Anna Wilde, a PhD student based at the University of Birmingham, shares what it means to be death positive, and how talking about and preparing for death can enrich our lives, reminding us to be grateful for each day we have.
If you have come across the term ‘death positive’, perhaps on social media, you might wonder what on earth it means. After all, we know that we’re going to die and so is everyone that we care about – what is there to be positive about? And who came up with the idea, anyway?
Caitlin Doughty, the founder of the Death Positive Movement (DPM), attributes the start of the movement to asking on Twitter (now X) in 2013: “Why are there a zillion websites and references to being sex positive and nothing for being death positive?” She explained that by “death positive”, she means: “I am fascinated by death, the history of death, how cultures around the world handle death, my own relationship to mortality, and I refuse to be ashamed of that interest”.
The tweet attracted suggestions that a new movement should be formed, and Doughty, who was running her own mortuary services in Los Angeles at the time, became the founder of the Order of the Good Death, which she started with the collaboration of several other women. Doughty also set up the hugely popular@AskAMortician YouTube channel, which now has over 2.1 million subscribers; the collection spans 11 years and numbers 270 videos. She also has a large following on Instagramand other social media channels, delivers talks at death-related events worldwide and has authored three books. Through these methods, the concept of the DPM has spread and is now active in the US, Canada, the UK, Australia and New Zealand, and growing within Europe.
However, death positivity isn’t about rejoicing when someone dies, or looking forward with glee to our own final moments. It’s much more about viewing death as a natural part of life and accepting the fact that, no matter what we do to avoid it, death is inevitable for us all. People who call themselves death positive will vary in their beliefs and behaviours, but most will talk easily and naturally about death, and encourage those around them to do the same. They will suggest that everyone should have paperwork in place and share it with their family, so that when they die, all the required items such as wills, funeral wishes and financial information is readily at hand. Some death positive practitioners, such as people who work within end-of-life care or death doulas, encourage a death plan, sometimes called a ‘living will’ or ‘advance directive’ to be made, which detail your wishes on resuscitation and refusal of treatment.
But as well as these practical issues, at the heart of the DPM is the desire for everyone to have access to a ‘good death’.
Defining what constitutes a good death is difficult as it’s a very personal thing – what does it mean to die well? A hundred years ago, most people died at home, but nowadays in the UK, only about 30% of deaths occur outside of a hospital, hospice or care home, although interestingly these numbers are rising.
For my research, I interviewed people who identified as death positive on this subject, and most agreed that feeling some element of choice and control over their manner and place of death was important to them; for example, choosing not to be sedated, if possible. Of course, death, rather like birth, does not always stick to the script we give it, but it is still useful to think through our preferences. Circumstances can deprive us of choices, whether those circumstances arise due to poverty, isolation or other factors, and the Order of the Good Death advocates for people’s wishes to be honoured, regardless of their race, gender or sexual orientation.
Within the UK, adherents of the DPM are quietly working to help make dying a natural part of people’s lives. When I tell people I study death, they are either disgusted or intrigued – and nearly everyone will say: “Of course, we don’t talk about death”. I usually ask them to consider whether that oft-repeated phrase is actually still true. Across the country (and indeed, the world) Death Cafés are held regularly, where people come to explore their feelings on death, dying, grief and bereavement. Whether it’s fear of dying, the loss of a pet, the death of a beloved partner, or just plain interest, many people find great relief in discussing these things – and of course, there’s always plenty of tea and cake. There are also Death Positive Libraries, who can loan books on death such as With the End in Mind by Dr Kathryn Mannix, or Nine Rules to Conquer Death by Kevin Toolis (and many more). Various podcasts on death abound, including the award-winning Griefcast, with Radio 4presenter Cariad Lloyd, and Where There’s a Will, There’s a Wake with actor Kathy Burke. Then there’s TED talks, online festivals such as Lifting the Lid International Festival of Death and Dying, organisations such as the Good Grief Trust… all in all, too many different initiatives to mention.
Meanwhile, independent funeral directors such as Poppy’s Funeralsare committed to helping their customers achieve the funeral wishes of their loved ones. They encourage a personalised, rather than a packaged, approach and will assist you in carrying out after-death care on your relative if you would like to, by washing and dressing them. This individual approach is also seen in the funeral celebrants who will design and host a funeral alongside you, and in the many natural burial grounds that favour an eco-friendly method of body disposal, often involving cardboard or wicker coffins or woven woollen shrouds.
