Archive for December, 2009

Mozart’s Masonic Funeral Music, K.477

Sunday, December 27th, 2009

Striving for a synthesis between the sacred and theatrical, this piece by Johannes Chrysostomus Wolfgangus Theophilus Mozart brings both class and confusion into the twenty-first century’s choices for traditional funeral music. Mozart wrote this C-minor Mass to celebrate his marriage to Constanze Webber. Although only half-finished, this Mass premiered in Salzburg in 1783, when Wolfgang and Constanze visited his family in that city. Constanze sang a solo part in that Mass, which contains some difficult vocals.

Like Mozart’s Requiem, the explanation as to why either piece was not finished is unknown. Alfred Einstein called it ‘a magnificent torso,’ and several musicians have tried to complete it over the decades. Louis Langrée, who conducted one recording, found those additions unsatisfactory and created his own version. Where Mozart omitted or sketched vocal and instrumental parts, Langrée reconstructed them, but unlike some editors did not substitute music from other pieces for the missing sections. Setrak Setrakian conducts the version you can hear in the video posted above.

Edith Eisler wrote, “Apart from some clumsy transitions and muddy counterpoint, his emendations work well. The Mass’s grand, solemn first chorus in somber C minor (Mozart’s favorite key for drama and tragedy) seems a strange opening for a hymn of thanksgiving, but the mood soon changes to serene affirmation with a very operatic soprano aria in E-flat major, and indeed C minor never returns.”

Also called the “Masonic Funeral Music,” this piece combines elements of march and chorale, beginning in tragic C minor, but ending on a radiant C-major chord.

Over his lifetime, Mozart composed over 600 works, many acknowledged as pinnacles of symphonic, concertante, chamber, piano, operatic, and choral music. He is among the most enduringly popular of classical composers.

Surgery for Elderly Found Risky

Saturday, December 26th, 2009

surgery

If you ever wondered if surgery was more risky for the elderly, you may have your answer. Science Daily recently ran an article that showed that the risk of complications and early death after performed abdominal surgical procedures apepars to be higher among older adults.

It is estimated that one in six Americans will be age 65 or older by 2020 and that 15 percent of this population will be older than age 85, according to background information in the article [Archives of Surgery]. “Approximately 2 million older Americans undergo abdominal surgical operations each year,” the authors note. “For clinicians, patients and families considering abdominal surgical procedures, informed decision making is challenging because of limited data regarding the risks of adverse perioperative events associated with advancing age.”

The procedures included common surgeries such as gall bladder removal, hysterectomy and colectomy. Complications were recorded within 90 days of discharge and deaths were recorded within 90 days of hospital admission.

The 90-day complication rate was 17.3 percent and the 90-day death rate was 5.4 percent. “Advancing age was associated with increasing frequency of complications (65 to 69 years, 14.6 percent; 70 to 74 years, 16.1 percent; 75 to 79 years, 18.8 percent; 80 to 84 years, 19.9 percent; 85 to 89 years, 22.6 percent; and 90 years or older, 22.7 percent) and mortality (65 to 69 years, 2.5 percent; 70 to 74 years, 3.8 percent; 75 to 79 years, 6 percent; 80 to 84 years, 8.1 percent; 85 to 89 years, 12.6 percent; and 90 years or older, 16.7 percent),” the authors note. “After adjusting for demographic, patient and surgical characteristics as well as hospital volume, the odds of early postoperative death increased considerably with each advance in age category. These associations were found among patients with both cancer and noncancer diagnoses and for both elective and nonelective admissions.”

These results, along with others conducted by the author of the Anti-Aging Firewalls site in the article, Age-related surgery risk, show that vulnerability to multiple causes of illness and death begins to climb at age 50, picks up during the sixth decade of life and goes into overdrive in the 80s. With a majority of population reaching these elder levels within the next few decades, the question over whether age-related surgery risks become higher as one ages is answered. The question now, perhaps, is whether or not surgeries such as the common gall-bladder surgery might remain covered under insurance for those over age eighty?

