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Christy Kessler

Jun 16
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At home nurse helping female patient get out of bed, helping put on cardigan

What are the Eligibility Requirements for Hospice Care?

By Hospice No Comments

If you’re reading this, you or a loved one have either recently received a terminal diagnosis or have experienced a sudden decline in health. Most likely, your entire family is experiencing sadness, disbelief, extra levels of stress, and lots of emotional strain. To help you through this difficult season, hospice care may be just what your family needs. But what are the eligibility requirements? Who qualifies and how? Let’s take a deeper look.

Female nurse putting comforting hand on elderly man's shoulder

Two Basic Eligibility Requirements

1. Certification of Illness

A person is eligible for hospice if they have been diagnosed with a terminal illness and given a life expectancy of six months or less if the disease runs its expected course. The hospice medical director must agree with the doctor’s assessment.

When determining eligibility and certifying illness, the primary physician and hospice medical director often look for three indicators: 1) a patient’s lack of improvement despite treatment, 2) a patient’s goal becomes comfort rather than cure, and 3) acute health events, like heart attack or stroke.

Older man talking with doctor about health

Some common health symptoms that indicate a patient may qualify for hospice are:

  • Frequent hospitalizations in the past six months
  • Significant weight loss (10% or more) within the past 3-6 months
  • A change in mental, cognitive, and functional abilities
  • Increasing weakness and fatigue
  • Decreasing appetite or trouble swallowing
  • Inability to complete daily tasks, like eating, bathing, dressing, walking, etc.
  • Recurring infections or increasing pain
  • Insufficient hydration or nutrition
  • A desire to stop treatment or to not go to the hospital

With some illnesses, especially those that are long term, the primary physician and hospice medical director will look for specific symptoms to help them determine if an illness has reached an end stage. This includes illnesses like ALS, Alzheimer’s and dementia, lung, heart, or liver disease, HIV/AIDS, cancer, neurological conditions, sepsis, and renal failure.

Let’s move on to the second eligibility requirement.

2. Focus on Comfort Rather than Cure

After an illness has been certified, there is one more eligibility requirement. Before a hospice care team can step in and begin to help the family, the terminally ill person must state that it is their intention to seek palliative care instead of curative care. This means that all care will now focus on improving quality of life and relieving pain rather than on life-prolonging treatments.

For cases when the terminally ill person is unable to communicate or make decisions regarding their own treatment, the person holding a Medical Power of Attorney (often a close family member) can make medical decisions on their behalf and initiate the hospice request.

However, please note that you can stop hospice care at any time. If life expectancy improves or new treatments become available, you can stop hospice care and begin to focus on curative care.

At home nurse helping female patient get out of bed, helping put on cardigan

Alternatively, if hospice care isn’t working out for your family for whatever reason, you can stop it and do something else that may work better for your particular situation. If you need to re-enter hospice care at a later date, you can. Just have your doctor and the hospice medical director re-certify the illness.

Once your eligibility is confirmed, you can begin receiving services from your hospice care team. Care usually takes place at your home, but your insurance may cover other options so make sure to ask. To learn more about the basic services available to you through hospice, click here.

What if You Need Hospice Care for Longer than 6 Months?

Great question. Doctors don’t know exactly how an illness will affect each person individually. Because of this, a prognosis of six months may turn into a longer period of time. Hospice prepares for that.

Hospice care is broken up into benefit periods. You can receive hospice care for two 90-day periods, followed by an unlimited number of 60-day periods. However, at the end of every benefit period, doctors reassess and recertify that hospice care is still needed.

Nurse sitting at older mans' bedside, holding hand and smiling

If the end of a benefit period is approaching, start the reapplication process 30 days before the next period is set to begin. That will give you time to get everything approved, ensuring there is no lapse in care.

Now that you better understand how hospice eligibility works, please talk with your own or your loved one’s primary physician to determine next steps.

Please NOTE: These eligibility requirements are based on Medicare’s Hospice Benefit. Medicare pays for more than 85% of all hospice fees in the United States. If you have a different health insurance provider, check their eligibility requirements.

Jun 16
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Nurse helping elderly woman move with walker

What Services Does Hospice Provide?

By Hospice No Comments

If you’ve never had to look into hospice care before, you may feel a little out of your element. One of the big questions on your mind may be, “What exactly does hospice do? What kind of services do they offer?” Today, we’ll take a look at the variety of standard offerings available through hospice and how they benefit your family.

Before we get started, it’s always helpful to have a definition of hospice care. At its core, hospice care is about taking care of patients and their families with kindness and compassion. It focuses on creating a comfortable, pain-free environment for the terminally ill, making each person feel confident that they know what to expect, and offering supportive care to family members.

Younger person holding older person's hands, focus on hands only

First Things First

Once a terminally ill person enrolls in hospice care, they will begin receiving visits from their hospice care team. This team can include a wide variety of people, depending on the hospice services your family pursues.

The team could include a nurse, hospice aide, social worker, chaplain, bereavement coordinator, physical, occupational, speech, or dietary therapists, spiritual and/or grief counselors, and volunteers – all overseen by the hospice medical director.

However, the services your family receives will depend on your specific needs. Adjustments are made to accommodate each individual patient and their family. So, if you don’t want or need a dietary therapist right now, you don’t have to have one. But if your needs change, you can always request a dietary therapist later. Hospice care is very personalized and can be tailored to fit a family’s specific needs over the duration of a person’s terminal illness.

Nurse helping elderly woman move with walker

7 Basic Hospice Services

The most common way to pay for hospice is with Medicare (85.4%), followed by private insurance (6.9%), Medicaid (5%), and other options, including self-pay (2.7%). Because Medicare is used most often to pay for hospice, its benefit rules are used by Medicaid and other insurance plans as a base line. In other words, other insurance companies base their hospice benefit plans on Medicare.

