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Supporting Quality of Life Near the End of Life

End-of-Life Care & Living Well

Supporting Quality of Life Near the End of Life

A whole-person approach to comfort, dignity, meaningful connection, and supporting families as care needs change.

When someone you love is nearing the end of life, what they need from care often begins to change.

Maybe they are sleeping more, eating less, becoming weaker, or needing more help with things they were able to do only a few weeks ago. Activities they once enjoyed may become tiring. Transfers may become more difficult. Families can suddenly find themselves trying to figure out what their loved one needs now, while also preparing for what may come next.

At this stage, the goal is not necessarily to maintain the same routine or abilities. The focus becomes comfort, dignity, meaningful connection, and making each day as good as it can be.

At Best Life Aging, we approach end-of-life support in much the same way we approach every other stage of aging: by looking at the whole person.

Their physical needs matter, but so do the things that bring them comfort, the people they want around them, the music they love, their routines and preferences, and what is important to their family.

01

Fitness Can Change With the Person

There may come a point when a traditional fitness session no longer makes sense. That doesn't necessarily mean movement has to disappear altogether.

Our Senior Fitness Specialists can adapt sessions as abilities and energy levels change. Instead of working toward building strength or improving endurance, a session may become much gentler and focus on comfortable movement, stretching, range of motion, or maintaining whatever mobility still feels good.

Some days, someone may be able to do a few movements from a chair. Later, support may look very different.

There is no expectation to complete a certain amount of exercise. We follow the person and what their body is able to comfortably do that day.

02

Therapeutic Recreation Can Become Quieter, Too

Meaningful engagement doesn't stop being important because someone is approaching the end of life. It just may look different.

A two-hour outing may no longer be realistic, but listening to favourite music might be. Someone may enjoy looking through old photographs, having a book read to them, talking about familiar memories, listening to a favourite movie, or simply having someone they know sit beside them.

Our Recreation Specialists already spend time learning about the person behind the care: their interests, history, routines, relationships, and the things that have mattered throughout their life. That knowledge becomes especially valuable when someone's world begins to get smaller.

The goal isn't to keep someone busy. It's to continue finding ways for them to experience familiarity, connection, enjoyment, and comfort.
03

More Support With Everyday Care

As someone becomes weaker, they will often need more help throughout the day.

Our PSWs can support personal care, dressing, toileting, repositioning, transfers, meals, hydration, and other daily needs. They can also simply be there.

That presence can become incredibly important.

Families may want someone with their loved one during meals because eating has become more difficult. They may want additional support during waking hours because their loved one shouldn't be left alone. Eventually, some families may want 24/7 support so someone is always there.

The amount of care can change as the person's needs change.

04

Someone Still Needs to Look at the Whole Picture

This is where our Concierge Care Oversight becomes particularly important.

When someone is declining, things can change quickly. A transfer that was manageable last week may suddenly require more support. Someone may stop eating as much, begin sleeping most of the day, need a hospital bed, or require a different level of assistance from caregivers.

Families are often trying to keep track of all of this while also talking with nurses, physicians, retirement residence staff, palliative care teams, and other family members.

Our role is to stay connected to what is happening and help make sure the support around the person changes with them.

We communicate with the family and care team, listen to what our staff are noticing during visits, adjust Best Life services when needed, and help the family think ahead about what additional support may be helpful.

It means the family doesn't have to continually piece everything together on their own.
05

One Team That Already Knows Them

One of the things I value most about our approach is continuity.

If we have been supporting someone through fitness, recreation, home support, or care oversight before they reach the end of life, we already know them.

We know their routines. We know what they enjoy. We know what a normal day looks like for them. We know their family. And we have had the opportunity to build trust before care becomes more complex.

Care That Evolves

As things change, we can change with them.

A fitness session can become gentle movement. Recreation can become music and quiet companionship. A few hours of PSW support can increase to longer days or 24/7 care. Concierge oversight can help keep everyone connected as the care plan evolves.

The services may look different, but the person at the centre of them is still the same.

The Living Well Framework

Living Well Through Every Stage

At Best Life, our Living Well philosophy doesn't stop when someone becomes palliative. Living well near the end of life may simply mean something different than it did six months or five years earlier.

It may mean being comfortable in your own bed. Hearing your favourite music. Having someone nearby when you wake up. Eating a few bites of a food you love. Being surrounded by people who know you and understand how you like to be cared for.

Our role isn't to replace the family or the medical and palliative teams involved in someone's care. It's to work alongside them and provide the everyday support, meaningful connection, and coordination that can make this stage easier to navigate.

Because even at the end of life, there is still a person to know, a family to support, and quality of life worth protecting.




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