy beforehand. 

It is likely that your closest family will want to be there with you. However, if they are not, it does not reflect on what they feel about you or what type of person they are. Being with someone when they die, found on the Dying Matters website, describes what they may expect if they choose to do so.

General References