Only time and the government will tell as they move forward on the health care bill in 2010.

Coping with Death over the Holidays

Monday, December 21st, 2009

snowtombstoneResearching family history forces me to review ancestral deaths and reasons behind those deaths. I never ceased to be amazed at the number of individuals who die over the holidays. While some die from accidents, other deaths are caused by weather, old age and — yes — stress.

It seems that I am not alone in worrying about relatives who travel or other relations who have health problems and their fates over the holidays. Articles about how to cope with death during the holidays abound. In an effort to bring some great advice and news about how to deal with holiday deaths, we chose ten of the best articles to share here. The articles are listed in alphabetical order:

  1. Anniversary of Mom’s death is during the holidays: One year after her mother’s death, Gayle Peterson talks about her feelings.
  2. Coping With Death During The Holidays: Carolyn Zellander talks about her relatives who died during the holidays and how she coped with the losses.
  3. Father’s death brings pain during the holiday season: A reader asks how to deal with a father’s expected death, one that occured during Thanksgiving weekend.
  4. Getting Through the Holidays: Angela Morrow offers some advice on how to get through the holidays after losing a loved one.
  5. Grief: Coping with reminders after a loss: The Mayo Clinic staff provides an insightful article on grief and grieving, and how to cope with the feelings triggered by holiday reminders.
  6. Helping Children of Different Ages Cope with a Death: A different perspective from a Jewish Web site that pertains to anyone who wants to help children cope with death and loss.
  7. Holidays After the Death of a Loved One: Learn how to cope with upcoming holidays after you lose a loved one during the holiday season.
  8. Important and Helpful Tips For Managing the Holidays For the Bereaved: Gloria Lintermans provides a list of helpful hints for those who are grieving during the holidays.
  9. Prof: Tips to help those grieving during holidays about death, money: Purdue University provides an article that talks about loss in general, including information for those who have lost a job.
  10. You Can Make It Through the Holidays: A short introduction to a link that offers a variety of ways to cope with grief during the holidays.

How to Stay Alive to Enjoy the Holidays

Friday, December 18th, 2009
Fatal Wreck Caused by Drunk Driver

Fatal Wreck Caused by Drunk Driver

The period between Thanksgiving and New Years holidays is notorious for fatal traffic accidents. Short tempers, rushes to get to a destination and holiday partying add to lousy weather conditions to create the perfect storm. In light of the holiday season, we’re offering some tips on how to stay alive to greet 2010. While some tips seem ordinary, others may surprise you:

  1. Don’t drink and drive: Get a taxi or enlist the help of a designated driver for holiday parties and other events where you know you will imbibe in alcoholic drinks. The average BAC (Blood Alcohol Content) among fatally injured drinking drivers is only .16.
  2. Wear a seatbelt: It’s the law in most states, and seatbelts truly do save lives.
  3. If you’re a doctor, take extra care with driving: Studies show that for  every 1,000 physicians with a driver’s license, each year 109 are involved in a crash and 44 get speeding tickets. Experts say the big reason is that doctor/drivers are chronically tired and busy thinking about their work.
  4. Do not talk or text on your mobile while driving: If I catch you doing this, I will report you (especially if you’re my daughter). Researchers have found that drivers who text are not only 50 percent more likely than cell phone users to cause traffic accidents, but to take 23 percent longer than non-texters to react before an accident occurs.
  5. Stay alert: You may be a great driver, but don’t trust anyone else. Fatal accidents often are caused by driver inattention, failure to merge or yield, aggressive driving and failure to exercise care in passing. With that said…
  6. Do not speed: Road conditions and crowded highways provide scenarios for frustration. Don’t add to that equation with speeding, as your reaction time is mitigated by your speed. Additionally, keeping to the speed limit can eliminate speeding tickets as well as save gas.
  7. Get rest: Don’t drive while tired. Estimates are that 10-20 percent of fatal accidents and about 5 to 10 percent of all car accidents may be related to tired drivers. If you cannot pull over, read these tips on how to stay alert.
  8. Get the car checked before a trip: SmartMotorist states that equipment failure is a major contributor to accidents. They have a list of things to check before you hit the road.
  9. Stop rubbernecking: New studies have shown that rubbernecking is a leading cause of accidents and causes many traffic delays.
  10. Watch the weather: The weather can change from state to state and even from one county to another. Check weather and road conditions before you leave on your trip. You can save time — and, possibly, your life — if you know in advance what you may encounter along the way. Each state usually has a weather/road conditions site carried by a state Department of Transportation organization. Use their information to stay updated.

