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Compassionate Communication at End of Life

Lesson 3 of 13 in End-of-Life Care · 25 minutes

A realistic dialogue between a PSW and a dying resident in palliative care. CLB 5-6 — words that comfort, presence that helps, silence that holds space. The work of being with someone who is leaving.

What you'll learn

  • Recognize the small phrases that comfort dying residents — and the ones to avoid
  • Understand that silence, touch, and presence often matter more than words
  • Respond to existential questions ('am I dying?') with honesty and tenderness
  • Honour the resident's autonomy in their last days — their wishes, their fears, their peace

From the transcript

Mr. George Watson, 89, is on palliative care for end-stage cancer. He has weeks, possibly less. The family has been notified; he's on the comfort-care pathway (palliative meds for pain and dyspnea, no further curative treatment). It's 6:30 a.m., end of night shift. He's been awake on and off; he asked his night nurse to leave the curtain open so he could see the sunrise. You're the day-shift PSW arriving to begin care. He's awake, watching the sky lighten.

Aisha: Good morning, Mr. Watson. It's Aisha. May I come in?

Mr. Watson: Yes, come in dear. I was watching the sky.

Aisha: It's beautiful. The colours are softer this morning.

Mr. Watson: I've watched a lot of sunrises in 89 years. Each one…