From Touchy to Touching: Straight Talk About the Dying Process

From Touchy to Touching: Straight Talk About the Dying Process 

All hospice and palliative care providers require a thorough understanding of the physical changes commonly experienced by dying persons. This presentation provides a practical and useful approach and language for healthcare professionals to help patients and families face fears about dying. Physical changes associated with dying are examined, including changes in energy and appetite, terminal agitation, and end of life visions. By understanding what to expect during the dying process, you will be better prepared to educate patients and families and have the skills necessary to promote comfort at the end of life.


Hours: 1.00


Certificates provided by accrediting body (7 Match)

Florida Board of Nursing - Certified Nursing Assistants


This is not an accredited course for professional license renewal. Florida CNAs may use this inservice toward meeting their annual inservice requirement.This activity is approved for 1.00 contact hours.

Non-Licensed Direct Care (DSP, HHA, CNA, DCW, PCA, IHA, NA)


Texas Health and Human Services Commission


Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Hospice. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 1.00 contact hours.

California Department of Public Health (CNA)


Relias, LLC is an approved provider of continuing education by the California Department of Public Health, Provider # NAC7001.

The certificate must be retained by the licensee for a period of four (4) years after the course is completed.

This learning activity meets the definition of *** ONLINE *** CEUs. This activity is approved for 1.00 contact hours.

Washington State Department of Social and Health Services (ALL Direct Care Workers)


Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 1.00 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO1731554

California Department of Social Services Residential Care Facilities for the Elderly


Relias, LLC is approved by the California Department of Social Services as a Continuing Education Training Program Vendor to provide Continuing Education training courses to administrators of residential care facilities for the elderly.

Vendor/Provider # 2000224-740-2;
Approval # 224-0143-31468.

This activity is approved by the California Department of Social Services for 1.00 contact hours.

Pennsylvania Personal Care Home Administrators


This activity is approved for 1.00 contact hours.

Course Details

Course Code: REL-HOS-0-FTTSTDP
Hours: 1
Type: Online Course
Content Expiration Date: 6/30/2023
Learning Objectives:
Describe the physical changes related to dying and how to prepare the patient and family.
Explain how nutritional and hydration needs change at the end of life.
Identify ways to promote communication and closure at the end of life.
Discuss the mysteries of the timing of death, and visions and the meaning they can offer.

Section 1: Introduction
A. Learning Objectives
B. Facing the Fears
C. They Need to Know Because They May Need to Choose
D. Giving Permission
E. Friedrick Nietszche
F. Our Professional Role
G. The Cycle of Loss Begins
H. Changes in Energy
I. Continue to…
J. Knowledge Check

Section 2: Changes
A. Changes in Eating
B. The Mantra for the Caregiver
C. Just One More Bite
D. The Dilemma
E. When they don’t want to eat: Comfort vs Burden
F. Encourage Other Ways to Nurture
G. Myths About Dehydration
H. Possible Complications of Artificial Hydration
I. Bowel & Bladder
J. Take a Breath
K. Oxygen Changes and the Body’s Wisdom
L. Knowledge Check
M. Changes in Circulation
N. Agitation
O. Energy Surges

Section 3: Importance of Communication
A. Communication
B. Closure Through Openness
C. The Mystery
D. The Timing of Death
E. Visions
F. Knowledge Check
G. References

Expert Reviewer: Tani Bahti, RN, CT, CHPN
An RN since 1976, Tani Bahti has spent most of her career in the field of hospice and palliative care. Recognizing how fear, misinformation and lack of information can negatively impact decision-making and the dying experience, she is passionate about, and committed to improving end-of-life care through education. Certified in both Thanatology and Hospice and Palliative Nursing, a frequent lecturer for medical and nursing schools and community groups, Ms. Bahti has developed clinical training programs for healthcare professionals and volunteers, participated in end-of-life research and produced teaching tools. She is the writer and producer of the award winning video, Living Through Dying - The Struggle for Grace, and author of Dying to Know - Straight Talk About Death & Dying. Ms. Bahti is the Founder and Executive Director of the non-profit organization, Passages – Support & Education in End of Life Issues. Disclosure: Tani Bahti, RN, CT, CHPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Intermediate level General Staff; in the following settings: Hospice, Palliative Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.