To end on a personal note, the reasons I began studying death were connected to my mother’s illness of being in a catatonic state with dementia for over ten years. This followed a serious road accident where I was permanently disabled. There was a lot of loss and grief surrounding both these events, and my mother’s eventual death brought some relief as I could finally remember her how she used to be, rather than how her illness had affected her. I became interested in death and its many different aspects, which led to my Masters and then PhD studies. I consider myself to be death positive, although I still fear dying, especially as I get older and closer to it! I’ve met some fascinating people through my studies, all of whom have given me different perspectives on death, which is truly multi-dimensional. From cultural perspectives to religion, body disposal to death in art, literature and the media, my work at Caring for God’s Acre and with CEDAR Education(Community Education in Death Awareness & Resources), turning to death has been very life-enhancing for me. None of us are guaranteed our tomorrows and I find talking about death and preparing for it also reminds me to be grateful for every day we have left on this beautiful earth.
Anna Wilde is researching the Death Positive Movement for her PhD at the University of Birmingham. She holds an MA in Death, Religion and Culture and works for Caring for God’s Acre, a charity that supports the environmental and built heritage of burial grounds across the UK. Anna is also a Director of CEDAR Education, which is a non-profit company working in the field of death education.
There’s much more to death than we think; what if it isn’t just an ending, but an event we can plan for? Thinking beyond the four walls of hospices and hospitals, we have the chance to approach it with confidence and plan a good death. After Wards is a collection of insights and ideas from people who can help us all to re-imagine this essential part of life, and to live well until we die.
11th October 2023
Pilgrims Hospices share workforce stories throughout Hospice Care Week
Hello – I’m Shirley, Marketing and Communications Coordinator for Pilgrims Hospices.
I’m passionate about Pilgrims care, and have worked with the marketing team for more than eight years.
Communications and marketing play a crucial role in not only raising awareness about the services and support Pilgrims provide, but also in fostering connections with our community, donors, and volunteers. Our small team is undoubtedly important to the organisation’s overall mission and success.
I love the sense of being part of the bigger picture
Shirley – Pilgrims
Here’s why my role helps people to live well in every moment:
Raising Awareness: being involved with creative marketing campaigns that inform the community about the services and care offered by Pilgrims Hospices. This awareness can lead to more people accessing our services when they or their loved ones are in need.
Fundraising: effective communications and marketing are instrumental in attracting donors and sponsors. My work contributes to securing the necessary funds to support the charity’s operations and expansion.
Volunteer Engagement: volunteers are often the backbone of hospice care organisations. My role often involves engaging with volunteers, which is essential for providing personalised care and support. Without our volunteers we would not be able to provide the dedicated services to so many people.
Community Engagement: hospices are deeply rooted in the community. When I write articles and stories to support our services, I’m fostering relationships with community members and organisations. These relationships can lead to partnerships, donations, and additional support.
Patient and Family Support: effective communications can help patients and their families better understand the hospice care process, services available, and what to expect. This can reduce stress during a challenging time.
In my eight years with the charity, I’ve seen my role evolve and grow. With experience and expertise, I make a valuable contribution to the marketing team and the charity as a whole.
I love the sense of being part of the bigger picture, it’s crucial that all team members understand the charity’s mission, and their role in fulfilling it. When everyone feels connected to the overarching goal of delivering the best care possible, it fosters a sense of purpose and unity. This alignment of purpose can lead to increased job satisfaction, higher morale, and ultimately better patient care.
My role is integral to Pilgrims Hospices, and truly believe that my dedication and commitment over the past years, demonstrates a valuable contribution to providing the best care to those who need it.
If you think you have the qualities to support a local charity, who provide a vital service within the community, you should consider Pilgrims Hospices. Whether your skills lie in care, support and maintenance, fundraising or any number of roles for Pilgrims, please look at our current vacancies, click here.
Each year, Pilgrims Hospices give care and comfort to thousands of people in east Kent coming to terms with an illness that sadly cannot be cured. The charity supports patients to live life as well as possible until the very end, free from pain and distress. Care is provided from three hospice sites in Ashford, Canterbury and Thanet, as well as in patients’ own homes. To offer these services to patients and their families, the charity must raise £11 million each year from the generous local community.
10th October 2022
Therapy dogs make a welcome return to Pilgrims Hospices
Pets As Therapy (PAT) dogs are a vital part of Pilgrims Hospices’ wellbeing programme. Specially trained to remain calm and gentle when interacting with people, they make perfect visitors for patients and loved ones who are spending time in the hospices.
In September 2022, PAT dogs made a welcome return to Pilgrims after a two-year hiatus, having been unable to visit during the COVID-19 pandemic. Patients, staff and volunteers alike are truly grateful to have them back.
PAT animals provide companionship to thousands of people in settings across the UK, including hospices, hospitals, care homes, schools and prisons. They help to reduce anxiety and offer a pleasant distraction from the things that may be happening around them.
