Man sitting on a high peak with clouds blanketing sky at his feet. Visual depiction of Thomas's "sad height"--but for whom is it sad? For the dying, or those left behind?

“On That Sad Height”: But for Whom is it Most Sad? For the Dying, or Those Left Behind?

A Conversation with Two Hospice Nurses

So often I am reminded how great literature accurately mirrors the true complexities of real human struggles. Recently, I had an interesting conversation with two longtime hospice nurses, Nancy and Debbie, about their experiences with people nearing death and the family members who cared about them. Most often, family included the adult children of the patient, who not surprisingly had a very different attitude toward the death that was approaching than the patient who was in the act of dying. These women’s report from the front lines between life and death made me think immediately of Dylan Thomas’s famous villanelle, “Do Not Go Gentle into That Good Night.” As I read this poem, “Do Not Go Gentle” portrays the same differing attitudes toward death that these hospice professionals observed in patients and their families.

Debbie recounted her experiences this way: “I can’t tell you how often I’ve had this conversation: An adult child of the patient will say to me, “Dad’s just giving up! Why doesn’t he fight?” I try to explain that there’s a difference between ‘giving up,’ and ‘accepting.’ ‘Giving up’ means a person still has some choices, some way to change what happens in their life. But when there is nothing that will change anything, and a person has reached the end of life, accepting this situation is a good, not a bad thing.” Nancy nodded, saying her experience had been similar.

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