B1001 | Nature Gave Us Butterflies: A Family's Guide to End-of-Life Transitions, Hospice Edition

Affectionately known as the hospice "butterfly book," Nature Gave Us Butterflies helps the caregiver understand pain management, breathing changes, confusion, agitation, skin changes, changes in elimination, socialization, withdrawal, and other important topics. The author gently relates the patient’s changes to the metamorphosis of a caterpillar becoming a butterfly, using nature metaphors to support the retention of information during an overwhelming time.

Highlights and topics covered:

Part One covers Specific Symptoms and Issues:

• Pain Management:  It’s Essential
• Decreased Food and Fluid Intake:  Aren’t They Uncomfortable?
• Breathing Changes
• Confusion, Agitation, and Restlessness
• Skin Changes and Skin Care
• Changes in Elimination
• Socialization, Resolution, and Withdrawal

Part Two offers a Chronological Timeline, providing a gentle guideline regarding “what to expect” as the patient’s health declines:

• The Emotions of Goodbye
• One to Three Months Before Death
• One to Two Weeks Before Death
• Two Days to a Few Hours Before Death
• When Death Has Occurred
• In tandem with the chronological timeline, we gently relate the patient’s physical, emotional, and spiritual changes to the metamorphosis of a caterpillar becoming a butterfly.  Using nature metaphors allows the hospice professional gently educate and connect to all backgrounds, cultures, and religions.

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