Rodney
Martyn Ponting from Sellindge brings his black labrador, Rodney (7), to the Ashford hospice. Rodney’s soothing presence is much-appreciated by everyone they’ve met since they started volunteering in 2017.
Martyn came across PAT animals when he worked in the pharmaceutical industry and regularly visited hospitals. He said: “I decided that when I retired, I wanted to get involved. We love coming to the hospice; Rodney puts smiles on everyone’s faces, even when they’re really poorly. Most patients want to see him, and the staff love him, too. He cheers everyone up.
“He’s just a normal dog at home, but at the hospice he senses the mood and immediately calms down. On our first day back since COVID, we visited a patient who was very near the end of life. We didn’t stay with her for long, but afterwards a nurse told me it was the first time they’d seen that patient smile. Rodney is also great for visitors, helping to break the ice and providing a different focal point at an otherwise difficult time.”
Rodney is such a well-loved and vital part of the Pilgrims’ team that he even has his photo up next to the consultants on the staff board.
Martyn added: “He has a gift for it, but he’s often a little tired afterwards because he takes on peoples’ moods – but perhaps in doing that, he lifts a small weight from their shoulders, so it’s all worthwhile. And he soon bounces back!”
Aston
Linda Wolek-Went and her husband, Mike Went, from Seasalter visit the Canterbury hospice with their Tibetan Spaniel, Aston (4).
Linda first volunteered for 15 months with their dog Bobby, who has now sadly died. After COVID dashed their round-the-world adventure plans, they returned to east Kent and decided to take on more rescue dogs. Aston and his brother, Martin (2), were rescued from Hungary, and Martin is currently in training to join the PAT dog team.
Linda was a volunteer receptionist at the Canterbury hospice for many years, and a schoolfriend of hers was cared for by Pilgrims, so she has seen first-hand what a difference the charity makes.
She said: “The comfort PAT dogs give to people is so uplifting and worthwhile. It’s a big commitment, but we’re retired and it’s a lovely way to spend our time.
“When Aston and I arrive at the hospice, we say hello to staff, volunteers and visitors in reception; they get as much enjoyment from it as the patients. Then, we go on the ward. All the patients love seeing Aston; even if they’re not feeling well, they still enjoy spending time with him.”
Wendy Kelk, Hospice Services Manager, said: “The team were filled with excitement, and some relief, when I announced the PAT dogs were returning to sites after COVID put their visits on hold.
“When the dogs are on site, the whole mood lifts; patients, visitors, volunteers and staff are smiling and requesting to see the dogs. They are very much a vital part of our team. Thank you so much to the dedicated owners for their time, hard work and willingness to return.”
We are delighted to welcome Rodney, Aston and their owners back to Pilgrims. We’re in the process of recruiting a PAT dog for our Thanet hospice, so that patients and visitors on all three sites can enjoy the same therapeutic benefits that PAT dogs bring.
To find out more about the Wellbeing services offered at Pilgrims, visit:
Hospice Care Week is an annual event where we recognise and celebrate Hospice UK and hospice care nationwide. It’s an opportunity to show the world the value of support, of care and of what matters to us as individuals at the end of life when we need it most.
Pilgrims Hospices cares for thousands of local people each year, free of charge, during the most challenging time in their lives. They offer care and support in people’s own homes, in the community and in their inpatient units as well as running a 24-hour advice line.
7th October 2022
Angela enjoys getting creative with Pilgrims Hospices
Angela Clarke from Westbrook near Margate attends weekly Time to Create sessions at Pilgrims Hospices, which offer fun, creative activities aimed at improving patients’ wellbeing.
She is enjoying creating artwork, meeting new friends and experiencing a different side to hospice care that she didn’t know about until coming to Pilgrims.
Through being referred to a Pilgrims breathlessness management course by a nurse at Guy’s Hospital, London, Angela heard about the charity’s wider wellbeing services and was keen to find out more. She was introduced to Billy Williams and Kyla Szukala, Wellbeing Practitioners, who welcomed her to the Time to Create group at the Thanet hospice.
I always thought hospice care was just offered at the end of life, and there was a fear around it. How very wrong I was. It’s friendly; we’re all struggling, but you can lose yourself for a few hours and just be.
Angela
Angela said: “I’m a complete novice, but I’m really enjoying it. We’ve worked with acrylics, watercolours and pastels, made Easter wreaths and done a project for the Queen’s Platinum Jubilee. We also made felt teddy bears; I didn’t finish mine in the group because I had to go to hospital, but I took it with me to work on during my stay, and it helped to keep me busy and take my mind off things.
