Dear Hospice Supporters,

The most exciting news this month is that we’ve shuffled some staff responsibilities in order to move our organization forward. Leslie Emory, who has been responsible for programming for the past three months, is now our interim Executive Director. Leslie brings many years in non-profit management to our organization and we’re excited to have her leading us forward as we work to streamline operations, secure stable core funding and launch our Hospice House capital campaign.

As a result of the work we did in the fall around Hospice House, community engagement and connecting with partners, a number of committees were formed to work on different aspects of making our dream of a dedicated hospice facility a reality. Those committees have been meeting monthly, so keep your eyes open for new opportunities to become involved in a wide variety of opportunities or to participate in different events over the next six months!
Thank you again for your ongoing support of Four Tides Hospice Society. As always, please feel free to contact me if you have any questions or would like further information on any hospice-related topic.

Cathy Fisher, President
Update from Our Program Coordinator

Grief Support Group for Loss Due to Overdose

In mid-May we will be offering a grief support group for those who have experienced the death of a loved one due to overdose. The group will run weekly for 8 weeks and offers a safe space for participants to express feelings and share experiences knowing that others will be understanding, non-judgmental, and supportive. They will explore the grieving process as well as coping, relaxation and stress management techniques and learn what others have found effective. To learn more details or register please contact Leslie at or 604 208 4378. 

Advance Care Planning Workshops - Powell River & Texada

We are hosting three free workshops on end-of-life planning. Advance Care Planning (ACP) is a process of making known your preferences for health and personal care at the end of life. Learn about Representation Agreements and other information to consider.

Workshops will take place on the following dates"

Powell River
April 12, 7-8:30pm
April 18, 1-2:30pm

Texada Island
May 10, 1-2:30pm

Please note that these workshops are by registration only, and you must contact Leslie at 604-208-4378 or to sign up.
Update from Our Client & Volunteer Coordinator

Our volunteer training of 2023 is completed with 10 new volunteers who are finishing up paperwork and will be ready to start volunteering by the end of the month. We are grateful for these individuals who have chosen to give their valuable time to support our community!  

What Happens When Someone is Near Death?

There are several signs that can indicate that someone is nearing death:
  • physical condition;
  • eating;
  • breathing;
  • mental condition.

Physical condition

Deterioration in physical condition is usually the first sign that someone is near the end of life. The deterioration may be gradual or quick, and is reflected in the person’s level of energy and range of activity. There are four stages that a person usually passes through as death approaches:
Stage 1  performs regular activities;
Stage 2  tires quickly with exertion;
Stage 3  spends most of the time sitting or in bed;
Stage 4  doesn’t get out of bed at all.
Eating and drinking

People who are approaching death usually lose appetite and thirst and, as a result, lose a lot of weight. When someone is no longer eating or drinking, he or she usually has a few days to live, but may live as long as a few weeks if the person has reserves of energy.


Changes in breathing are common. Some people develop long pauses in their breathing known as apnea. If a person is unconscious and unable to cough, there may be a pooling of secretions at the back of the throat. These secretions can make a rattling sound when the person breathes. The secretions aren’t distressing to the person because they are unconscious.

Mental condition

Closer to death many people become confused or restless. Eventually they may become unconscious or unresponsive to things around them. Most people become quiet near the end of life. It may be that because they have less energy and are too tired to participate in conversations. Commonly, people become reflective as death approaches and they spend more time thinking than in interacting with others. The final hours of life may bring signs of delirium, which is a sign of changing brain function that makes people confused and restless or lethargic and withdrawn.

One approach to estimating how long someone has to live is referred to as the momentum of change. If someone’s condition is changing from week to week, it’s a good indication that there are only weeks of life left. If there are changes from one day to another, there are likely days of life left. When changes happen from one hour to another, there are usually hours left. This is a general guideline. Sometimes a health crisis develops and someone dies sooner than expected. Families need to prepare for this possibility.

If you have loved one nearing death and want some support from our friendly volunteers, reach out to hospice at 604-223-7309
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PO Box 33 Powell River, BC V8A 4Z5