Anticipatory grief: Mourning a loved one before they die

silhouetted tree branches frame night sky where bright moonlight peeks behind clouds to create a mournful mood
Night Sky with Moonlight by Teresa TL Bruce

What do you say to someone who’s mourning a loved one before they die? What do you say to a loved one who’s dying? Although I’ve walked similar paths of anticipatory grief, each time feels like starting over because it is starting over. Each loss we mourn is unique to the relationship we have with the one who’s dying.

Should you wish someone with a terminal illness a cheerful “Happy New Year”? Maybe. Maybe not. Will your loved one likely live to see the new year come around? Will they see it but suffer further as it progresses? Perhaps a better greeting might be along the lines of “I’ll be thinking of you as the new year rolls around.”

Before Mom died

The summer when Mom’s doctors told us she had perhaps six months left to live, the rest of us thought, at first, variations on “Let’s hope she can hang on until ___,” filling in the blank with events, milestones, and holidays: my parents’ anniversary, her first grandchild’s baptism, Thanksgiving, Christmas, the birth of her next grandchild, New Year’s Day …

My mother, however, somehow knew better.

Sometime in the first three weeks after her diagnosis, while her handwriting still looked like her own, Mom penned messages onto the family calendar. When, months later, we turned the pages to November and December, we found her handwriting across the days of Thanksgiving and Christmas, days she knew she would not live to see:

Visiting the terminally ill

During the weeks of Mom’s all-too-fast yet slow terminal illness, we had plenty of time for long talks, reminiscences, and nothing-left-unsaid goodbyes.

Friends and family members came to see her and said their goodbyes as well. Some brought her goodies or magazines or flowers, but the most valuable gift they gave her was their time. Those who made their visit about her — how much they loved her, experiences they’d shared with her, and lessons they’d learned from her — brought comfort not only to her but to our whole family. And yes, they acknowledged how much they would miss her (and sometimes cried with her as they said their last goodbyes).

It was a sorrowful yet sweet, sacred time for our family.

When death strikes suddenly

My husband’s death, under much different circumstances, gave us no time — not even one minute — to prepare. Words like sudden or unexpected do little to portray the incomprehensible shock that shook us to the core. The yet-unexplained illness he suffered for a couple of years before he died had no bearing (we think) on the condition that took him without warning.

We had no chances for goodbyes or resolutions or reminiscing with him — only with ourselves.

And also with the brave, compassionate, empathetic family and friends who went out of their ways and beyond their comfort zones to sit with us in our grief, to listen to our rantings and sobbing, and to share stories of him (once we were able to let ourselves hear them). Those who helped were the ones who did not preach at us, did not tell us how to feel, and did not offer greeting-card platitudes. Instead, they sincerely sorrowed alongside us. They listened.

Another slow goodbye

Now, my family is saying another long, drawn-out, inevitable goodbye, but it’s far different than when my mom prepared to pass.

My dad is under hospice care. (I cannot praise his hospice care team highly enough. They are amazing.) The good news means he has access to health care and social workers whose compassion and experience can guide not only him but our family through this time of transition. The bad news, of course, is that qualifying to receive hospice care happens only when you are terminally ill.

My dad is terminally ill.

My dad is dying.

Bit by bit.

Slowly.

And so we mourn. Again. Sometimes with him, sometimes without.

Mourning before death

Age-related illnesses are gradually but progressively shutting down my father’s brain and body. The decades’-widowed, larger-than-life former football player who never raised his voice at me is shrinking into a different shape and temperament. Flecks of his fulfilling faith and hints of his quick humor still shine through on good days; blemishes of fear, confusion, and irrationality cover others.

My dad is still my dad, and he’s still with me, sort of. For now. At times.

But my dad is also no longer my dad, and he’s also no longer with me. Not fully. He’s here, but he’s not. He’s still living, sort of, but he’s not. I rejoice in the good moments we have together, yet I sorrow over their translucent, fleeting, fleeing reminders of what his life was compared to what his life, his end of life, is becoming.