That’s not to say there aren’t differences, but by reviewing Medicare’s hospice benefit policy, we can get a good look at what services are most commonly available across the country. NOTE: Some hospice providers will include their own personalized services in addition to these basic services, so make sure to ask if there are any additional services available.

1. Personal & Medical Care

Of course, every hospice patient will receive medical care. However, it’s important to understand that this is not curative care. Instead, it’s focused on managing pain and symptoms so that a hospice patient’s final days are as comfortable as possible. This includes services from doctors and nurses as well as prescription medication.

The hospice care team will closely monitor the hospice patient’s needs and create a treatment plan that meets both your end-of-life care preferences and provides optimal comfort.

Female nurse taking elderly man's blood pressure at his home

2. Medical Supplies & Equipment

Secondly, hospice will provide medical supplies and equipment that may be necessary for pain relief and symptom management. This could include a walker, wheelchair, oxygen tank, hospital bed, bandages, catheter, bedpan, wound care supplies, and much more.

The hospice care team will arrange for both the delivery and removal of all such items. If there is something you need, communicate that to the care team, and they will work with you to ensure that the hospice patient’s needs are met.

3. Therapy & Nutrition

While it may not come to mind at first, hospice will coordinate physical therapy, occupational therapy, speech therapy, and even dietary counseling. If these services are deemed medically necessary by the hospice medical director, then they will be provided to the hospice patient. For example, if a person has trouble swallowing, speech therapy can help.

As for nutritional care, as the hospice patient’s body begins the dying process, they may not be able to process as many calories, digest properly, or process food or drink at all. With dietary counseling, family members are given the information needed to know when and how to make adjustments to diet and ensure that a loved one’s food intake is correct.

Nurse holding patient's hand, who is lying in a hospital bed in their home

4. Assistance at Home

As the hospice patient’s illness progresses, it will become even harder to take care of daily tasks. That’s why the hospice team is also available to help with eating, toileting, bathing, dressing, changing bed sheets, and more. The team’s highly trained nurses or aides will perform these tasks with care, discretion, and dignity. Plus, by doing these things, the hospice care team allows the family caregiver to take a break.

Talk with your hospice care team to find out what kind of at-home assistance they offer and request what best fits your needs.

5. Social Work Services

Here’s one you may not have heard about – social work services. You will have a hospice social worker assigned to you who will provide support by connecting the family to additional financial support programs or psychosocial support available in the community.

Some common social work services include:

  • Providing information about grief counseling and coping skills
  • Planning for discharge
  • Coordinating care
  • Helping families navigate the hospice care system
  • Advocating on the family’s behalf
  • Assisting survivors with arrangements and paperwork

Basically, the hospice social worker is there to guide your family through the hospice care process from beginning to end. Think of them as an incredible resource for questions and solutions.

Group support group

6. Counseling

Another big part of hospice care revolves around counseling, both for the hospice patient and their family. This could include emotional and spiritual counseling, grief counseling, and psychosocial counseling.

Spiritual & emotional counseling – There are skilled counselors available to help each person in the family achieve peace in their heart and spirit prior to the death. For some, this may mean seeking to restore broken relationships, mend hurt feelings, or draw closer to loved ones.

Grief counseling – After a terminal diagnosis, everyone knows that death will come sometime in the near future, and with death, comes grief. To support families through the ups and downs of grief, hospice makes grief counselors available to provide comfort, both before and after the loss of a loved one.

Psychosocial counseling – Receiving a terminal diagnosis takes a heavy toll, often bringing out depression or severe anxiety. Psychosocial counselors seek to help the hospice patient understand the end-of-life process and work toward social and emotional restoration.

At home hospice nurse sitting with patient, giving a hug as they look out the window

7. Respite Care

One final service to review is respite care. Every family will have a primary caregiver, and it can be an exhausting role. To give family caregivers a much-needed, occasional break, the hospice care team will provide respite care.

Most often, this means that the hospice patient will be placed in an in-patient facility for a few days, giving both the caregiver and the hospice patient a break. If this is something your family caregiver needs, contact your social worker, who can arrange this for you. You can get respite care more than once, but only on an occasional basis.

These are the basic services you can expect to receive from a hospice provider. Of course, don’t forget to ask if your specific hospice provider includes additional benefits. As you walk down this road, remember that you aren’t alone, and there’s an entire team of people waiting to help you through it.

Jun 10
Love0
Husband talking to wife as she lies in hospital bed

8 Tips for Helping Your Family Through a Family Member’s Terminal Diagnosis

By For Caregivers & Families No Comments

Learning that a member of your family is dying is often the most devastating news a family can receive. Your family is starting a journey they didn’t ask for and don’t want – with hospital visits, hospice care, grief, sorrow, and tears. But it doesn’t have to only be rainy days! You can create beautiful memories to cherish and turn your love and concern into positive actions. Together, let’s discuss ways you can help your family process a loved one’s diagnosis and how you can grieve well together.

Father and son sitting on bench talking

1. Take Time to Accept What’s Happened

It’s going to take time to cope with your family’s new reality. Before the diagnosis, you may have thought this type of thing only happens to other families, and it’s hard to grasp that it’s now happening to yours. If the onset of the illness was sudden or unexpected, you and the rest of your family will likely feel shock and numbness at first. This is a natural and necessary response to painful news.

Don’t try to take it all in at once. Accept your new reality in doses or increments. First, try to understand the diagnosis in your head. Then, over the weeks and even months to come, you will come to understand it with your heart. Just take it one day at a time.

