Death – to Bury or Not

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To Bury, Cremate, Donate, Plant – Disposal of Human Remains

Another decision that must be made concerns disposal of bodily remains. For many years burial in a family or church cemetery was the norm, however that is changing for both environmental and economic reasons. In 2015 cremation rate in the US was 48.6% and expected to rise each year into the future. Rates vary across the country with over 60% in the West and as low as 25% in southern states.  There are other options, of course which actually increase the cost, such as cryogenics, ashes blasted into space or adding ashes to an artificial reef in an ocean. 

Cemeteries 

Interment in a cemetery has fallen into disfavor due to cost, but also because of what many see as misdirected use of land. While I personally prefer cremation and scattering of ashes (also called cremains) back into nature, I must admit that I have always found cemeteries interesting to visit. In old cemeteries I would go further and say that reading tombstones can be fascinating. I know that I am not alone, because many books have been written on the subject including:  9781586853211_p0_v1_s192x300 “Stories in Stone: A Field Guide to Cemetery Symbolism and Iconography” by Douglas Keister  and  “Gone to the Grave: Burial Customs of the Arkansas Ozarks 1850-1950” by Abby Burnett which was reviewed in The Courier Journal  in November 2015. Some of my favorite epitaphs from this book are these: “Killed by a live wire” (1905), “Revenge is my motto” (1869) and “This can’t be death. I feel too good” (1906).

 

When I was in Russia a couple of years after the fall of the Soviet Union, I toured a large old cemetery that was, according to custom there, divided into sections by profession or status. There were sections for the arts with subsections containing poets, musicians and actors. fullsizeoutput_a21.jpeg There were others for military, government officials, Communist Party members, working class (the proletariat) and even the Mafia.

 

I noticed many tombstones that bore the skull and cross bones symbol and inquired of the interpreter what that meant. Her response? “They’re dead”.     IMG_4036.JPG

The skull and cross bones, while perhaps peculiar to Russia, are part of the monument period of Terror which represented symbols of fear of the afterlife. This was followed by the Romantic fullsizeoutput_a13.jpeg and then Personalization Periods.  The Contemporary period in which we now live, leads to what are often attempts at humor. A word of warning about being too creative however, as what is funny today may be confusing or fall flat when it has become outdated. A couple of examples come to mind: A monument depicting a rotary and corded telephone simply said, “Jesus Called”. I’ve seen photos of others that show a calculator, an expired parking meter and even a brownie recipe. 

One of my favorite tombstones is from Clay County, TN which explains that the deceased was “killed by bushwhackers” in 1862 in neighboring Fentress County. Unfortunately the photos taken and provided for this post by Steve Baugh have been lost due to my error.

I do not fear death. I had been dead for billions and billions of years before I was born, and had not suffered the slightest inconvenience from it” Mark Twain. 

 


Note 1/1/18:  Another Option for Disposal    https://crookedcreek.live/2017/11/06/infinity-suit/

Death – Funerals

Funerals

Funerals are not high on anyone’s list of favorite social events. Well, there may be a few exceptions. One of my sweet aunts, who will not be named here, lived a block or two from the funeral home in her small town. When she saw activity indicating visitation or a pending funeral service at the establishment, she would dress in her Sunday clothes and walk to join the mourners. She was not being nosy, there was every reason to expect she would know the deceased. She had lived in this rural Kentucky County her whole life and knew just about everyone. She especially liked the young funeral director who always welcomed her with a hug. 

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The funeral home industry and its traditions have changed greatly over the years. There was a time when the deceased was embalmed at home and “laid out” in the parlor for the wake which usually lasted three days and nights. Just as the wake was transferred to a formal “funeral parlor” the venue of the funeral itself has moved, in most cases, from houses of worship. Today an abbreviated period of “visitation and viewing” has become the norm and funerals are “celebrations of life”. When visiting a funeral home today one likely encounters videos of the deceased on flat screens strategically placed throughout the parlor. Often there are photos and collages and posters honoring the life that has passed. So called “theme” funerals may focus on the deceased’s favorite sports team, hobby or profession. The coffin is often closed or not present at all or there may be an urn containing ashes. The memorial service can be planned for a time in the future that is more suitable to the family’s circumstances as it is no longer necessary to have all this occur immediately after the death. This delay allows the family to be passed the initial shock of the loss and to more fully receive offerings of support and sympathy. 

So, there are traditions, there are religious cannons, local laws and there are one’s personal preferences. Your preference, what would you like your final event on this earth to be like? While you are reading this, still capable of making important decisions is the time to communicate your wishes. This can be part of the discussion when you have “the talk” https://crookedcreek.live/2017/01/25/death-decisions/ with your family. It is also helpful to have a few things written down, such as favorite poems, music, speakers. If there are things you feel strongly about clearly document those and if you have reason to doubt your wishes will be honored, they should be included in your Will, which is binding. 