Grieving the slow death of dementias is complicated.

Mourning the slow death of my dad is more so.

___

If you know someone impacted by any form of dementia (and the likelihood is that you do), find ways to help and encourage them through organizations like the Alzheimer’s Association and the Alzheimer’s & Dementia Resource Center.

Mother’s Day Grief and Greetings — It’s Complicated

What do you say on Mother’s Day when you know someone is grieving? I’d love to tell you — but I can’t, not exactly, because it’s complicated. There’s no one-size-fits-all way to show you are aware of another’s fragile grief. What matters is that you reach out in some way, even if it’s awkward or clunky or feels uncomfortable to you. Let the person know you care by showing you’re aware that this greeting-card holiday can hurt.

Here are some suggestions. (A few might seem clearer after you read the “reasons” part that follows; others can be adapted to use whenever you wish to support a bereaved person.) Mix, match, and make these your own as you reach out to family members, friends, colleagues, neighbors, acquaintances, and others you encounter frequently or occasionally — whether in face-masked real life or on tile-viewed video meetings.

  • I’m thinking of you today/this weekend. I know Mother’s Day can be difficult.
  • Sending you extra love on this tender day.
  • Would you like to spend some time together/on the phone/video chatting this weekend? Would abc or xyz o’clock work better for you? Or would another day or time be better for you? Whichever you need.*
  • Hey, I realize this might be a rough day. Keep me on speed dial if you need a quick escape.*
  • No need to answer this text if you’re hunkering down. Just wanted you to know I’m thinking about you.
  • I know things are complicated with your mom. Keeping you in my thoughts this weekend.
  • I’m praying for you. Sending love too.
  • I’m thinking of you. Sending positive energy your way.
  • I know I can’t take away the pain of your loss, but I want you to know I’m thinking of you and [name the loved one who died]. I’m guessing that Mother’s Day hurts.
  • I’m thinking of you this first [second, third, however-many-eth] Mother’s Day after your [mom/child/beloved person] died. I’d love to hear/share stories about them if you’re feeling up to it. If not now, then whenever you’d like.*
  • This is a tough weekend/day/occasion. I’m thinking of you and I’m here for you.*

*The asterisk means this: If you offer, follow through!

Not everyone is aware that Mother’s Day feels brutal for many, and the reasons are as varied as those who find it painful. I’ve written about a few below.

TRIGGER WARNING: If Mother’s Day is hard for you, consider skipping the rest of this post. It’s meant not to further wound but to awaken awareness. You might prefer not reading something too close to your circumstances. Or, you might hope to see acknowledgment of your specific pain that isn’t included here and find the oversight disappointing. Either way, I wish you peace and healing.

Mother’s Day can be harder than we sometimes realize. Please remember that many folks feel fragile and would benefit from kind awareness (photo by Teresa TL Bruce, TealAshes.com).

Mother’s Day commercials flaunt the best of everything about mothers, children, and relationships. But real moms and kids and relationships are far more complicated. I was blessed with an amazing mother, and I’m grateful for the almost 30 years I benefitted from her presence, yet Mother’s Day reboots my mourning for her. After 25 years since she died, some aspects of Mother’s Day still tug me into missing her as intensely as when her death was still new and raw.

I’ve been told I’m not the only daughter who feels she’ll never be as good at mothering (and now grand-mothering) as her mom was. Many moms stagger beneath yokes of inadequacy, guilt, regret, or exhaustion. Many of us agonize over mothering mistakes we’ve made and how much we wish we could do over!

Widowed fathers facing Mother’s Day and widowed mothers moving toward Father’s Day experience similar sorrows as they grieve not only their own losses but their children’s too.

On the other hand, too many souls grow up without the healthy nurture of loving parents who keep their children’s best interests foremost. Whether orphaned, abandoned, neglected, or even abused, too many souls and bodies bear painful parent-related scars.

