R's rue

  Terminal Agitation can be a common symptom of the dying process.  It can start a couple of weeks before death and can be characterised as being behaviours that are  restless, unsettled and anxious in nature. Some patients are fidgety, others distressed, sometimes angry, sometimes confused. And the causes can be complicated and multifaceted. Often patients are hypoxic, or have deranged blood work. Their primary disease may be affecting their bodies adversely with pain, and sepsis, infection and organ failure being other important factors. Hospice care is often all about managing these conditions. Medication has its role and is a big factor Communication and the simple but practical dealing with issues such as dehydration, constipation and retention of urine are others . It’s a complicated issue. This morning, in the wee small hours when nothing feels right  Medications and communication and pain relief and positioning all had a role to play in the quieten...

Running down the centre of The East Riding of Yorkshire, there's a river called The River Hull. To the west of it, chalky downs known at The Yorkshire Wolds undulate gently like languorous ocean waves. To the east of the river  and composed of boulder clay deposited by the last great ice age, The Plain of Holderness stretches out to The North Sea. Growing up east of the river meant that I was much more familiar with that landscape - Holderness. To the west there were villages that were only names and seemed unembodied - Lockington, North Dalton, Beswick, Lund and Hutton Cranswick. They were but a bicycle outing distance from my home but the river divided us. Village green in Lund Yesterday, I visited the charming village of Lund for the first time and walked with Tony to Kilnwick - another heard of  settlement  never seen. The farmland in that district was was well-drained and fertile but young barleyfields of this current era are invariably bereft of in...

 I want to be grateful  No matter the fact That I’m befuddled Most of the time They only thing I know Is that I’m His And for today That’s enough Love the life You have In war torn nations Quiet is a blessing from R's rue https://ift.tt/dnQ1w5i