Finally, if you want to impress your kid, your friends or your relatives (or yourself) before you hit the road this holiday season, visit Car Accidents. This site shows images of cars involved in various fatal wrecks from around the world. While some photos make it seem obvious that no one survived, you might be surprised at some other accident photos. While the car is barely scratched, the driver or passengers did not survive (no seat belt, etc.).

Have a safe holiday trip!

Pennsylvania Reports Pregnancy and Childbirth Complications

Wednesday, December 16th, 2009

pregnancy

While complications involved in pregnancy and childbirth may seem minor today — thanks to new medicines and procedures — the Pennsylvania Patient Safety Authority just released data targeting major issues involved in pregnancy and childbirth.

This special issue report, which includes the articles listed below, provides gynecologists, obstetricians, midwives and the entire obstetric team, with strategies to help them prevent the complications based upon real Pennsylvania data. The Advisory contains four articles with in-depth discussion on medication errors in labor and delivery, preventing harm to mothers and babies during vacuum-assisted vaginal deliveries, discussion regarding neonatal complications with shoulder dystocia and an overall snapshot of complications that resulted in 256 reports in which the mother was harmed (including 20 deaths) during pregnancy and childbirth.

  • Medication Errors in Labor and Delivery: Reducing Maternal and Fetal Harm: Pennsylvania healthcare facilities submitted 2,611 event reports involving medication errors in labor and delivery units between June 2004 and April 2009. Analysis shows that the most common medication error event type associated with this area is dose omission (22.5 percent), followed by wrong drug (10.7 percent). Further analysis shows that 46.4 percent of wrong/dose/overdosage errors and 55.2 percent of wrong-rate errors involved high-alert medications. Strategies to prevent medication errors and patient harm in the specialty setting include standardizing the dosing and administration protocols as well as standardizing the concentrations and dosing units of drug infusions and adopting a policy that all infusions be administered with an infusion pump.
  • Preventing Maternal and Neonatal Harm during Vacuum-Assisted Vaginal Delivery: When women in the second stage of labor fail to progress in the second stage of labor, vacuum extractors have been used to successfully aid delivery. However, the Pennsylvania Patient Safety Authority received 367 reports of problems involving vacuum-assisted delivery from July 2004 through April 2009. Of these reports, 282 (77 percent) documented some form of injury to the baby or mother. To maximize the success of vacuum extraction procedures and to minimize complications, clinicians must understand both indications and contraindications for this procedure. The article discusses in-depth the important patient safety concepts associated with vacuum-assisted vaginal delivery procedures. A poster and chart review tool are also available for facilities.
  • Neonatal Complications: Recognition and Prompt Treatment of Shoulder Dystocia: The Authority has received over 316 reports of babies who experienced getting their shoulder stuck (known as shoulder dystocia) in the birth canal during delivery. In 124 (39 percent) reports the babies’ injuries from the shoulder dystocia included: broken bones, nerve damage, internal bleeding and death. Several strategies for reducing the risks associated with shoulder dystocia are detailed in this article. Consumer tips are also available to encourage women to give their healthcare providers as much of their medical history as possible to help determine the possibility of shoulder dystocia and minimize potential injury.
  • Data Snapshot: Maternal Complications: Analysts for the Pennsylvania Patient Safety Authority searched the Authority’s reporting system database for maternal complications of pregnancy and childbirth. The analysts limited the search to Serious Events (harm to the patient) among female patients 15 years old and older from June 2004 through August 31, 2009. The search resulted in the identification of 256 reports of maternal complications causing harm to the mother. The ages of the mothers ranged from 16-47 years old. Twenty mothers died. Issues discussed include: uterine ruptures, unplanned transfers to intensive care units, unanticipated blood transfusions, other complications causing significant bleeding, hysterectomies, pulmonary emboli, seizures, primary infections and other complications.

