Davidson County experts advise on supporting the dying
Gerontologists and physicians offer guidance for those facing terminal diagnoses and the family members left to provide support.
By Fernando Rojas ·

Experts in Davidson County say people facing the end of their lives have specific needs that often differ from what their families assume. Professionals advise that loved ones should focus on providing support rather than managing the dying person's emotions. This guidance aims to help families navigate these difficult conversations with clarity and respect.
Sam Cradduck, a gerontologist, notes that people often feel pressure to stay strong for others. She argues that a person near the end of life is not announcing their condition to manage their family's feelings. Instead, they are seeking the support they need to process their own crisis. Cradduck emphasizes that the dying person also needs a support system to handle their grief and the reality of losing their life.
Cradduck warns against expecting the person who is dying to hold up the emotions of those who are grieving. She has seen this dynamic play out too often in her practice. Family members should feel free to break down and be honest about their feelings. However, they should not rely on the dying person to manage those emotions. The responsibility for emotional support should lie with the living, not the dying.
Different individuals handle terminal diagnoses in distinct ways. Amy O'Rourke, an aging expert, recalls a minister who shared his terminal diagnosis with his congregation. The minister asked people not to ask him questions or talk to him directly. He wanted distance and space, but he wanted the community to know why he looked different. O'Rourke respected his request to define his own terms for the final chapter of his life.
Other people prefer the opposite approach. Dr. Rhea Rogers, a board-certified physician, says some patients announce their limited time and want to spend it together with their loved ones. Katherine Ambrose, an aging well coach, notes that every person is different. Grief, unfinished business, and relationships all play a role in how someone chooses to spend their remaining days. There is no single correct way to handle the announcement of a terminal illness.
Ambrose suggests starting conversations with simple phrases. One option is to say, 'I wish I had more time, but let's make the best of the time that's left.' Another approach is to ask, 'This is how I'd like you to celebrate my life.' O'Rourke advises people to think through their specific needs first. Then, they should ask for those needs directly. Some people want to experience life without the weight of sympathy from others.
Cradduck observes that people have a daily choice between living fully or simply existing. This choice remains even after a terminal diagnosis. She has seen patients who were actively dying still accomplish things they wanted to do. Society often struggles to talk about death, which leads to a lack of planning. Cradduck admires those who face mortality with grace and respect for themselves and those around them.
Ambrose notes that these conversations can feel awkward. The minister's specific request allowed his congregation to know what to do without feeling they had to address the topic constantly. For families who want to talk openly, listeners should engage rather than dismiss the topic. Giving people peace to speak in their preferred way helps maintain dignity during this final phase of life.
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