Mother and daughter hugging

2. Be Aware of Your Family’s Coping Style

How you and your family respond to this illness will have a lot to do with how you as a family have related in the past. If your family is used to openly talking about their feelings with each other, they will probably be able to communicate more easily about the illness and the changes it brings. Families where people don’t talk about feelings and tend to deal with problems individually will probably have difficulty acknowledging the illness and its impact.

As you have conversations, you will find that some family members want to discuss the illness, while others seem to want to deny the reality and refuse to discuss it. Right now, your family may feel like a pressure cooker: you all have a high need to feel understood, but little capacity to be understanding. Try not to force anything and give each family member room to come to grips with reality in their own way.

family of 5 discussing chores and routines

3. Adjust to Changing Family Roles

A family member’s illness is going to necessitate changes – in routine, in roles and responsibilities, activities, and more. Your family may have a hard time adjusting to the changing roles. For example, if the head of the household is dying, the other spouse may now have to find a job in addition to caring for the home and children. If grandma acted as the family’s binding force before she was ill, her family may now feel confused and disjointed where they once felt strong and cohesive.

These changes can cause upheaval and high emotions, affecting how your family interacts. Depending on temperament and age, some may act short-tempered, overly dependent, or stoic, to name a few options for altered behavior. Each person’s stress, anxiety, or fear will manifest in different ways, so be on the lookout for it. Try not to take any outbursts personally.

At home nurse helping a woman walk

4. Consider Getting Outside Help

One of the most compassionate things you can do for your family during this stressful time is to reach out for and accept help. If someone in your family is caring for the dying person at home, look into end-of-life care options. Have groceries delivered. Hire a housekeeper to come in twice a month. Talk to your church or other community organizations and ask for volunteers to help. And family counseling can be a healing, enriching experience that helps family members understand one another now and long after the illness.

Additionally, hospices are well-staffed and trained to help both the dying person and the dying person’s family. Their mission is two-fold: 1) to help the dying die with comfort, dignity, and love, and 2) to help survivors cope both before and after the death. Contact your local hospice early in the dying process. Too often families wait until the last few days of the sick person’s life to ask for hospice care. When contacted early, hospices can provide a great deal of compassionate support and care up to six months before the death.

Husband talking to wife as she lies in hospital bed

5. Understand What the Dying Person May be Feeling

Experiencing illness affects a person’s mind, heart, and spirit. While you don’t want to make assumptions about what another person may feel, do be aware that terminally ill people may experience a variety of emotions following a diagnosis. Fear, anxiety, anger, guilt, sadness, and loneliness are just a few of the emotions they may feel—one at a time or simultaneously.

These feelings are a natural response to terminal illness. Your role as caring family member should be to listen to the sick person’s thoughts and feelings without trying to change them. If they are sad, they’re sad. Don’t try to take that necessary emotion away. If they are angry or feeling guilty, that’s okay too. You may be tempted to soothe away or deny these painful feelings, but a more helpful response is to simply acknowledge them. Listen and understand.

Woman sleeping in her bed

6. Help Family Members Tend to their Own Needs

When a family member is dying, that person becomes the focal point for the entire family. Suddenly everyone is concerned about that one person and their coming death. This is normal, but family members should not lose sight of their own needs during this difficult time.

Encourage everyone to nurture themselves as well as the sick person. Get enough rest. Eat balanced meals. Lighten schedules as much as possible. And even though the family is experiencing a serious time, they should still give themselves permission to be happy. Plan fun events. Allow time to laugh, love, and enjoy life.

Mother, father, and teenage daughter praying together

7. Embrace Your Spirituality

If faith is part of your family’s life, express it in ways that seem appropriate to you. Singly or together, you may find comfort and hope in reading spiritual texts, attending religious services, or praying. Allow yourselves to be around people who understand and support your religious beliefs. If one or more family members are angry at God because of the illness, realize that this is a normal and natural response. Try not to be critical of whatever thoughts and feelings each family member needs to explore.

8. Seek Hope and Healing as a Family

When a family member dies, each surviving member of the family must find a way to mourn if they are to love and live wholly again. It’s impossible to heal if you aren’t willing to openly express grief. Denying your grief, before and after the death, will only make it more confusing and overwhelming.

Woman wearing black as she stands next to grave marker and holds white flowers

Remember, every family member will grieve in a different way. Leave room for different expressions of grief. Some will feel sad, others angry, guilty, or even relieved. Don’t judge the reactions of the other people in your family – simply realize that each of you will face the pain differently. Look for ways to honor and remember the person you’ve lost. These healing actions will help you find a way to move forward.

Reconciling your grief will not happen quickly. Grief is a process, not an event. Encourage your family to be patient with each other and kind to themselves. Your life as a family has changed forever, and it will take time, open sharing, and intentionality to discover the way forward.

Jun 09
Love0
Grandparents, parents, and two kids wallking outside together and enjoying time

What to Consider when Estate Planning for a Blended Family

By Estate Planning No Comments

As you look ahead and realize that you will be in hospice care for a while, it may be time to start getting things taken care of. Now, more than ever, it’s important to get your affairs in order, especially if you have a blended family. For many families, being blended creates a sense of belonging and harmony. For others, it may be a source of contention or strife. No matter which category your family falls into, blended families introduce some potential challenges you must consider when it comes to estate planning.

The Challenge

According to Pew Research Center, 42 percent of Americans are in a “step” relationship of some kind. This means divorce, remarriage, and widowhood are a part of many lives. But what’s the estate planning challenge here?

Young blended family of 4 having fun baking in the kitchen

With estate planning, the challenge revolves around whether the correct people are listed on your important documents or not. In general, we are a bit lax about updating our accounts, files, or beneficiaries as often as we should. For instance, you might have taken out an accidental death & dismemberment insurance policy with your employer five years ago, but since then, you’ve divorced and remarried. Do you know which spouse is listed as a beneficiary on your policy? Is it the correct spouse?

