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Planning Together for End of Life

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Dollars

April 7, 2025 By Dawn Carson

Dollars 
Ah, money – that little paper or shiny metal that keeps everything moving, even if it feels like it’s always slipping through your fingers when you need it most. In Canada, hospital visits are free (yay!), but everything else – from medications to the cost of dying and funeral arrangements – can feel like you’re suddenly signed up for a VIP package you didn’t ask for. The extras? They sure add up fast. But don’t panic – we’ve got you covered with a sliding scale for our service fees because no one should have to choose between dignity and their bank balance. Pay what you can, when you can! We believe everyone deserves access to compassionate, respectful end-of-life services, regardless of how many “Dollars” are sitting in the bank. So, we offer a sliding scale based on the household income of the person who has died and/or the person responsible for payment at the time of death. This way, we can ensure families of all incomes can make dignified choices during such a challenging time. And while we’re on the subject of “Dollars,” let’s also take a moment to appreciate the real treasure: our service providers. These amazing folks pour their time, energy, and expertise into making this transition as smooth and peaceful as possible.  They give their hearts at life’s final threshold —honour their gift by giving what you can.

Filed Under: The "D" Word

Death Doula

February 20, 2025 By Dawn Carson

Death Doulas: the only people who can make both existential dread and funeral planning feel like a warm hug. Think of us as the sherpas of the afterlife trek—minus the oxygen tanks but fully stocked with tissues, tea, and an uncanny ability to discuss mortality over muffins. We’re not grim reapers (too dramatic) or funeral directors (too formal); we’re the compassionate, candle-holding, plan-making, deep-listening companions who ensure you exit with style, grace, and maybe even a playlist that doesn’t include “My Heart Will Go On.” Whether it’s holding space for final wishes, guiding loved ones through post-death chaos, or helping you decide between a biodegradable burial or a Viking-style sendoff (local bylaws permitting), we’ve got you covered.

Filed Under: The "D" Word

DIAPERS

January 11, 2021 By Dawn Carson

Here is a thing to consider… you in diapers again.  When people are contemplating their end-of-life plans (and there aren’t enough of you doing that) a common marker is whether you can manage to take yourself to the bathroom or not.  Sometimes folks say when the day comes that they can’t manage their own ablutions, they will sign out.  However, when that day comes, they usually don’t choose to check out.

So adult diapers, good that someone thought of that.   For a variety of reasons adults need this product for more flexibility in their lives.  Most of us will end up using adult diapers.  After we go through rejecting, secrecy, humiliation, adjusting, surrendering, may we find adapting, ease and gratitude.  Maybe give you and diapers some thought.  Oh, and please consider the eco-friendly reusable types.  Mother earth doesn’t need her rich soil full of diapers…. Better off to poo directly into the garden.

Many things from the start of life years visit us again in the end of life years.  Vulnerability is warriorship.

Filed Under: The "D" Word

DONATION – Organ and Tissue

April 3, 2019 By Dawn Carson

 

On January 18, 2021, Nova Scotia became the first jurisdiction in North America to adopt a “deemed consent” model for organ and tissue donation. Under the Nova Scotia Human Organ and Tissue Donation Act, all eligible residents are presumed to have consented to donation after death unless they opt out.

If you’re 19 or older, have lived in Nova Scotia for at least 12 months, and haven’t opted out, you are considered a potential donor. This change was made to help increase the number of lives saved through organ and tissue transplants.

You can opt out at any time by registering your decision online with your Nova Scotia Health Card. Youth aged 16 or older can also register a decision, though individuals under 18 or those lacking capacity will require consent from a substitute decision-maker.

Even with deemed consent in place, families will still be consulted at the time of death. Medical teams will seek to understand any known wishes of the deceased before proceeding with donation. In addition, all medically eligible individuals will be referred to the appropriate provincial donation programs to assess suitability.

What happens after death?

If death is expected, the body becomes part of the deceased’s estate, and the executor or family is responsible for final arrangements. If death is unexpected, the medical examiner has temporary jurisdiction over the body for investigation before releasing it to the family or executor.

For those who wish to provide home deathcare, participate in spiritual or cultural rituals, or arrange a green burial, there are important considerations:

  • Who will have authority over the body after donation procedures?

  • What condition will the body be in following organ or tissue recovery?

  • Will medical teams avoid toxic chemicals and ensure respectful suturing and preparation to allow for home vigil or green burial?

These are essential questions, especially for families wanting a more personal or environmentally conscious approach to deathcare. Open communication with medical staff is vital to ensure the body is handled in accordance with your values and wishes.

For more information or to register your donation decision, visit:
Nova Scotia Health: Organ and Tissue Donation

Filed Under: The "D" Word

DENIAL

March 19, 2019 By Dawn Carson

Spoiler Alert – you will die.

In 1973 Ernest Becker won the Pulitzer Prize for The Denial of Death.  We’ve been denying for a while.  The toss-up seems to be with the dual nature of our physical selves and our symbolic selves. And that comes down too,  here we are… what does it mean?  The search for meaning or the true nature of reality is good/absolute.  It awakens the mind and that, my friends, is a connection to the present, which is wisdom. 

They say our life flashes before our mind’s eye in our final days.   Will yours be all scared and in denial about the fact that you will die?  Or might we find meaning which has us present in our everyday lives?… with whatever is?

Why exactly are we so frightened of death that we avoid looking at it altogether? Or worse, we take all manner of measures to get more “dying days”. 

Somewhere, deep down, we know we cannot avoid facing dying and death forever. Nothing is permanent and enduring.

When you are in denial, you’re trying to protect yourself by refusing to accept the truth about mortality.

When you are in denial, you’re trying to protect yourself by refusing to accept the truth about your dying and death that is  happening. Refusing to acknowledge mortality is a way of coping with fear, stress, painful thoughts, conflict, threatening information and anxiety. You can be in denial about anything that makes you feel vulnerable or threatens your sense of control, such as dying.  You can be in denial about something happening to you or to someone else.

When you’re in denial, you:

~ Will not acknowledge a difficult situation

~ Try not to face the facts

~ Downplay possible consequences of the matter.

Sometimes it seems as if the only real activity we are engaged in is closing our eyes to the truest fact about life: No one makes it out alive.

Filed Under: The "D" Word

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Purchase Exit Planning Workbook

Been putting off your end-of-life paperwork?  Finding it difficult to know where to begin?  The EXIT PLANNING Workbook provides a path to completion.  Download it now.  And get on with your life!

PDF with fillable fields, 56 pages. $24.00.

Click here to purchase.

The “D” Word

“D” is for Detritus and Downsizing

“D” is for Detritus and Downsizing by Abby Hoffman “D” is for Detritus and Downsizing Did you ever stand in your home and wonder, “what is going to happen to all this stuff?” Are there people in our lives who will benefit from our getting ...

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