By engaging the creative process of art-making, patients of all ages can enhance their physical, mental, emotional and spiritual well-being. Self-expression through art can help resolve conflicts and problems, reduce stress, increase self-esteem and self-awareness and achieve insight. For hospice patients, art therapy can aid symptom management, provide a way to communicate about their illness and facilitate exploration of spiritual concerns. No artistic skills are needed to benefit from art therapy.
An older adult woman was referred to me for art therapy sessions to help elevate her mood. She was mourning the loss of her physical abilities after a stroke. Her life prior to her stroke included teaching Latin and always having her hands busy with knitting needles.
I will always remember my hospice patient’s dog, Jack. Jack was a medium-sized, furry mutt, with all the friendliness of a well-loved and trained dog. My patient was a man who was deeply loved by family and friends... and his dog, Jack.
As the patient was dying, Jack was lying awake with his head on his front legs, under the patient’s bed. The family told me Jack had been there over 24 hours and was refusing to come out to eat or drink. Jack and his human friend were inseparable in life. And Jack stayed there, under the patient’s bed, until the funeral home arrived.
I am nine years old, standing wide-eyed, frozen in the darkened hallway by the closed door to my parent’s bedroom. My mother is inside, gasping the words to the 23rd Psalm. Something is terribly wrong. Terribly wrong. I don’t know what it is, and I don’t ask. She’s been sick for more than a year, spending more time in bed as the months pass and recently, oxygen tanks were hauled up to her bedside.
You are dying.
I have reviewed the Cat Scans, spoken to the specialists, and studied the labs. There are many possible treatments that could be offered, but I fear they will not stem the course of all that is happening already. The tumor is too advanced, the metastases, too malignant.
I know there are many questions about chemotherapy, radiation, and feeding tubes. I would caution you to think of death as the inevitable endpoint. There are many things we can do between now and that endpoint. Some will increase your life expectancy, and some will cause pain and discomfort. The trick is to decide what is more important to you: quantity vs quality.