A Few Questions to Ask Yourself

If you have a blended estate plan, it’s helpful to think through some important questions as you put your affairs in order.

  1. Does your will explicitly say how to handle your assets after your death?
  2. If you are unable to make decisions for yourself, who should serve as your proxy?
  3. If you have children, who should take over their care?
  4. Regarding your assets, do you need to strike a balance between a current spouse and a former spouse? Or children from one marriage versus a second?
  5. Does a former spouse have a fair claim to any portion of your assets?
  6. Do you need to make a distinction between what children from one marriage are to receive versus children from a second marriage?

Blended family of 4 outside, mom carrying daughter on back and father carrying son on back

5 Important Estate Planning Documents

Here are 5 estate planning documents to consider as you prepare a plan that will protect your family and make your wishes known.

1. Financial Power of Attorney

If you are feeling very unwell, you may be unable to take care of everything on your own, or you may just want to have someone else who can help out with the details. With a financial power of attorney, you grant an agent – often a spouse, adult child, or trusted friend – the ability to conduct financial transactions on your behalf. This means that the agent can access bank accounts, pay bills, obtain loans, and perform other financial acts on your behalf. If you previously signed a financial power of attorney and would now like to change your agent, speak to your estate planning attorney to update your records.

If you become incapacitated without a financial power of attorney and no one else has access to your accounts, it may be difficult for your loved ones to take care of your financial affairs. They will likely have to petition the courts for permission to conduct your affairs. For some, the process is arduous and inconvenient, so consider appointing a power of attorney.

Blended family sitting on couch, enjoying each other's company, mom, dad, teenage son, and teenage daughter present

2. Medical Power of Attorney

Similar to a financial power of attorney, the medical power of attorney grants your appointed agent the ability to make medical decisions on your behalf. Your agent’s powers will work in tandem with your living will (discussed below), if you have one. Also, make sure to sign a HIPAA release form. This document allows your appointed agent access to health, care, and treatment information.

A medical power of attorney allows you to appoint the best person to make decisions regarding your medical needs. By making your medical wishes known, you take the burden of decision making off your family. Any family can experience stress or strain when medical wishes are unclear. For blended families (especially those who don’t always see eye-to-eye), the medical power of attorney can help prevent disagreements and strain among family members.

Grandparents, parents, and two kids wallking outside together and enjoying time

3. Living Will

Whether you set up a medical power of attorney or not, it’s good practice to complete a living will, which is a document that clearly outlines what medical treatments you would and would not like to be used to keep you alive. This type of list provides peace of mind to family members, giving them confidence in any medical decisions they may need to make on your behalf.

Because the list is extensive, talk to your doctor and family members about your medical wishes. If you want to update your medical directives to include a new spouse, you can do so at any time. Just make sure that you dispose of all copies of the old directives.

Blended family of 5 sitting at breakfast table, eating a meal together

4. Legal Will

Following a death, the legal will gives clarity to family members by providing instruction for the distribution of your assets. In general, a will is a simple document that identifies beneficiaries, names guardians for minor children, appoints an executor to the will and/or a property manager, and leaves instructions on how to pay for debts and taxes.

If you are part of a blended family, a will may become especially necessary in case a former spouse, estranged children, or even step-children try to make a claim. If there are certain individuals whom you’d like to prevent from gaining access to your assets, a legal will is the best way to prevent it. Plus, you can revise a will at any time so you can make changes when needed.

Family outside running in a field, enjoying the sunset

5. Revocable Living Trust

Though most people need a will, not everyone needs a living trust. Living trusts are a bit more complicated than wills. You transfer your property into the trust, naming yourself the trustee, and then adding a successor trustee to take over upon your death. The successor trustee then distributes your assets according to your wishes.

If you have a large number of assets, a living trust is very helpful. Plus, you avoid the necessity of probate court and can keep everything private. Like a legal will, a living trust can be revised at any time.

One more note: a living trust does not take the place of a will. You must have a will to appoint guardians for minor children, designate an executor, and assign a property manager (if property must be maintained until a minor child comes of age).

Now that you are aware of some estate planning challenges, start talking with the people closest to you. Make an appointment with an estate planning attorney. Take time to set things in place now so that your family is taken care of tomorrow!

DISCLAIMER: Individual circumstances and state laws vary, so any estate planning should only be undertaken with the help and assistance of an attorney licensed in your state.

Jun 09
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Cemetery images with beautifully manicured graves to illustrate other interment options

Understanding Your Interment Options

By Meaningful Funerals No Comments

Whether you’ve entered hospice care and want to put your final wishes in writing, or you’re planning a meaningful service for a loved one, the ins and outs of funeral planning can be unfamiliar and confusing. You don’t know where to start or even what all of your options are. As you do your research, you may come across unfamiliar terms, like interment, columbarium, mausoleum, crypt, vault, niche, and more. This article will explain what these terms mean and give you a better idea of what’s included with each.

Older husband and wife sitting on couch at home, looking at document and reviewing interment options

Definition

First of all, let’s define interment. Usually, the term refers to burial, typically with funeral rites. However, over time, the definition has changed and now means “final resting place,” whether for burial or cremation.

Interment Options for Burial of the Body

If you choose burial of the body as your preference, you have many options available for both in-ground or above-ground burial. However, not all options are available everywhere, so check with a local funeral professional to determine which ones are available in your area.

Traditional Burial

With traditional burial, the body remains intact and is usually embalmed to allow for a viewing or visitation prior to the funeral and committal services. Prior to burial, the grave is excavated at the cemetery and either a grave liner or burial vault is placed in the grave (the family decides which one). Later, after the committal service, the cemetery grounds crew will lower the casket and fill the grave with soil. Eventually, a grave marker with epitaph is added to the location as a memorial.

