This is an excerpt from Larry Patten’s A Companion for the Hospice Journey which is available on Amazon or though his website Hospice Matters.

What about a loved one who dies quickly?

I don’t mean sudden, traumatic deaths such as fatal accidents, natural disasters like wherever the most recent earthquake has hit, or from bullets in war zones (and sadly in schools, at concerts, and on city streets). What about the 30% of deaths in hospice that occur within seven days? And within those national averages, some patients are in hospice for barely 24 hours. Being with a hospice for a week or less is unsettling. But when the care—and the death—all occur before the next day’s sunset, the unsettledness can become a hurricane of raw emotions, abrupt decisions, and instant regrets.

Hospice professionals know that when a loved one dies that quickly, most of the staff assigned to the patient and family won’t meet them. No one, other than nurses scrambling to manage the most urgent needs, had time to physically be with the patient who went from dying to dead in a handful of hours. A few days later, a chaplain or social worker will call to offer condolences . . . but she or he seems a stranger. More hospice staff will support you during your time of grief, but (again) they will be voices on a phone or letters in the mail.

Hospice professionals also know that many sudden deaths can be explained because of the inevitable, cruel progression of particular illnesses. But some can’t be explained.


I’ve heard of a patient eating her usual breakfast of oatmeal and buttered toast in the morning, and then dying before lunch. Sure, she had cancer or a weak heart, but she was a “survivor” . . . until she suddenly wasn’t. Or the granddad that briskly walked the five blocks to the local diner for lunch with his retired army buddies every Tuesday for decades. One week, he’s ordering ham and cheese on rye with extra mustard . . . and the next week his family is planning a funeral. There are endless variations of these stories.

I recently talked to a man who received a call from his eldest brother. Of course, it was late at night. Of course, it was after a weary day of work with more of the same tomorrow. But after the phone call there was only one thing on his calendar: returning to his childhood home to be with his father.

According to his brother, the doctors said their father would die in two weeks.

One late night phone call and the whole world shifted.

The son talked in hushed tones as I listened to him on my west coast phone, several weeks after the death. He was in his office on the east coast.

His father had been fine and chatty when this son did his usual weekly call on a Sunday morning earlier in the month. His father had been fine when the family gathered to celebrate his seventy-something birthday two months before. He’d danced a jig with his youngest granddaughter at the birthday bash and had second helpings of ice cream. His father was also fine last Thanksgiving, even though he fell asleep at the table when his middle son—the rabbi—prayed a prayer of gratitude that everybody joked was too long. All of these recent memories tumbled out of the son as he recalled when he father was . . . just fine.


After the late-night call, the son organized the flights necessary to get him across the country as quickly as he could. Death was quicker. His father died while the son was 25,000 feet over the Rocky Mountains. The doctors’ “less than two weeks” had been reduced to hours.

The son was a successful professional. As best as I could tell his father was proud of him and of his accomplishments. The son, even with his busy schedule, had always made the weekly calls and had taken red-eye flights to every family function over the years.

He told me he was tormented by his father’s death. Why hadn’t be been with his dad in the last moments? Why hadn’t he anticipated what was happening? Had his father kept “secret” any new symptoms?

I think talking helped him. I think he knew he was being too hard on himself. He reassured me he had good support from his wife and kids and colleagues. Still, that word lingered: tormented.

There is simply no explaining some deaths that are literally breathtakingly quick.

Following a quick death, spouses and children and friends have honestly said they felt relief. Who wants a loved one to suffer? But in the next sentence many have also expressed guilt over saying they were relieved. How can they have both—and conflicting—feelings? But how can they not have those unsettled, contradictory reactions?


Even a quick death that ends suffering, and that may eventually be explained by doctors, and rationally understood by the surviving friends and family, will still cause . . .





What comfort can be said to those who have experienced a “quick death” and now have a churning of feelings that are never quickly over?


Except to keep talking with others who love you. How simple that sounds. It’s never simple, though.

It requires work. It requires admitting to some of the vulnerable emotions that most prefer to mask or bury. It requires spending time with feelings that make us feel out of control. It requires accepting that some questions that must be asked won’t have any answers.

The son I talked with on the other side of the country will have moments in the future where he remembers the jolt and jangle of a midnight call. He will recall the helpless torment he felt by arriving “too late.” But I believe if he continues sharing and reminiscing about his father dozing at a brother’s prayer or his dad cheering him when he got his diploma, those terrible feelings about a quick death will recede as treasured memories heal some of his soul.


A Companion for the Hospice Journey received Honorable Mention in the 2019 Writer’s Digest awards for self-publishing. It has been recommended by nationally-known writers involved with dying, death, and grief. Elaine Mansfield, author of Leaning into Love: A Spiritual Journey through Grief and TEDx speaker praised Companion with “I hope you’ll read this book before you need hospice help. I highly recommend it to anyone facing life-threatening illness or grief.”



Amazon link:



Hospice Matters link:

Book: Companion for Hospice


Larry Patten

I am a writer, a United Methodist minister, and currently serve at a hospice in California. I maintain (musings about faith) and And just to remind myself that I’m never fully in control, my wife and I are raising a puppy. Whew. I have published two books, available on Amazon: A Companion for the Journey: 41 Reflections (Mostly) on the Lord's Prayer . . . and Another Companion for the Journey: 40 Reflections (and Questions) on Faith. Through my professional work at churches and in hospice, I understand it’s difficult to openly discuss dying and death, or to share how grief can impact us every day. Don’t feel like you’re alone with your concerns and questions. I look forward to your comments here at Open to Hope or at

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