The Authority can send hard copies of the December 2009 Supplementary Pennsylvania Patient Safety Advisory to all clinical directors of abortion facilities and directors of obstetric services in hospitals. These individuals are encouraged to distribute the Supplementary Advisory articles internally to those of the same specialty within their facility.

For an electronic copy of the 2009 December Supplementary Pennsylvania Patient Safety Advisory, go to the Authority’s web site at www.patientsafetyauthority.org.

10 Top End-of-Life Financial Planning Blogs

Sunday, December 13th, 2009
Two inevitable things - death and taxes.

Two inevitable things - death and taxes.

Changes in tax laws are inevitable, just like death. But, a few bloggers have focused on changes in those laws and what those changes mean for individuals who need to know about them. The following list includes ten top bloggers in estate law as well as in other end-of-life financial matters that affect individuals who live in the U.S. While changes in federal taxes affects everyone, you might check with your state laws as well, by searching for blogs that pertain to your state.

The blogs listed below are in no particular order, but they all have been updated within the past month.

  1. Wills, Trusts & Estates Prof Blog: Gerry W. Beyer is a Governor Preston E. Smith Regents professor of law at Texas Tech University School of Law. He provides his insights into wills, trusts and estates with this blog.
  2. Death and Taxes: This blog, published by Joel Schoenmeyer, Attorney at Law, offers commentary on estate planning, estate administration and real estate issues from the Chicago area.
  3. Death and Taxes Blog: USLaw.com provides this blog, which is frequently updated with news and opinion about probate law, wills, estate taxes and much more.
  4. Estate Planning Bits: The byline to this blog is, “Everything you don’t think you need to know about estate planning.” Categories in this blog include elder law, Medicaid and Medicare and even pet estate planning.
  5. Elder Law Prof Blog: Kim Dayton, professor of Law and director for the Center for Elder Justice and Policy at the William Mitchell College of Law offers information and new concerning elder law policies on her blog.
  6. The Probate Lawyer Blog: Learn from celebrity errors so you can protect your heirs. A probate attorney and shareholder with Barron, Rosenberg, Mayoras & Mayoras, P.C. in Michigan and co-author of Trial & Heirs: Famous Fortune Fights! provides insights with this blog.
  7. Wills & Estate Planning: Julie Garber is your About guide in this blog about estate planning, taxes and documents you may need for your financial affairs.
  8. Wealth Preservation, Trusts and Estates: Learn more about asset protection, death tax reform, elder law and elder abuse, inheritance tax and much more through this informative blog.
  9. Elder Law Blog: Ronald C. Morton, Attorney at Law, provides insights into estate planning, Medicaid and special needs planning and planning for business as well.
  10. Estate Practice & Elder Law Center: A variety of bloggers offer their information and opinions at this blog, which focuses on elder law, long-term care issues, powers of attorney, wills and other elder concerns.

Funeral Flowers: Correct etiquette 70 Years Ago Still Stands Today

Thursday, December 10th, 2009
The casket spray usually is purchased by immediate family.

The casket spray usually is purchased by immediate family.

About seventy years ago, your attendance at a funeral depended upon your social standing, your closeness to the deceased and the deceased’s rank in society. Grief, surely, had something to do with funerals, but Emily Post allots few paragraphs to that emotion and a multitude of paragraphs that attend to behaviors in her 1937 book, Etiquette.

