The staff at Hoag Memorial Hospital Presbyterian understand that this will be one of the more difficult times for you and your family. Realizing this, and anticipating the anxiety and fear you may experience while caring for your loved one, we have provided information to help you understand and respond to the symptoms indicative of impending death.

Note that not all of these symptoms will appear at the same time, and some may never appear.

These symptoms are merely the natural progression of the body as it prepares for the final stage of life. Use these guidelines with the understanding that the end-of-life process is unique to each person. For some, this process could take months, for others, hours or days. The hospital staff is here to answer questions, provide support and assist you in any way possible. You and your family are encouraged to utilize the support services provided by Hoag.

If your loved one has an Advance Health Care Directive (AHCD) or another advance care directive, please provide a copy to the medical staff. If an AHCD is not available, and your loved one wants life-sustaining procedures to be withheld, the physician can write an order.

If your loved one returns home from the hospital, please consult with your physician or nurse about appropriate life-sustaining procedures.

Remember to pay attention to your own needs during this difficult time. Get plenty of rest, eat a well-balanced diet and exercise. Be aware of symptoms of stress and fatigue, such as headaches, nausea, heartburn or shortness of breath.

Please feel free to contact Hoag Social Services at 949/764-8225 and Pastoral Care at 949/764-8358 for emotional and spiritual support. We are available to help you during this time of uncertainty.