A Poem of Renewal

The short and rainy days of December can dampen spirits. We appreciate all you do to help patients despite heavy workloads and busy waiting rooms. Wishing you peace and renewal over the holidays!

Still Waters

May still waters surround you
in a harbor of peace.
Think dragonflies on summer afternoons,
cow and calf in farmer’s field,
think summer sunsets,
autumn moons,
fog mist on morning ponds.
Think still waters
and find quiet rest
among the thoughts
of family and friends
who wish for you
gentle love
always. 

~ Patricia M Poland


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 us at [email protected].

Palliative Pearls



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:...

Handling Heart Failure at Home

Handling Heart Failure at Home

When rescue efforts don’t work well, consider hospice referral for in-home congestive heart failure (CHF) management. Prognosis in heart failure is...

Anticipatory Grace

Anticipatory Grace

People with end-stage Parkinson’s disease and dementia die in predictable ways. Most often death is from complications of falling, immobility,...