​Hospice is a term often mentioned in conversations about end-of-life care, but many people don’t fully understand what it entails. You might hear phrases like “they’re on hospice” or “they went to hospice,” but what does hospice really mean? What benefits does it offer, and why do so many people wait too long to take advantage of it?

The modern concept of hospice care began to take shape in the 1960s and 1970s when healthcare professionals recognized the need for a specialized approach to caring for terminally ill patients. Before then, patients were often not even informed of their prognosis, and the primary focus was on curative treatments—sometimes at great physical and emotional cost. The early hospice movement started modestly, with small groups of volunteers providing palliative care. However, hospice care gained significant traction in the 1980s when the U.S. Congress made it a Medicare benefit, ensuring access for many Americans.

To qualify for hospice care, a patient must have a terminal illness with a prognosis of six months or less to live. Additionally, the patient must agree to forgo curative treatment and instead focus on palliative care, which prioritizes comfort and quality of life. Importantly, patients can leave hospice care at any time if their condition improves or if they wish to resume curative treatments.

The benefits of hospice care are numerous. One of the most significant advantages is improved pain and symptom management, as hospice doctors and nurses specialize in treating end-of-life discomfort. Hospice care is often provided in the patient’s home, allowing them to remain in a familiar and comforting environment while avoiding unnecessary hospital visits. Additionally, hospice programs offer valuable education and emotional support to both patients and their families, helping them navigate this challenging time. Ultimately, hospice aims to enhance quality of life, allowing patients to spend meaningful time with loved ones in a supportive setting.

Despite these benefits, many people delay starting hospice care. Research shows that most patients enter hospice only in the final days of life, missing out on the full range of services that could have provided comfort and support much earlier. This reluctance often stems from misconceptions about hospice, fear of acknowledging the end of life, or delayed conversations about care preferences. By discussing hospice options earlier—with both patients and their families—more people can take advantage of the compassionate care it offers, leading to a more peaceful and dignified end-of-life experience.

In this series, we will explore the different generational groups that make up our society, starting with the Silent Generation and ending with the newest cohort, Generation Alpha. Each generation is shaped by the historical events, cultural shifts, and technological advancements of their time. These influences play a crucial role in shaping their values, communication styles, and even how they approach major life events—including their perspectives on aging, terminal illness, and end-of-life decisions.

​Understanding these generational differences allows us to foster better relationships, bridge communication gaps, and provide more compassionate care and support, regardless of where we are on our own end-of-life journey. By exploring the unique experiences and characteristics of each generation, we can gain deeper insights into how to connect, support, and empathize with people of all ages.
According to Parents.com’s A Year-by-Year Guide to the Different Generations, the currently recognized generational groups are:
The Silent Generation (1928-1945) – Shaped by the Great Depression, World War II, and the early post-war years, this generation values hard work, resilience, and loyalty.
Baby Boomers (1946-1964) – Born in the post-war economic boom, this generation witnessed major social changes, including the civil rights movement, the Vietnam War, and the rise of suburban life.
Generation X (1965-1980) – Often described as independent and adaptable, Gen X grew up during the rise of personal computers, economic shifts, and cultural transformations of the late 20th century.
Millennials (1981-1996) – This generation came of age during the digital revolution, globalization, and events like 9/11 and the Great Recession, shaping their values of connectivity, social consciousness, and work-life balance.
Generation Z (1997-2010) – The first true digital natives, Gen Z has been influenced by social media, climate change awareness, and global activism, valuing diversity, inclusivity, and mental health awareness.
Generation Alpha (2010-2024) – The youngest generation, growing up in an era of rapid technological advancements, artificial intelligence, and a world reshaped by the COVID-19 pandemic.

Throughout this series, we will delve into the defining characteristics of each generation, examining how their experiences shape their perspectives on life, aging, and end-of-life care. By fostering this understanding, we can create a more compassionate and supportive environment for people of all generations.

​At Evergreen, part of our mission is to provide funding for End of Life Doulas. But what exactly is an End of Life Doula?

An End of Life Doula, also known as a Death Doula, is a trained professional who offers holistic, non-medical support to individuals and their loved ones, typically during the final stages of life. However, their role is not limited to end-of-life care—they can also provide guidance and assistance at any stage. For example, an End of Life Doula may work with a pregnant individual to help them complete an advance directive in case of unforeseen complications during labor and delivery.

Unlike medical professionals such as nurses, End of Life Doulas do not provide clinical care. Instead, they help bridge gaps in support by offering emotional, practical, and informational assistance. While nurses and hospice staff may not be available for daily visits, an End of Life Doula can provide more frequent check-ins, observe any changes in the client’s condition, and communicate updates to the medical team.

Each End of Life Doula brings a unique background and set of skills, tailoring their approach to meet the specific needs of the individual and their loved ones. Some common services they provide include:

Assisting with Advance Care Directives and end-of-life planning
Providing respite care for family caregivers
Offering emotional and spiritual support
Creating legacy projects or memory books
Helping with vigil planning and bedside support in the final hours
Guiding families through the grieving process

End of Life Doulas play a vital role in ensuring that individuals and their families feel supported, heard, and empowered during difficult transitions. Through their compassionate presence, they help bring dignity, peace, and clarity to the journey of life and death.

​March 6th marks National Slam the Scam Day, a day dedicated to raising awareness about scams and empowering individuals to protect themselves and their loved ones from fraud. Scammers often target older adults, especially those aged 60 and above, with one in ten becoming victims of financial exploitation. According to the Michigan Institute for Healthcare Policy and Innovation, 75% of older adults have reported encountering scam attempts aimed at stealing their personal or banking information via phone calls, mail, or online messages. Alarmingly, individuals in poor health are more likely to fall victim to these schemes.

Some of the most common scams targeting seniors include:

Investment Scams – Fraudulent investment opportunities promising high returns with little risk.
Tech Support Scams – Scammers pose as technical support agents, claiming there’s an issue with the victim’s computer or device to gain access to personal data.
Business Email Compromise (BEC) Scams – Fraudsters impersonate company executives or employees to trick individuals into transferring money or sharing sensitive information.
How to Protect Yourself and Your Loved Ones
There are several proactive steps you can take to safeguard yourself and your loved ones from scams:

Educate Yourself on Different Types of Scams
Awareness is key. Understanding common scams will help you recognize red flags before falling victim to fraud.

Set Up Alerts on Financial Accounts
Enable text or email notifications for bank and credit accounts. This allows you to detect any unauthorized activity early and take immediate action to stop further damage.

Monitor Your Credit Report for Fraud
You are entitled to one free credit report per year from each of the major credit reporting agencies. Reviewing your report regularly can help you identify signs of identity theft or fraudulent accounts opened in your name. If you find incorrect or suspicious information, file a dispute with the credit bureau immediately.

Place a Credit Freeze on Your Report
A credit freeze prevents anyone from opening new credit accounts in your name, adding an extra layer of security. Freezing your credit is a simple process and can be done through major credit bureaus like Equifax, Experian, and TransUnion.

Final Thoughts
Falling for a scam is nothing to be ashamed of—scammers are highly skilled at deception and use sophisticated tactics to exploit their victims. If you or someone you know has been scammed, report it immediately to local authorities, the Federal Trade Commission (FTC), or the Consumer Financial Protection Bureau (CFPB). By staying informed and taking proactive steps, we can help prevent scams and protect ourselves and our communities.