Flowers deserved more words than emotions in her chapter on funeral etiquette. Flowers were sent only if warranted and — at the time — mostly to the deceased’s home or to the home of a close relative. Flowers took first place in the actions that any individual should take when notified of a funeral. At that time, notification usually came by card delivered through postal service or by hand. Upon receiving that card…

“…you should go at once to the house, write “With sympathy” on your card and leave it at the door. Or, you write a letter to the family. In either case you send flowers, addressed either to the funeral of _____ (name of the deceased) or to the nearest relative. The latter method is preferable, if the relative is a friend. But the former method is followed if the deceased alone was known to you.

“On the card accompanying the flowers, and addressed to one of the family, you write “With sympathy,” “With deepest sympathy,” or “With heartfelt sympathy,” or “With love and sympathy.” When flowers are addressed to the funeral of the deceased, no message is included. If there is a notice in the papers requesting that no flowers be sent, you disregard it only if you are a very intimate friend.

“A very natural impulse of kindness is to send a few flowers with a note either immediately or a few days or weeks after the funeral to any bereaved person who is particularly in through thoughts. A few flowers sent from time to time — possibly for long afterward — are especially comforting in their assurance of continued sympathy.”

Today, flowers may be too expensive to continuously send them to a bereaved person. The habit of sending more than one funeral arrangement may seem out of place today. Additionally, to continue to send flowers on a regular basis after a funeral may send a different message altogether over time.

On another note, a bereaved family today sincerely means what they say when they ask for no flowers just as they did seventy years ago. Not much has changed in this regard, as usually the closer family members may go together to buy a casket blanket or a number of pieces to accompany the funeral when that family asks for no flowers. But you — as a friend or distant relative — need to follow their advice and avoid sending flowers. You can, however, send a small plant or flowers to the home a few weeks after the funeral just to let the bereaved know that you continue to think about them.

In other words, one funeral arrangement per funeral is all you need to think about, and only if you are a family member or a close friend. Even then, with today’s economic environment, many bereaved families will understand a lack of flowers from you, and may not expect it in any case. Your attendance at the funeral, if warranted, probably would make that family happier than a few roses.

Funeral Homes and More Deathcare on Twitter

Monday, December 7th, 2009
Oh for Twitter in 1900!

Oh for Twitter in 1900!

A few months ago we posted a list of Twitter users who focused on deathcare; but, we did not post funeral homes, as only two were listed at the time. As you can see from the list shown below, the funeral home business is catching on to Twitter! Many of these businesses have discovered that Twitter provides a great format to post links to obituaries.

The links lead to the Twitter page for each user. You need a Twitter account to respond to these users, but you do not need an account to read their “Tweets,” or their posts on their Twitter pages. The list is categorized and each link is listed alphabetically to show that we do not favor one resource over another.

Before you get in a huff about not being mentioned in the list below, we posted links to Twitter users who have posted within the past month and who have more than one Tweet on their page…if that description doesn’t fit you, then you weren’t listed.