Many people complete their plans formally and even pay for their funerals in advance of need. Whether planning your own funeral or a loved one’s it is critical that you ask questions of the funeral home staff and have concrete information. One common misconception is embalming is required by law. It is not and electing to not have embalming can save a significant amount of money. Embalming is a mysterious process to most of us and because of our reluctance to think about death, we often do not want to know what actually takes place in order to preserve the appearance of a corpse for just a little extra time. Further, the impact upon the environment by use of toxic chemicals can be significant. According to the US Centers for Disease Control (CDC) embalming provides no public health benefit. It also has no roots in most religions, including Christianity. For more information on the actual process you may reference http://www.fcasocal.org/embalming-facts.html

The funeral or memorial service, besides reflecting the life that has ended, should be a comfort for survivors. Those who are part of a religious community are comforted by common beliefs and the expectation of an afterlife. Music can be heartbreaking or inspiring. November 18, 2016, The New York Times asked readers what their deathbed playlist preferences would be. The range, not surprisingly varied from hard rock to classics. Probably the same music we would enjoy hearing in our last days or hours of life, would be appropriate for our service, too, as long as it would not be offensive or hurtful in some way to others.  Most of us recall fondly at least one song from each of our loved ones’ funerals. Poems are frequently read that reflect the deceased’s philosophy or special interests. A eulogy may be provided by a close friend or family member. Such a tribute should be written out so if the person delivering the words becomes too emotional to proceed, the minister or other person officiating can be prepared to read it. 

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Eulogy

This is the eulogy I delivered at my stepfather’s funeral. I was pleased to be able to honor his memory and after all these many years I still feel his life can be a lesson for those of us living today. 

We are here to honor Leroy’s memory. Each of us knew him on a different plane. He may have been your neighbor, your customer or friend, a relative, by birth or by choice. 

Whether you knew him for eighty years or eight, you no doubt, knew him to be a good person, an honest man to be trusted and one who loved the land and took pride in his profession of dairy farmer.

He was many other things too. SECURE IN WHO HE WAS, holding no old fashioned gender roles – the same hands that worked the farm washed dishes and cooked a mean casserole.

GENTLE – he watched birds, fed kittens, loved to see magnolias bloom. Small children were given his full attention, whether playing a silly game or observing an earthworm on the sidewalk after a rain.

TOLERANT – he had convictions, but allowed us ours.

A ROMANTIC – taking his bride to Niagara Falls and each anniversary giving her one red rose for each year of their marriage.

FAITHFUL – to his church and more importantly to his Lord. 

And he was, of course, many other things, but there is one last attribute I want to share with you. I learned this about Leroy after the death of his only son, Bobby.

He was a very PRACTICAL person. Even though he grieved his losses, he did not allow those losses to steal the happiness he was offered by each new day of life. He did not deplete his energies agonizing about things he could not change. I think he would remind us of that today. 

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Next time we will look at one more remaining decision, disposal of remains. This will not conclude the list of things that must be decided upon at the time of one’s death, but will have covered the most crucial ones. 

Death – Obituaries

Your Obituary

In our last post I asked you to consider writing your own obituary. I realize this exercise may be daunting for some. I recall teaching a class on “Death and Dying” in the community many years ago when one man, a church deacon in his 60s, was visibly upset by the prospect of writing about his own death. We become accustomed to employing diversionary tactics when thinking about dying. We talk about “passing away,” “going to sleep,” (which can frighten young children), “gone,” and of course that favorite one “if something happens.”  Acknowledging death is inevitable is not obsessing, but accepting it as part of the landscape, just as the seasons of the calendar, so are the seasons of life. It is my hope we will experience life more fully when we realize it is fleeting. 

I have not heard from anyone who worked on the suggested assignment, but if you did you may have looked for help on the Internet. There are countless sites offering advice or even templates so that you can just fill in the blanks. I am sure many are good sources, but one that impressed me with its variety of obituary types was https://www.obituaryhelp.net.  Some prefer to leave this task to funeral home personnel who have training and experience in the proper structure of obituaries. If a formal format is preferred, then providing the names, dates and personal information to the funeral home will be all that is required of the family when you die. Since obituaries should honor and reflect the life of the deceased, writing one’s own ahead of time might be more personal. This can be detailed or perhaps just a theme, special quotes or anecdotes you want included.

Some general guidelines for writing your own obituary include:

  • Write in the third person. 
  • Keep it short. Some obituaries are so long they are not likely to be read in their   entirety, if at all. Another reason to trim it down, is cost. Newspaper charges for this service are expensive.
  • The cause of death may or may not be included.
  • Keep your draft updated. It may be a good idea to add notes for your family as you think of things over time. 

Some Favorites

I have read obituaries for years and often been teased about this routine, long before I reached my current age, which is well within the obituary reading range. It isn’t so much I am looking for names I recognize, although that is part of it. I find obituaries to be interesting reading. It is true there are accounts of tragedies, infants and children, those who died without any “next of kin,” but there are also the ones that are inspiring or entertaining. At one time I had a collection of hundreds that were keepers and somewhere along the way they became lost or perhaps I became embarrassed, but now I only have a few dozen. One I no longer have referred to the deceased as having “Slipped the surly bonds of earth” and that line fascinated me so I did an Internet search and found it was from the poem by John Gillespie Magee, Jr, “High Flight.”