Light wood casket with white lilies and greenery to illustrate traditional burial

Lawn Crypt

Essentially, a lawn crypt is a type of underground mausoleum. It’s built deeper into the ground and can house multiple caskets. Often made of concrete, a lawn crypt possesses a drainage system, which protects the grave’s contents from the elements. In some cases, families are all buried together, but it’s not a requirement. Make sure to ask a cemetery representative if they use individual grave markers or just one for everyone buried in the lawn crypt.

Mausoleum

A mausoleum is an above-ground memorial building for housing casketed remains. They offer personal ways to commemorate your loved one, including name carvings, plaques, and vases for flowers. A mausoleum typically offers single or companion crypts and protects the remains from the elements. Both community and private mausoleums exist. In most cases, a private mausoleum is much more expensive. A mausoleum is a great option for families who want to be interred together.

Large stone structure to illustrate a mausoleum

Natural (or Green) Burial

Another option for full-body interment is natural or green burial. The main idea behind green and natural burials is to allow the decomposition process to occur naturally. The main differences are two-fold: 1) Green burial excludes any type of embalming, and the cemetery grounds are specifically sanctioned for green burial; 2) While green burials must occur on very specific plots of land, a natural burial can take place on private land (subject to regulations) or in any cemetery that allows it.

Interment Options for the Cremated Body

Columbarium

Moving into interment options for the cremated body, a columbarium is a popular option. Columbaria consist of many small compartments, called niches, that each hold an individual urn. Each niche typically includes a memorial plaque that acts as a grave marker, identifying the names, dates of life, and an epitaph (if the family wishes). All columbaria are communal, though a family can purchase a family-sized niche to allow multiple urns to be placed together.

Columbarium wall with plaques and flowers

Urn Burial

It is also possible to bury an urn rather than to place it in a columbarium niche. Some cemeteries have landscaped urn gardens while others offer burial plots similar to those for traditional burial. A traditional plot can hold the cremated bodies of multiple people or may even hold a casket and an urn, depending on the cemetery regulations. As with traditional burial, urn burial requires an outer burial container. A third option for urn burial is green burial. You can place a biodegradable urn in a green burial ground without an outer burial container.

Scattering

With scattering, take the cremated body to a special place (remember to check the laws and regulations for that place) or use a scattering garden, which is a designated, beautiful space often attached to a cemetery. With a scattering garden, the cemetery often provides a means of adding a permanent physical marker so that family and friends feel more connected to their lost loved one. If you decide to scatter all of the ashes, take time to prepare yourself emotionally. For some, it can come as a shock that all that was left of a loved one’s body is suddenly gone.

Cemetery images with beautifully manicured graves to illustrate other interment options

Other Interment Options

A few lesser-used interment options are:

As you can see, there are several interment options available to you. All you have to do is choose the one that best fits your wishes and your family’s needs. No matter which option you choose, remember that it’s important to designate a final resting place so that friends, family, and future generations have a place to visit, remember, and honor the life that has been lived.

Jun 09
Love0

Selecting the Right Funeral Home for Your Family’s Needs

By Meaningful Funerals No Comments

With a loved one entering hospice care, you will need a team of people to help you in the coming days, weeks, and months. One person you should consider including on your support team is a caring and compassionate funeral professional from a reputable funeral home. They will help you and your loved one create a final tribute that is meaningful, personalized, and perfectly tailored to mark the significance and beauty of your loved one’s life.

Right now, you may feel like avoiding the topic altogether. That’s completely understandable. However, while it will be difficult in the moment, there is a peace that comes from knowing exactly what your loved one wants and balancing their wants with your family’s need to grieve.

To help you select a funeral planning partner that will best meet your family’s needs and desires, consider these 10 characteristics as you review and compare your options.

Five star wooden pieces laid on a blue background to indicate a good reputation

1. Possesses a Good Reputation

We all know of a place (whether it be a restaurant, movie theater, retail store, or funeral home) that has a bad reputation. What do we instinctively do when we know a place has a bad reputation? We avoid it. We read the online reviews, we listen to other people’s stories, and we value our own experience.

Particularly when selecting a funeral home, find an establishment that possesses a good reputation so you can be confident in the care and service you will receive. Ask your friends for recommendations or read online reviews of the funeral homes in your area.

2. Employs Caring and Compassionate Staff

As with any business you frequent, you should expect to be treated with kindness. However, this attitude should be especially true of funeral home staff since families are facing an emotionally difficult time in their lives. Excellent customer service and authentic sincerity constitute a large part of a funeral home’s reputation, which is one reason these two qualities are very important to funeral directors and their staff. Make a short list of funeral homes you are considering and give them a call. You can learn a lot about the quality of a person from a simple phone call. The staff will treat you well and with consummate professionalism. If they don’t, move on.

Two people sitting together, one person holding the other person's hand in comfort

3. Communicates a Commitment to the Families It Serves

No matter where you go, you should have confidence in the funeral home’s commitment to you. If a funeral home has a good reputation and employs kind and caring staff, then they will likely show great commitment to the families they serve. However, it is still good practice to read a funeral home’s mission statement and history. These two pieces of information can give you a better understanding of a funeral home’s values and commitments. You should be a top priority.

4. Is Willing to Create a Unique and Meaningful Experience for You or Your Loved One

Renowned grief counselor, author, and educator, Dr. Alan Wolfelt, says, “What is essential [when planning a funeral] is the life that was lived and the impact that life had on family and friends. To honor that unique life, the funeral must also be unique. Over and over families tell me that the best funerals are those that are personalized.”

As you consider a funeral home, ask yourself, “Will this funeral home help me create a service unique to my needs and values?” Personalized funerals and memorials are on the rise in the United States. Families and friends are looking for unique and personal ways to honor lost loved ones, and a good funeral home will work with you to create a meaningful and healing experience. Is the funeral director listening to you carefully and willing to educate you in areas where you lack knowledge? Is the funeral director offering helpful options and explaining the benefits and pitfalls of each option?

