02/21/2026
It can be incredibly difficult for families to make the decision to start hospice services for their family member. Sometimes, they even have to push against the pressure by medical professionals to pursue more aggressive measures that they know their family member would not want.
I was talking with a woman about the decision to start hospice care for her mom. She shared that her mom had been talking about being ready to die for many years; as she really wanted to be reunited with her deceased husband and felt her quality of life was very poor.
Her Mom was hospitalized yet again, and the woman knew that her mom would not want the surgery that was recommended. Her mom was no longer able to make decisions on her own, and so her daughter became her decision maker. The daughter informed the doctor that she wanted to bring her mom home rather than have the surgery he recommended.
She shared with me that the doctor had told her that he wasn’t on board with just letting someone die.
“I had to dig really deep and hold firm that these are my mom’s wishes, even when the doctor pressured me repeatedly. She was clear with me about what she wanted so I made it happen, regardless of the people who were trying to make me feel bad about it.”
Thankfully, she and her mother had many conversations over time about what her mother wanted regarding her care. The daughter was able to recall these conversations and then advocate for her wishes to be carried through.
Unfortunately, I see too often that family members are put in the impossible position of making decisions for their person without knowing having had any of these oh-so-important conversations.
It’s the conversations that give us confidence to make
decisions on someone’s behalf.
Not sure where to start? The Death Deck can help. With multiple-choice questions and a dose of humor, we make it easier to get the conversation started.