Reflections on Working in Hospice

Over 30 years ago, I started working as a Social Worker in hospice—a field I stumbled into but quickly found to be my true calling. Hospice care has been my professional “home” for the majority of my career, and November, a month dedicated to honoring hospice and palliative care, offers a moment to reflect on the importance of this medical specialty and its impact.  

Many people express admiration for hospice workers with comments like, “You must be special to do that kind of work” or “Isn’t it sad to work with dying people all the time?” While I appreciate the admiration, I hold equal respect for teachers and those who work with children! I don’t feel special and definitely not sad because working in hospice is a huge blessing! I’ve always enjoyed working with an older population (not all of our patients are elderly, but the majority are), and I believe that death and dying are natural parts of the lifecycle. This is a truth that I believe deserves honest, open discussion and compassionate care. I know this perspective might be uncomfortable for some, but it is crucial that people with life-limiting or terminal illnesses receive the care they deserve.

People and patients tend to be unaware of the resources available to them and/or are hesitant to discuss the realities of decline and death. But here’s a reality we all share: everyone we know, everyone we love, will face this chapter one day. In a society that worships youth and vitality, it is very difficult to embrace this reality. Why are we so afraid to talk about it and ensure that people are cared for and honored during this stage of life? Why doesn’t society ensure that people are respected and comforted during this time? Our society often sees death as failure; I see it as a calling to provide comfort and dignity, and it breaks my heart when that is missing.

While it’s true that death sometimes comes far too early, and we are never ready to say good-bye to our loved ones, failing to confront this reality and have difficult conversations leads to unnecessary suffering. In my years working in hospice, I’ve learned that people crave honest conversations. They want to know what to expect, to be at home surrounded by loved ones, and to have a say in how the end of their life unfolds.

While the end is certain for us all, the journey should be shaped by our voices and our values. If you ever have questions or need to discuss end-of-life healthcare options, Agape Healthcare is here to support and encourage you.

Every person deserves comfort, dignity, and choice when it comes to finding care for their life-limiting illnesses. And thank you to all you all professionals in hospice, palliative care, spiritual care, bereavement support, volunteering, and social work. We are grateful for you!

Life is short. Live each day to the fullest.

Amanda Stanley

Director of Compliance and Quality

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