Pushpins tacked into a map, showing locations

5. Offers a Good Location, Facility, and Services

First, whenever possible, choose a convenient location. You will be in frequent contact with the funeral home as you plan a funeral, so a convenient location will be helpful for your preparations.

Second, consider the funeral home facility critically. Is it clean and well-kept? Do they have a chapel, space for a visitation, viewing, or reception (if your plans require such spaces)? Is the décor to your liking? Is the space flexible – can you adjust it to meet your specific needs? Consider the elements you want to be a part of the funeral service and choose a funeral home that meets those desires.

Finally, confirm that the funeral home offers the services you need. Do they offer transportation services, embalming, cremation, etc.? Some funeral homes now offer child-friendly spaces – is that something that’s important to you? No matter what your wishes, only commit to a funeral home that can accomplish them.

6. Accommodates Religious or Cultural Needs

In the United States, the population has always been a mix of religions and culture. As it becomes even more diverse, it’s important for funeral homes to meet the changing needs. With this in mind, no matter what your background, you should look for a funeral home that will help you honor your loved one in the way that you deem appropriate for your cultural background and religious beliefs. For some people, their origins and beliefs make up the fabric of who they are. It’s important that these core values are evident in the funeral or memorial service. No two people are the same, and because of our individual uniqueness, no two funerals should be the same either.

Older couple sitting at home with funeral director, looking at documents, options, and pricing

7. Values Transparency about Costs and Descriptions

Almost everyone values a transparent fee structure. With that in mind, partner with a funeral home that values openness and transparency with you. In case you aren’t aware, funeral homes are required to follow the Federal Trade Commission’s Funeral Rule. This law stipulates that, when asked, a funeral home:

  • Must provide any consumer with a general price list
  • Should inform the consumer that they have the right to choose the funeral goods and services they want (with some exceptions)
  • Must disclose, on the general price list, whether any particular item is required by state or local law
  • May not refuse or charge a fee to handle a casket bought elsewhere
  • Must offer alternative containers (if cremation is chosen, alternative containers must be offered)

Ask for an itemized list that includes all expenses with nothing left out. This will help you determine what’s best for your budget – no surprises! And remember, you get what you pay for. Cheapest isn’t always best in every case. By doing things ahead of time, without the stress of time constraints, a family can save hundreds of dollars.

In short, look for a funeral home that is considerate of your needs and your budget. Is the funeral home transparent about funeral service costs? Is the package pricing clear? Have they offered you a general price list and helped you plan a service within your budget?

8. Offers Grief Resources

An important question to ask yourself is, “Does this funeral home provide services beyond the funeral itself?” A good funeral home will be there for you even after the funeral is over. Look for an establishment that offers grief counseling services, post funeral newsletters and education, grief support groups or materials, in-home “check in” visits and phone calls, or hosts holiday commemoration services, to name a few options. Your grief journey is important, and the right funeral home can help you on the road toward healing.

live stream words written on a button and a hand is pushing the button

9. Utilizes Up-to-Date Technology

The funeral industry is often accused of being behind the times, but this is not entirely true. Yes, some funeral homes may be slow to change, but there are new, exciting technological advances available. More and more funeral homes are cultivating a social media presence, creating and updating their websites, helping families create memorial videos, or offering livestream services. Some are even providing online funeral planning services. If these services are important to you, look for a funeral home that uses up-to-date technology to enhance its services.

10. Engages the Community with Education Programs

Finally, a good funeral home and its staff engages the community before, during, and after the funeral. Does the funeral home host education programs about estate planning and the importance of getting your affairs together? Do they offer Lunch & Learns to share the importance of funeral preplanning or offer tours of the funeral home facilities? Do they offer hospice continuing education or engage in community events? The funeral home should be an advocate of information. Death inevitably comes to us all, and we cannot change that. But education and preparation can be our ally, but that only happens if a funeral home engages with its community.

Armed with these 10 characteristics to look for, may you find just the right funeral care partner to help you create meaningful moments that are special, beautiful, and just what your family needs to grieve well and honor your loved one.

Jun 09
Love0
Two roses and music sheets laying on piano keys

Top 10 Hymns for a Funeral or Memorial Service

By Meaningful Funerals No Comments

Whether you’re in hospice care yourself or are with a loved one receiving care, an important conversation to have is how to honor life and legacy through a personalized and meaningful service. By doing this, you can balance the personal wishes of the person who is dying with the emotional needs of the family, creating a service that will bring healing and honor legacy.

Two roses and music sheets laying on piano keys

Music is an important element of a funeral ceremony because it helps us to process feelings that are difficult to put into words. Dr. Alan Wolfelt tells us that music imprints itself on our hearts more than any other experience in life. For people of faith, these feelings are often best expressed in hymns, which are songs of devotion or praise to God. If you are looking for timeless songs of faith to honor include in a final tribute, you may want to consider using one of these 10 beautiful hymns.

10. It is Well With My Soul (written by Horatio Gates Spafford, 1873)

“When peace like a river attendeth my way,
when sorrows like sea billows roll;
whatever my lot, thou hast taught me to say,
“It is well, it is well with my soul.”

Spafford’s devout hymn was composed in the midst of great tragedy. After sending his family ahead of him on a boat to England, he received a telegram from his wife informing him that their ship had sunk in the Atlantic and that his four daughters had all passed away. In the aftermath of the event, Spafford wrote one of the most memorable of all hymns. Devoid of bitterness, the song is a testament to the level of Spafford’s faith even in the worst of times. His firm belief in the return of the Lord, vividly described as a day when the clouds will be “rolled back as a scroll,” is a beautiful sentiment that reminds Christian believers of their true home.