“Having a finished product is lovely, although that’s not what matters really – it’s the taking part and enjoying others’ company. It’s nice to be away from home and spend time with different people. I look forward to the Time to Create groups, and I miss them when they don’t run.”
Angela also takes her newfound creativity home with her; after using watercolours in the group, she now paints the fruit and flowers in her garden.
She added: “I always thought hospice care was just offered at the end of life, and there was a fear around it. How very wrong I was. It’s friendly; we’re all struggling, but you can lose yourself for a few hours and just be.”
To find out more about the Wellbeing services offered at Pilgrims, visit:
Hospice Care Week is an annual event where we recognise and celebrate Hospice UK and hospice care nationwide. It’s an opportunity to show the world the value of support, of care and of what matters to us as individuals at the end of life when we need it most.
Pilgrims Hospices cares for thousands of local people each year, free of charge, during the most challenging time in their lives. They offer care and support in people’s own homes, in the community and in their inpatient units as well as running a 24-hour advice line.
1st October 2021
Pilgrims Hospices celebrate Hospice Care Week 2021
Hospice Care Week (4 – 8 October 2021), is all about raising our voices to show how important hospice and end of life care is for people; it’s an opportunity to recognise and celebrate hospices and the care they provide.
It’s a chance to demonstrate the value of support, care and what matters to us as individuals at the end of our lives. After an incredibly difficult 18 months, Pilgrims would like to take Hospice Care Week as an opportunity to celebrate and thank everyone for working so hard to ensure vital services can continue, no matter who you are.
Therapy Centres re-open and new Walk and Talk group for carers launches
After the long period of delivering services virtually, Pilgrims Hospices therapy team welcome patients and carers back to the Therapy Centres as services re-open.
Chris Jones, Pilgrims Wellbeing Practitioner Team Leader said: “It will take some time to re-engage with our service users face to face, and make the necessary arrangements to get groups together and safely back to the hospice Therapy Centres, where we can once again provide the wellbeing sessions that we’ve missed during the COVID-19 lockdown.
“We are delighted to say we are already running a new Walk and Talk group for carers.”
The carers walking group is an informal, easy paced walking group, taking place in the relaxed and beautiful environment of Pegwell Country Park Nature Reserve, offering an opportunity for people to connect, share, re-energise and learn from others who have similar experiences to their own. The walks are supported by Wellbeing Practitioners and trained volunteers.
Chris added: “We welcome Pilgrims carers from across east Kent to join us at the Pegwell Country Park walks.”
The Therapy team have identified two additional walking routes – Canterbury, Toddlers Cove and along the Stour and Ashford, Conningbrook Lakes Country Park.
These new Walk and Talk groups will start in October 2021.
“We share stories and talk about what we’re going through”
Freda Thomas from Minster told us: “The Walk and Talk group is fabulous, I look forward to Wednesdays when I can join with like-minded people; we share stories and talk about what we’re going through, it feels so good to talk about it. Being out in the fresh air is so uplifting, Chris and Kath from the hospice Wellbeing team are lovely and have lots of useful advice.
“Our group finish the walk with a coffee stop and always feel refreshed, and ready to take on the rest of the week.
“I’ve made new friends, and Judy and myself have become particularly good friends and now go swimming together on Tuesdays which also helps with my wellbeing.
“My husband had used Pilgrims services for exercise and breathing classes and more recently the Hospice at Home nurse comes to support him. On one of her visits she explained the benefits of the Walk and Talk group, and put my details forward to the Wellbeing team. It’s definitely helping to make a difference.”
I look forward to Wednesdays when I can join with like-minded people; we share stories and talk about what we’re going through, it feels so good to talk about it.
Freda
Walking with others builds connections, helps ease feelings of loneliness and isolation and research has shown that walking with others reduces anxiety and helps build resilience. Walking in nature can improve wellbeing, mood and self-esteem whilst reducing depression and stress.
Benefits of walking and talking
“Therefore, the aim of the carers’ walking group is primarily to improve health and wellbeing and give them some time out of their caring role. It provides an opportunity for carers to meet, keep fit and make new friends and also enables us to listen to their experiences and offer support in a relaxed and informal setting.” Chris explained.
The group is proving extremely popular and Pilgrims hope to extend the programme to those using their Stepping Stones bereavement services, who may find some additional therapy benefits.
Find out more about Pilgrims wellbeing programmes
Pilgrims wellbeing groups and programmes are all designed to enable patients and carers to live well in both mind and body for as long as possible.
We support people to cope with the practical and emotional challenges they are facing when living with a life limiting condition, along with those who are caring for them.