Another newspaper page that I recall, but no longer have in my collection listed two separate obituaries that could only happen in Kentucky: both “Bubba” and “Buford” died the same day. A favorite from November 2016, has verses of songs interspersed throughout. These included the music of The Beatles, The Spinners, Poco and Steely Dan. The obituary itself is full of fun, travels and adventures of a 68-year-old.

Nicknames are sometimes fun to read while imagining their origins. Some I recall include:  Baldy, Tooter, Snuffy, Catfish, Peanut, Honest Frank, Blood and finally, Poboy & Buster for the same man. Curiously, of these clippings only two females had nicknames, Mu and Big Mama.

Looking Ahead

As you continue to work on your obituary please also think about your preferences for a memorial service or funeral considering music, speakers and perhaps who you would like to deliver a eulogy. Following those topics we will discuss disposal of remains and suicide in future posts. 

Eventually, grief will be discussed comprehensively, but we may decide to hold off and move on to lighter subjects for a while. Feel free to provide feedback on this, as well as, anything you have to share. 

 “High Flight” John Gillespie Magee, Jr

Oh! I have slipped the surly bonds of earth, and danced the skies on laughter-silvered wings; Sunward I’ve climbed, and joined the tumbling mirth of sun-split clouds, —and done a hundred things you have not dreamed of —Wheeled and soared and swung high in the sunlit silence. Hov’ring there I’ve chased the shouting wind along, and flung my eager craft through footless halls of air . . . Up, up the long, delirious, burning blue I’ve topped the wind-swept heights with easy grace where never lark or even eagle flew – and, while with silent lifting mind I’ve trod the high un-trespassed sanctity of space, put out my hand, and touched the face of God.  

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Follow Up

To follow up on important topics from the last post in this series, please read the comments left by “Lula.” Remember that little black bubble at the end of each post?  fullsizeoutput_9edJust click the bubble on Death Decisions (Jan. 25, 2017) to read the important information she has shared with us. 

Lula shared interesting information about a service which sounds like a good idea for anyone, but especially those who travel often. I am not familiar with Living Will Registry, but you can read about Lula’s own experience as a frequent traveler (in her comments) as well as reviewing the service Online.*

One issue that Lula mentioned is Emergency Medical Services (EMS), when called to a home, will likely begin CardioPulmonary Resuscitation (CPR), even if one has a Do Not Resuscitate (DNR) order on a Living Will. I have always heard the same thing, but an official form** in this state (KY) is meant to address this problem. You should check with your own state, city and/or county for the law where you live. Regardless of one’s current health status it would be helpful to fully understand the guidelines before a need arises. It is understandable this is a potential for problems. The very fact EMS is called indicates an emergency and they come prepared to do what is necessary to save lives. If one has a terminal condition CPR is not likely an appropriate response, but it is unfair to expect emergency personnel to make that distinction or take that responsibility. 

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Hospice

Having Hospice involved in end-of-life care can often prevent such situations from occurring. Hospice is a national organization with local offices across the US, providing palliative care to patients facing advanced illnesses and to their families. Palliative care involves relieving pain and enhancing quality of life (as opposed to addressing a cause and/or cure) and may be provided in the home, special centers, extended care facilities or special units within an acute care hospital.

When Hospice care began gradually in the US, during the second half of the Twentieth Century,  there were specific parameters regarding how long a patient was expected to live in order to be admitted into palliative care. Although this is no longer the case, it is a lingering belief and can make it hard for families to approach the subject. I personally feel Hospice is extremely valuable in providing clinical, pastoral and grief support as well as practical assistance with medical supplies, equipment and even volunteer and respite care. Extensive information is available from National Hospice & Palliative Care Organization*** (NHPCO).

Possibly many of you used Hospice services for your family or maybe a close friend and I invite you to share your experience with us if you are comfortable doing so. I will share that in my experience with loved ones the service was not instituted soon enough. In one case, incredulously, it was not possible to get the physician to admit the patient was dying and by the time a referral was made the patient only lived a few hours. The other personal case was just the opposite. The physician recommended, even urged, Hospice service, but the patient wanted to wait a little longer, not realizing the time would approach as quickly as it, in fact, did. In each case the patient did not receive care that would have perhaps eased their passing. I painfully share this hoping it might prevent others from waiting too long. 


Websites referenced:

*Living Will Registry http://www.alwr.com

**KY DNR Form http://manuals.sp.chfs.ky.gov/Resources/sopFormsLibrary/Do%20Not%20Resuscitate%20Form.pdf

***NHPCO http://www.nhpco.org


Coming Up

We will look at Funeral and Burial Planning in the next post. I realize this may be a bit too pushy, but if you are so inclined how about working on writing your own Obituary before then? Then we will work together. Your participation is great and makes our experience together so much richer. Thank you!


“I find it delightful that the optimal way I can live my life from moment-to-moment is also the optimal way I can prepare for my death, and equally delightful that acknowledging our future death is a prerequisite for living a truly joyful life now.”  Ram Dass, Still Here