9. Great is Thy Faithfulness (written by Thomas O. Chisolm, 1923)

“‘Great is Thy faithfulness!’ ‘Great is Thy faithfulness!’
Morning by morning new mercies I see;
All I have needed Thy hand hath provided—
‘Great is Thy faithfulness,’ Lord, unto me!”

After the loss of a loved one, people often experience disorientation and confusion. How do we respond to loss, and how do we find a way to continue to live our lives? So much changes when a loved one passes away, and the natural response is to look for something to cling to. The words of this 20th century hymn provide a reminder of the things that are constant in the world. People of faith will find great comfort in singing, “Thou changest not, Thy compassions, they fail not, / As Thou hast been, Thou forever wilt be.” While nothing can take away the pain of loss, this hymn reminds the mourner that some things in life always stay the same.

8. I Need Thee (written by Annie Hawks and Robert Lowry, 1872)

“I need Thee, oh, I need Thee;
Every hour I need Thee;
Oh, bless me now, my Savior!
I come to Thee.”

“Every hour I need thee.” Not monthly, weekly, or daily. Hourly. The speaker requires the assistance of the Lord in every activity and situation to see it through to completion. Every step of the journey is difficult and requires the presence of God. A cry of devotion in times of hardship, this 19th century favorite touches on themes of perseverance, faith, suffering, and comfort. For funeral attendees, it can be viewed as a request for God’s guidance through every stage of the grief journey. The knowledge of God’s presence is an encouragement to mourners as they prepare for a new way of life and set out on the road to healing.

7. Abide With Me (written by Henry Francis Lyte, 1847)

“Abide with me: fast falls the eventide;
the darkness deepens; Lord, with me abide.
When other helpers fail and comforts flee,
Help of the helpless, O abide with me.”

Faced with tuberculosis and the knowledge of his impending death, the 54-year-old Henry Francis Lyte used his time of trial as an opportunity to write one of the most beautiful and well-loved of all hymns. Not surprisingly, it has become a popular choice for spiritual funerals. The fact that Lyte was so close to death’s door makes this reflection on mortality and his personal relationship with God all the more powerful. But the song appeals not only to those nearing the end of their lives, but also to mourners who are facing the end of a certain way of life: life with their loved one. Funeral audiences can identify with Lyte’s heartfelt request for God to stay with him as “the darkness deepens.”

6. ‘Tis So Sweet to Trust in Jesus (written by Louisa Stead, 1882)

“‘Tis so sweet to trust in Jesus,
Just to take Him at His word;
Just to rest upon His promise;
…to know, Thus saith the Lord.”

Like most of the hymns on this list, this 19th century classic gives mourners a source of stability, a rock to lean on in times of hardship. Funeral guests can find peace of mind in the knowledge that the stress, fear, and doubt that often accompanies a loss are in the hands of a higher power. Stead suggests that there is no need to hold on to anything or to assume a heavy burden. Our sole responsibility is “Just from Jesus simply taking, / life, and rest, and joy, and peace.” While this assurance does not eradicate the pain of loss, it does provide some comfort and can serve to alleviate the irrational guilt, frustration, and stress that people often wrestle with on the road to recovery.

5. Guide Me, O Thou Great Redeemer (written by William Williams, 1745)

“Guide me, O thou great redeemer,
Pilgrim through this barren land;
I am weak, but thou art mighty,
Hold me with thy powerful hand.”

William Williams frames his most famous hymn in terms of a journey. Throughout all three stanzas, he asks God to guide him on his course. In the first stanza, he is a pilgrim wandering through a barren land. In the second, he uses imagery from Exodus 13, asking God to bring fire and a pillar of cloud to lead the way. And in the third, he is traveling across the Jordan to get to the land of Canaan. All three images correlate to the path that the mourner takes on his grief journey. Williams’ steadfast reliance on God during times of painful and frightening transition is relatable to mourners, making this three-and-a-half-century-old hymn as timely and relevant today as the day it was written.

4. In the Sweet By and By (written by Sanford Fillmore Bennett, 1868)

“There’s a land that is fairer than day,
And by faith we can see it afar;
For the Father waits over the way
To prepare us a dwelling place there.”

An obvious choice for inclusion in any collection of comforting hymns, this hopeful and faith-driven song communicates a sense of peace to the listener by drawing upon imagery of another, happier land. For mourners, the song’s use of the image of a faraway shore implies that loved ones are at peace with the Lord. While this knowledge doesn’t take away the pain that mourners feel, it offers some light during a difficult time. Bennett claims that after death, “our spirits shall sorrow no more, / Not a sigh for the blessing of rest.” This emphasis on rest and peace encourages loved ones and provides them with inner strength as they work through their grief.

3. Amazing Grace (written by John Newton, 1779)

“When we’ve been there ten thousand years,
Bright shining as the sun,
We’ve no less days to sing God’s praise
Than when we’d first begun.”

Probably the most famous of all hymns, this song of redemption penned by a slave-trader-turned-abolitionist has captured the hearts of countless Christians. While certain stanzas dealing with sin and repentance may seem less suited to a funeral, the song’s reputation as a sort of anthem of Christianity makes it a great choice for any religious event. And there’s no doubt that the final stanza, with its beautiful depiction of the afterlife, will speak directly to the concerns of mourners. Amazing Grace taps into the essence of what it means to believe in God, and the universal love that believers bestow on it indicate that it is a powerful representation of the faith. For a funeral ceremony, you may want to consider singing at least a few stanzas of this masterpiece.

2. I’ll Fly Away (written by Albert E. Brumley, 1929)

“Just a few more weary days and then,
I’ll fly away;
To a land where joy shall never end,
I’ll fly away.”

