Anticipatory Grace

People with end-stage Parkinson’s disease and dementia die in predictable ways. Most often death is from complications of falling, immobility, infection, delirium and malnutrition. These are conditions that you and your patient have been treating and trying to prevent, often for years. When complications occur, families can feel responsible. Talking in advance about what to expect can prevent a sense of failure or guilt.

For more information, call our providers at 360-814-5550 or email:

All Palliative Pearls and other resources can be found by clicking Providers at the top of this page.

If you would like to receive monthly Palliative Pearls via email, please email Pam Putney at [email protected].

Palliative Pearls



POLST as Preventative Care

POLST as Preventative Care

Now that an advanced directive is in place, do your part and provide a POLST. In late-stage dementia, hospitalization often leads to increased fear,...

Advanced Care Planning for Dementia

Advanced Care Planning for Dementia

Feasibility of interventions and goals of care change as dementia progresses. An Advanced Care Directive should take this into account. As examples:...