Monday, November 2, 2026

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ResilienceUpworthy

Hospice nurse shares the 6 things she’d do immediately after getting diagnosed with dementia

Hospice Nurse Julie, renowned for her insightful approach to end-of-life care, recently shared a profoundly personal plan in the face of a hypothetical dementia diagnosis. Her six-point strategy includes establishing medical directives like DNR and DNI orders, declining artificial nutrition and infection treatment, and meticulously planning for financial and funeral arrangements. Julie emphasizes the importance of making these decisions while she still can, ensuring her values guide her care rather than leaving such burdensome choices to her loved ones.

Julie’s candid approach reflects a deep understanding of the complexities of dementia and the need for preemptive decision-making. By planning a 'living funeral,' she underscores the value of celebrating life while cognitive abilities remain intact, turning a potentially somber discussion into a proactive celebration of life. Her recommendations, grounded in experience, offer a roadmap not only for those facing similar diagnoses but also for families seeking to navigate these challenging waters with dignity and clarity.

Constructive analysis

The constructive-journalism lens: not just what happened, but what works.

The problem
The challenge of making end-of-life decisions in the face of a dementia diagnosis.
The actions
Julie outlines actionable steps including establishing medical directives, planning finances, and organizing a 'living funeral' to celebrate life.
Evidence of progress
Her approach is backed by her professional experience and aligns with studies on the effectiveness of such medical directives and early planning.
What we can learn
Others can learn the importance of early and clear communication about end-of-life wishes to maintain control and reduce emotional burdens on loved ones.
PERMA profile of this story

How this story scores across the PERMA dimensions.

Positive Emotion
7
Engagement
8
Relationships
9
Meaning
9
Accomplishment
8
PERMA

Character strengths in play

Top VIA strengths this story embodies.

  • Courage

    Julie candidly acknowledges the harshness of her decisions but stands firm in her resolve.

  • Perspective

    Her years of observing patients and families inform her comprehensive and compassionate planning.

  • Love

    Planning a 'living funeral' to celebrate life with loved ones highlights her deep connection to those she cherishes.

Try this today

Reflect on your own values and wishes for end-of-life care. Consider discussing these with a trusted loved one or writing them down to ensure your preferences are known and respected.