Funeral Homes

  • Amos Family Funeral: Located in Shawnee, Kansas, this is a family-owned funeral home with on-site crematory. This funeral home also provides ShawneeObits (which we think is a great idea!).
  • Amos Pet Crematory: We had to make this a separate listing, although it seems that Amos is famous for taking care of lifeless bodies (see above).
  • Bannan Funeral Home: You can get all your obits from Alpena, Michigan through this Twitter site.
  • Barranco Funeral: This is a family-owned funeral home located in Severna Park, Maryland.
  • Baue Funeral Home: The folks in St. Charles, Missouri, can count on this funeral home to offer plenty of local news and photos.
  • Corey Gaffney: Mr. Gaffney is the general manager and funeral director at Gaffney Funeral Home in Tacoma, Washington.
  • Fisher Funeral Home: This funeral home, located in Logansport, Indiana, publishes links to obits as well as some great observations.
  • Funeral Queen: Muneerah Warner is the funeral director of Warner Funeral Home and CEO of Eternal Enterprises, Inc.
  • Gaffney Funeral Home: Located in Tacoma, Washington, this site focuses on seminars and holiday observations.
  • Hans Funeral Home: This funeral home also publishes obits. They are located in Albany, New York.
  • Herr Funeral Homes (Sunset Hill): This funeral home puts the “fun in funeral home!” They are located in St. Louis metro east.
  • John W. Evans: This guy goes by the Twitter ID, “Gottagosometime.” He’s currently the owner of Evans Funeral Home in Norwalk, Ohio and Secretary and Treasurer-elect for the Ohio Funeral Directors Association.
  • Miller Funeral Home: Located in Sioux Falls, South Dakota, this funeral home provides some interesting facts and quotes.
  • NewportFunerals: Brown Funeral Home has been serving families in Newport and Cocke County, Tennessee for over 78 years. Now, they’re on Twitter!
  • Roberts Funeral Home: This funeral home is located in Forest Lake, Minnesota, and they post obits.
  • Ryan Funeral Home: This funeral home is located in De Pere, Wisconsin.
  • Searcy Funeral Home: Located in Enterprise, Alabama, this funeral home offers local obituaries.
  • Sunset Funeral Home: Sunset Funeral Homes Memorial Park and Cremation Center is located in Danville, Illinois.
  • The Pet Funeral Home: This Canadian pet funeral home provides readers with pets as well as with pet funerals.

Other Deathcare Twitterers

  • Cross-Lanes Floral: Although not necessarily focused on funerals, it’s nice to see a florist become involved with Twitter. This florist is located in West Virginia.
  • Funeral Home Jobs: If you want to work in a funeral home, you might want to follow this Twitter user.
  • MrFrost71: A Kentucky-based funeral home employee Tweets away (he also Twitters about other things).
  • Sacred Crossings: This Twitter user represents the Los Angeles-based business that helps users practice at-home funerals.

Peace of Mind for the Holidays

Friday, December 4th, 2009
Volunteer this holiday season -- spread the cheer!

Volunteer this holiday season -- spread the cheer!

Do you want to feel good about yourself this holiday season? One way to eliminate some stress over the upcoming holidays is to help others, especially the elderly. The AARP recently announced some startling statistics that may motivate you:

  • 9.9 million seniors age 55 and older lived in poverty before the economic crisis (SOURCE: AARP Public Policy Institute).
  • 52 percent of older Americans had difficulty paying for essential items such as food, gas, and medicine the past year (SOURCE: January 2009 AARP Survey — A Year-End Look at the Economic Slowdown’s Impact on Middle-Aged and Older Americans).
  • 57 percent of seniors expect to delay their retirement and work longer due to retirement losses (SOURCE: January 2009 AARP Survey — A Year-End Look at the Economic Slowdown’s Impact on Middle-Aged and Older Americans).

If you are not elderly, one day you will be — if you live long enough. Think of providing a gift to a senior as karma, as in “what goes around comes around.” While a small gift of food might help, you also can stay aloof and let others handle the process. AARP, for instance, offers one way to give through their annual fund drive. This gift is tax deductible. You also can use Charity Navigator to find a charity that suits your idea of what giving means to you.

If you don’t have two pennies to rub together yourself, you can work a soup kitchen or offer to deliver meals over the holidays. At least you may get a chance to eat a meal, as volunteers often get fed. Consider volunteering at a local homeless shelter, nursing home, hospice or hospital. Some groups you can check with to learn more about local volunteerism include:

  • Holiday Project: The Mission of The Holiday Project is to enrich the experience of the holidays by arranging visits to people confined to nursing homes, hospitals and other institutions. Use this site to learn more about projects in your area.
  • VolunteerMatch: VolunteerMatch strengthens communities by making it easier for good people and good causes to connect, as this is a recruiting tool for nonprofit organizations. Enter your zip code and skills into the site and they can help you get matched up with a need for volunteers in your region.
  • Servenet.org: Since its inception, servenet.org has enabled millions of youth volunteers to connect with local nonprofits to make a difference in communities throughout America. But, you don’t need to be a spring chicken to help out with this organization. They will welcome people of all ages and abilities.

