Life Support Issues/End Stage COPD


barbara j minervino wrote at 2010-12-17 00:38:04
I know what you are going through, I am caring for my husband of forty two years, My heart jerks every time he starts to go into a real bad breathing period. The doctors sent us home, With hospise coming to see us twice a week. His breathing is getting lower and lower every day, And I still strick out at the fact that he is dying! I cry every day, Without letting the rest of my family seeing me so weak.

Laura wrote at 2010-12-31 05:55:40
This is exactly how it was with my mother, She died Dec 20th 2010. I have cried everyday since. Reading this answer let me know what was done for her and what myself and my sisters have done was the right thing. I always felt that there was more that could be done. At the end of her life it was exactly as was described.

cam wrote at 2015-08-10 02:23:17
my mother has end stage copd she has been in and out of hospitals and nursing home rehabs. She has just moved to an assisted living apartment which is part of the nursing home and has 24/7 continuous care with hospice. My mom does not want to go to the hospital again and is tired of rehab. I did not want hospice to stop her meds such as heart and blood pressure, they assured me it was the right thing to do.they are giving her anxiety and morphine liquid meds only, she does seem more relaxed and comfortable and breathing  better. I know the end will come sooner without her regular medicine, but, nothing can make her better so why should she suffer. It-is a painful death, the morphine will make it easy. She is 87, nurses told me she will decline rapidly i feel like I am killing her the reality is she is dying anyway this just make it faster.. Good luck with your Mom. Its a tough one.

Life Support Issues

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Betsy Murphy


My expertise is in end of life care for adults. Identifying when someone is approaching the end of their life. Benefits and burdens of end of life treatments. Managing pain and other symptoms. Providing care for dying patients at home. Advocating for someone who is dying in a hospital or nursing home.


More than 28 years of experience in hospice care. Currently consulting with hospices to promote access for patients to receive hospice care earlier in the course of their illness. Betsy provides training for hospice marketing staff to effectively work with nursing facilities to help identify eligible patients. She writes Additional Development Request (ADR) letters to Medicare to help hospices get paid for their services and to avoid future claim denials.

Hospice and Palliative Nurses Association

Articles: Clinical Reviews, Advance for Nurses, Nursing Spectrum, Washington Business Woman,; Understanding Medical-Surgical Nursing (FA Davis and Company), Guide to Caregiving in the Final Months of Life (TM Brown publishers).

Bachelors of Science in Nursing, additionally trained as a Family Nurse Practitioner and certified as a hospice and palliative care nurse.

Awards and Honors
Outstanding Woman in Loudoun County (VA) by Loudoun County Commission on Women 1997 and 2002.

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