And what about those who want to have children of their own but can’t? And those who’ve tried. Who’ve suffered the loss of children they only dreamed of someday knowing. Whose children were taken or left them or are estranged. Who’ve buried children they still cherish (no matter how long their arms have been empty) and mourn for them every day — not just Mother’s Day.

In other words, think twice before saying “Happy Mother’s Day,” but do say something to show you’re aware and that you care. Let folks know they haven’t been forgotten amid the greeting cards and other trappings.

“Thinking of you on Mother’s Day” might be a more appropriate greeting than “Happy Mother’s Day” for someone who is mourning (photo by Teresa TL Bruce, TealAshes.com).

Returning after Grief (and Pavement) Smacked Me in the Head

Hello, again. You might have noticed the July to April gap in new posts on What to Say When Someone Dies. Years ago, I first started writing content for this grief support website within three days of my husband’s unexpected death, although I didn’t know at the time that’s what I was doing. Even surrounded by the thick, heavy fog of shock, I recognized that some folks’ well-intended words landed like a blow to the gut or slapped me in the face.

Slap in Your Face unintended commentary assume you meant well, surprised face, embarrassed face, grief

On the other hand, a few — sadly, too few — friends’ and even strangers’ words and gestures gently reached my hurting heart through comforting compassion. I wanted to remember all these words — the helpful and the harmful — so I opened a spiral notebook and scribbled them as best I could.

ink on notebook paper, list how to help mourner, Teresa TL Bruce
Days after I started the “Slap in Your Face” list, I wrote this on the page before it to remind myself how to treat others who were grieving (Teresa TL Bruce, TealAshes.com).

As I slowly (oh, how slowly!) learned to live with my grief, I networked with widows and widowers of widely varied backgrounds, cultures, and nations, some in their senior years but many younger — even decades younger — than you’d likely expect. At the same time, I spoke at length and developed cherished friendships with bereaved parents, children, siblings, and others who mourned departed dear ones. Imagine my surprise at how many of us, while mourning diverse losses, experienced similar distressing visceral reactions to the trite, time-worn platitudes (“he’s in a better place”, “at least they didn’t suffer,” “her suffering’s over now…”) meant to offer comfort.

meant well p 5, grief, TealAshes.com

Likewise, regardless of our backgrounds, we appreciated the thoughtful outreach of those whose words acknowledged and validated our pain.

It took nearly three years to work up the courage to share what I learned. While my husband’s death felt recent enough to keep fresh my recollections of raw grief, the merciful yet relentless passage of time allowed me a self-preserving sliver of distance. Not only that, but in most areas of my life, I’m a deeply private person. Opening up about grief’s impact on me still sometimes feels like opening my curtains and inviting the world in to witness my vivisection.

Deaths of family members and friends from December 2017 through March 2019 forced me too many times to again ask myself what to say when another someone died. New bereavement reopened wounds of mourning earlier losses. These new losses forced me to focus on how to comfort those closest to the center of each loss while grieving myself.

As much as I wanted to post here, I held back. I ached with grief, but I recognized mine wasn’t the primary loss of each surviving spouse, parent, child, or sibling. And what pain I owned felt too newly raw and too personal to publish.

For the last nine of those sixteen months, after hitting my head on the street, I’ve also been learning about managing symptoms of post-concussion syndrome. Consequently, I’ve kept my screen time focused on work for clients more than writing for myself. (Stay tuned for a post now in progress comparing the effects of grief and concussion. In true writer fashion, I tried to capture details while inside the ambulance and the MRI machine. I’ll admit those injured mental notes weren’t as coherent as I’d like.) I’m still not fully recovered, but I’ll keep working toward it.

As this website approaches the completion of its sixth year of offering ways to help grieving friends, coworkers, and family members, I remain grateful to you for reading. I’d like to thank those of you who’ve followed this content from the beginning (How I Learned What to Say When Someone Dies) as well as those of you who’ve browsed my posts only on occasion as needed. I appreciate your trust, and I’m always touched when you take the time to comment.