Volunteer this holiday season to help others and to help yourself. When you’re occupied with helping someone else, your troubles may diminish. Additionally, you may learn more about your neighborhood. Who knows? You may even find a new calling (or a new job) as a caregiver by offering your help. If nothing else, you could feel better (as in less stressed) and you will meet new people who can help you spread a that holiday cheer just a bit further.

The Art of Dying, or Ars Moriendi

Wednesday, December 2nd, 2009
Pride of the spirit is one of the five temptations of the dying man, according to Ars moriendi.

Pride of the spirit is one of the five temptations of the dying man, according to Ars moriendi.

In the book, This Republic of Suffering, by Drew Gilpin Faust, the topic of the Good Death begins on page six. This topic, not unknown to American Civil War soldiers in the mid-nineteenth century, had its foundation in the ars moriendi, or “The Art of Dying,” two Latin texts that reached back to fifteenth-century Catholicism. In fact, this art of dying the ‘good death’ had become the core for modern Christian practice by the mid-nineteenth century.

Civil War soldiers were, in fact, better prepared to die than to kill, for they lived in a culture that offered many lessons in how life should end. But these lessons had to be adapted to the dramatically changed circumstances of the Civil War…Dying was an art, and the tradition of ars moriendi had provided rules of conduct for the moribund and their attendants since at least the fifteenth century: how to give up one’s soul “gladlye and wilfully”‘ how to meet the devil’s temptations of unbelief, despair, impatience, and worldly attachment; how to pattern one’s dying on that of Christ; how to pray. Texts on the art of dying proliferated with the spread of vernacular printing, culminating in 1651 in London with Jeremy Taylor’s The Rule and Exercise of Holy Dying. His revision of the originally Catholic ars moriendi proved not just a literary achievement but an intellectual triumph that firmly established the genre within Protestantism.

Taylor’s rendition of the ars moriendi as well as the original documents had, by the time of the Civil War, become so commonplace that preachers used them in sermons, popular health books combined the expanding insights of medical science with older religious conventions about dying well, and popular literature carried out the theme in scenes such as the death of Dickens’s Little Nell, Thackerey’s Colonel Newcome and Harriet Beecher Stowe’s Eva.

By the time of the Civil War, the theme of the Good Death inspired songs, stories and poetry for and about the Civil War. As the war raged on throughout this country, the concept of the good death had burst its religious boundaries and had become part of respectable middle-class behavior throughout both the North and the South.

This long-held and widely-spread belief system about death is why, according to Faust, a soldier who died anonymously and suddenly in the heat of battle confounded all ability to understand why this death might be a “Good Death.” The Good Death was to take place at home, among loved ones who could witness the faith of that dying soul. To compensate for this denial of closeness between soldier and family at the time of death, other soldiers, chaplains, military nurses and doctors conspired to provide dying men and their families with as many of the elements of the “conventional Good Death” as possible. This meant that other individuals on the battlefield became surrogates for the family when a soldier died.

This unusual and heartrending change in familiar patterns of family care and death care in the 1860s led to the composition of several songs and poems. One, titled “Be My Mother Till I Die,” included the lines sung by a nurse:

Let me kiss him for his mother,
Or perchance a sister dear;
Farewell, dear stranger brother,
Our requiem, our tears.

This song was so widely popular that it called for a response, titled “Answer to: Let Me Kiss Him for His Mother,” which expressed gratitude for the women who cared for a family’s loved one far from home.

Bless the lips that kissed our darling,
As he lay on his death-bed,
Far from home and ‘mid cold strangers
Blessings rest upon your head.

Songs such as this and their responses did not belong to one side or another in that war. They were national responses to the disruption of war, which — for all intents and purposes — was a disruption of the Good Death. Songs such as this and actions of others who helped soldiers die on the battlefield helped to maintain that traditional connection between the dying and their kin that defined the ars moriendi.