Get in touch to find out more about Pilgrims Hospices wellbeing services and how to access our therapy sessions:
As we re-introduce our Wellbeing sessions for patients and carers, we welcome back the amazing support of our volunteer workforce in order to make this happen in a seamless fashion.
We’re always interested to hear from people who would like to offer their skills as a volunteer.
There are many interesting and rewarding opportunities to volunteer within Pilgrims Therapy Centres and we welcome volunteers who have a range of skills and experience to support the Wellbeing team.
Some ways that you can volunteer are:
Meet, greet and befriend patients and carers attending Therapy Centres
Support Wellbeing Practitioners to facilitate wellbeing groups and programmes
Help design and deliver creative, relaxing, social and fun activities for patients and carers
Provide wellbeing support calls to patients and carers who are isolated and unable to come to the hospice
Become a Walk and Talk group leader
Provide admin support to the Wellbeing team
If you’d like to find out more or to express an interest in volunteering, please contact Pilgrims’ HR team on01227 812 612.
Each year Pilgrims Hospices give care and comfort to over 2,500 people in east Kent who are coming to terms with an illness that sadly cannot be cured. The charity support patients to live life as well as possible until the very end, free from pain and distress.
6th October 2020
This is what it takes to provide hospice care for the people of east Kent
Hospice Care Week 5 – 11 October 2020
Hospice Care Week is an annual opportunity for the UK’s 200+ hospices to showcase the incredible work they do. This year, with COVID-19 restrictions limiting our face-to-face events, Pilgrims decided to make a film to show just what it takes to provide hospice care for the people of east Kent.
We hope this film shows the breadth of our services, helps to overcome the taboo that still exists around discussing death and dying and shows the dedication of our workforce and volunteers.
Care 2 Sm
If you ask people what they understand about hospice care, most will refer to our wards where we look after people at the very end of their lives. This is certainly a key part of what we do, but we do so much more.
Hospice Care Week might look a little different this year, but the 200+ hospices throughout the UK know that is all the more reason to recognise and celebrate the incredible work that they do.
Pilgrims Hospicescare is far more than just buildings where people go to die. Much of the care happens in people’s homes and within the community. When Pilgrims care for someone at the end of their life, they are helping them to make adjustments and changes, learn to live with their illness, manage symptoms and live well in every moment.
The challenging times of COVID-19 have captured headline news for all organisations across the country and the world, it brings challenges to the charity’s care and resources too. The nurses and staff on the wards continue to provide 24-hour nursing care for those who need a bed on one of the hospice wards. While the community teams remain at the heart of the community, supporting patients and their families to be cared for at home if this is their wish.
Underpinning Pilgrims care are a team of occupational therapists, counsellors, physiotherapists, and many more who support patients to understand their conditions and provide the necessary equipment and techniques to manage pain, breathlessness and anxiety to support their quality of life.
We have 1,500 volunteers dedicating around 150,000 hours per year which makes a significant difference to our services. They make a contribution in around 30 different roles across our services which include retail, administration and fundraising. We celebrate their dedication and work to offer them the best volunteer experience with Pilgrims Hospices.
Jeff Southon – Volunteer Services Manager
Pilgrims Hospices community is wide and diverse; supporting the front line clinical team are researchers, catering, retail, domestic, education, fundraisers, administration teams and the most amazing support of 1,500 volunteers. The charity supports over 2,500 patients each year coping with life-limiting illnesses.
Recently Pilgrims Hospices have developed and adapted their services to provide continued support even when the pandemic has restricted face to face services. They have overcome the challenges and offer a business as usual service via online technology, telephone and YouTube where there’s access to many support videos which include fitness, wellbeing and creativity.
The range of care which included complementary therapy the nurses and occupational therapy allowed Ann to fulfil her wish to stay at home.
Kate Love – Volunteer and service user
As a celebration of all the work that goes on every day of the year; Pilgrims has compiled a video of just some of the incredible people that help the charity to be there for anyone who needs their specialist care in east Kent. You can watch on Pilgrims Hospices website.
Mandy Williams, Pilgrims Head of Education, who narrates the project said: “We felt it was important that people know we offer far more than just a hospice bed or a place to die.
“The video is a small insight into the work of so many compassionate
people, whether as an employee of the charity or as a much valued volunteer.
“We hope you will watch and enjoy our celebration of the work Pilgrims Hospices does in east Kent.
“We are dedicated to providing quality comfort and care for our patients, and support for families and friends when a loved one has died.”
Each year Pilgrims Hospices give care and comfort to over 2,500 people in east Kent who are coming to terms with an illness that sadly cannot be cured. The charity support patients to live life as well as possible until the very end, free from pain and distress.