I hope you’ll continue to visit and share as we move forward with helping those who are grieving — and as I move forward with preparing an accompanying book.

Thank you for reading, and thank you for helping your grieving friends! — Teresa TL Bruce

broken glass, tempered glass, teal tray, glass shard, grief, loss, TealAshes.com, Teresa TL Bruce

Grief and Glass — Shattered

 

Broken glass, shatter, grief, teal shoelace, loss, Teresa TL Bruce, TealAshes.com

When the glass cutting board hit the tile floor, shards went everywhere — much like life shatters under the impact of grief. (Photo by Teresa TL Bruce, TealAshes.com)

When my glass cutting board hit the floor, it shattered against the tile. Tiny, sharp cubes spread near — piled around my feet — and flew far — some 12 feet away. (Thank goodness for tempered glass, or I’d have been sweeping up even more shards.) Portions clumped together, resembling a crackled fraction of the item that once protected surfaces and survived countless kitchen close calls over the last two decades. Not one bit of it was salvageable.

When my husband died, grief shattered my world into nearly as many tiny fragments of my former life. It was as if someone scored a crackled fraction pattern over me and then dropped me onto tile. The resulting impact sent shards of myself flying — some landing in a crumpled heap at my feet and others tumbling far, far, far beyond view. I didn’t feel salvageable.

I could have attempted a Humpty-Dumpty–patch job with parts of the cutting board. With scads of time, protective gloves, and the right adhesive, I might have reassembled a nearly complete rectangle of the same overall shape. Its length, width, and depth might have been close to the original version of itself.

broken glass, tempered glass, teal tray, glass shard, grief, loss, TealAshes.com, Teresa TL Bruce

Shattered tempered glass might stick together at first, but like a life shattered by grief, it will never be the same. (Photo by Teresa TL Bruce, TealAshes.com)

But it would never, ever be good as new again. Never would it safely bear up under the burdens of chopping, slicing, or dicing with a blade of any dimension. Never would its once-impervious surface be easily cleaned for hygienic meal preparation.

Now, I’m not saying we should sweep up the pieces of mourners’ lives, hand them over with a dustpan, and say, “Put it together or throw it out.” Grief doesn’t work that way. (And we all know how well Humpty-Dumpty turned out.)

Early in grieving, mourners need to be told it’s okay that they feel shattered. Being told how “strong” they are or that they can “handle” everything might seem helpful — but in most cases it’s not helpful. Often, well-intended  comments about your bereaved friends’ strength, resiliency, or abilities will come across to your grieving friend as poorly as these:

  • So what if your world has fallen apart?
  • People die every day, so why are you having such a hard time with your loss?
  • You’ll just have to learn to live without your loved one.
  • Better you than me.
  • You don’t need (or deserve) my help.

Ouch. No one wants to wound their mourning friends with such sharp-edged apathy, so avoid saying those kinds of things. Please.

tile floor, shattered glass, grief, far-flung, Teresa TL Bruce, TealAshes.com

Grief sends pieces of survivors’ shattered lives in many directions, much like this far-flung glass that shattered and flew 12 feet away. (Photo by Teresa TL Bruce, TealAshes.com)

In time, your friends’ grief will no longer be as overwhelming and raw as in early months and years. That doesn’t mean their grief will go away (there’s no magic Humpty-Dumpty–patch for that, remember) but they will adapt — eventually. (Though I’ve learned to function without my husband, and though much of my life now is great, there are times I still feel fractured seven years later.)

You can help grieving friends in the meantime by picking up some pieces for them:

  • Bring meals or easily prepared snacks, invite them to dinner, or take them with you to get groceries.
  • Help with household tasks or chores.
  • Call, write, text, phone, and visit to show your awareness long, long, long (weeks and months and years) after the funeral.
  • Listen. Share and hear stories about their loved ones.

You can’t fix your friends’ grief. You can’t put them back together. But you can be there to handle their broken, shattered hearts with care, attention, and gentle understanding.

 

Facing Death in the Family

Today was my uncle’s funeral.

I’ve posted seldom since late October, when hospice staff told my aunt to make sure all the family visited within two to three weeks. They didn’t expect my uncle to be with us longer.

When I got the call, my aunt’s soft voice delivered that sentence in a three-fisted punch. The triple blows landed in a tight triangle, right where years before I’d felt grief’s wrecking ball hit mid-gut on my insides. My breath whooshed out as I tried not to cry into the phone:

My uncle.

My aunt.

My cousins.

I didn’t want it to be true. Denial, of course. Didn’t want to think of a world without him here. Selfish, raw, pre-grieving — thinking all about me missing my hilarious, compassionate, faithful uncle. About my kids missing their great-uncle and my dad missing his half-century brother-in-law.

Didn’t want my aunt forced to wear the title Widow. Yes, capitalized. Boldfaced. Italicized. Quadruple-underlined. 800-point font. Thinking all about her — knowing how I’d ached while mourning my husband after 24 years together and not wanting her to feel that. Grieving for what I knew she’d face. Yet knowing I had no idea how she’d feel after more than twice that time with my uncle.

Didn’t want my cousins bereft of their dad. Remembering  how I felt losing — missing — my mom and thinking about my cousins, picturing their pain at losing their dad. Seeing again my children’s grief after their dad died and not wanting that raw ache for my cousins and their kids and grandkids.

All this within seconds of hearing my aunt’s words.

My uncle surprised us all.

Within that hospice-projected two to three weeks, my aunt and uncle’s kids, grandkids, and great-grandchildren all visited with him. Other family members and close friends came too. They shared stories, memories, and love. Said whatever needed saying. Sweet visits, prompted by heartbreaking need.

Beloved uncle, glasses, sour candy, teasing, TealAshes.com

My funny uncle with a piece of candy he didn’t expect to be so sour. (Family photo by Teresa TL Bruce, TealAshes.com)

My uncle’s eyes still twinkled as he teased, and they softened as he expressed love and appreciation. He and his family enjoyed one another through post-prediction milestones: Halloween, his daughter’s birthday, Thanksgiving, his 57th wedding anniversary, and Christmas Day.

Meanwhile, I all but stopped writing. 

How could I post new material about what to say when someone dies while my dear uncle lay slowly dying? Time and again, my grief over his too imminent passing rebooted feelings I experienced while caring for his sister — my mom — as she neared the end of her life more than 20 years ago. In my mind, I was back in Mom’s bedroom, looking on as my uncle — this uncle — arrived in time to tell her goodbye.

But it wasn’t about my feelings. In the days since my uncle’s death, and on this day of his funeral, and in the days, weeks, months, and years to come, it’s about my aunt, my cousins, and their kids. Yes, I’m grieving my uncle’s terminal illness and passing. But my grief is also for them — my uncle’s immediate family. Theirs is the primary, innermost loss.*

Friends and our church family have been thoughtful in their support of offered meals and visits. For now, the family has requested privacy in grief, declining such offers with gratitude for their kind intentions.

In every loss I’ve suffered, the day of the funeral brought a turning point — in some ways, a relief of sorts, unwelcome though it was. Sometimes, the service also, sadly, began the waning of public awareness and outreach. Well-meaning folks assume memorial gatherings bring so-called closure to mourners.

But no. Closure implies an ability to shut the door on grief and walk away. In reality, mourning loved ones lasts much, much longer — which is why it’s so important to reach out a month, two months, six months, a year, and further after someone you know loses a loved one.

In time, we learn to walk with our grief and its connection to the one we (still) love.

In the meantime (and beyond), please keep reaching out.

___

*See  Grief — It’s All in the Family for more about how relatives might experience grief differently.