This extremely popular gospel song speaks to our desire for peace. Brumley views death as a time of joy and rest, as opposed to this life, which he describes as “shadows,” “prison bars,” and “weary days.” By framing life’s transience in a positive light, the song encourages us to see the full scope of the drama, the larger picture. The troubles and pains of this life are but a tiny moment in time compared to the eternal land that awaits.

The upbeat melody conveys not only joy and peace but also confidence and steadfastness. “I’ll fly away” is not spoken as a mere possibility to be entertained, but as a reality that the speaker is fixated upon with absolute conviction. To sing this familiar gospel song in a funeral setting is to feel the pain of absence while simultaneously receiving the assurance that the spirit of a loved one has “flown away” to be with the Lord.

 1. Leaning on the Everlasting Arms (written by Anthony J. Showalter and Elisha Hoffman, 1887)

“What have I to dread, what have I to fear,
Leaning on the everlasting arms?
I have blessed peace with my Lord so near,
Leaning on the everlasting arms.”

When it comes to comforting hymns, this beautiful song of surrender is unmatched. These three stanzas, accompanied by a simple refrain, contain everything that you could want in a song for a religious funeral: a gorgeous melody, a modest length, and reassuring words of peace. Leaning on the Everlasting Arms is a perfect lyrical distillation of the human soul’s devotion to God. For mourners faced with the emotional exhaustion that accompanies the loss of a loved one, it’s a blessing to hear that one can lean on the everlasting arms of God and rest “safe and secure from all alarms.” The theme of security applies equally well to those who are living and to those who have passed on. God’s love and peace is available in the here and now, as well as in the hereafter.

To listen to the entire playlist of hymns, click here.

Jun 09
Love0
Urn in prominent place, surrounded by greenery, with mourners standing nearby

Understanding the 6 Purposes of a Funeral

By Meaningful Funerals No Comments

Now that your loved one has entered hospice care, it’s time to start talking to them about their funeral wishes, if you haven’t already done so. The conversation may feel awkward or difficult, but in order to honor your loved one’s legacy and wishes, you have to know what they are. And on top of that, as human beings, we have an innate need to honor, respect, and remember those we love who have died. Funerals, as a ritual, don’t exist simply to exist. They have purpose and intentionality and meaning.

Dr. Alan Wolfelt, respected grief counselor, author, and educator, has done extensive research into the purposes of a funeral and why we, as people, need them. He says, “The funeral ritual…is a public, traditional and symbolic means of expressing our beliefs, thoughts and feelings about the death of someone loved.  Rich in history and rife with symbolism, the funeral ceremony helps us acknowledge the reality of the death, gives testimony to the life of the deceased, encourages the expression of grief in a way consistent with the culture’s values, provides support to mourners, allows for the embracing of faith and beliefs about life and death, and offers continuity and hope for the living.”

In Dr. Wolfelt’s experience, if a funeral meets these 6 purposes, then it is often meaningful and healing. Let’s review these 6 purposes of a funeral in detail, so that we fully understand why funerals are so necessary and how they help us in our grief journeys.

The 6 Purposes of a Funeral

Urn in prominent place, surrounded by greenery, with mourners standing nearby

1. Reality

When someone we love dies, our minds and hearts rebel against it at first. We don’t want to accept that the person we love is gone. The first purpose of a funeral is to help us accept the reality of the death. In order to heal and grieve, we must first accept what has happened. At a healing and meaningful funeral, mourners have the chance to confront reality and begin processing their grief. The funeral is not the end of the grief journey – it is the beginning. We must learn to come to grips with our new reality – one without the physical presence of our loved one.

Man standing near podium, hands folded, ready to share memories

2. Recall

One of the key components of a funeral is remembering the person who has died. We see this remembrance happen in the eulogy, in the tribute video (if there is one), in the songs or readings chosen, as well as in the gathering of friends and family following the service. By recalling and sharing about our relationship with a loved one, we help ourselves transition. We begin the process of moving our relationship with the person who has died to one of memory rather than presence. We must go backward into our memories before we can move forward in the grief journey.

Man and woman standing together, looking at memorial candles, his hand on her shoulder as he offers support

3. Support

A third purpose of the funeral is to activate support. At a funeral, we gather with other people who knew our loved one. We can share our memories, give voice to our feelings, and find support in others. When a funeral includes a visitation or a gathering, mourners have the opportunity to come together and offer a listening ear and a caring hug. When no service is held, friends may keep their distance, thinking that the family wants to grieve privately. But with a public (delayed, if necessary) funeral, friends and neighbors can offer their caring support during a trying time.

Man and woman wearing black standing in cemetery, hugging and expressing their grief

4. Expression

As human beings, we are wired to feel. When we feel deeply but actively suppress our emotions, those feelings can become overwhelming and begin to fester. Funerals are meant to act as a safe place for us to get our thoughts and emotions out. By putting our thoughts and feelings into action, we begin the journey toward healing. You may need to talk, cry, or just sit quietly with a person who cares. Whatever you may need, expression is an important purpose of a funeral. Through expression, we begin to put our grief in motion and create forward movement in the grief journey.

Person holding small lit candle in their hands, representing a loved one's life and meaning

5. Meaning

When someone we love dies, many questions begin to surface. Did the person I love live a good life? Why did they die? Why do any of us die? While there are no simple answers to these questions, a funeral gives us time and opportunity to ask them and begin to find our way to answers that give us peace. By searching for meaning and allowing ourselves to find peace, we find purpose in our continued living and can work toward reconciling ourselves to the loss we have suffered.

Older woman standing in her home, sipping on a cup of tea, finding a way to move forward and heal

6. Transcendence

The final purpose of a funeral is transcendence. This happens in two ways. First, the funeral helps us find a new self-identity. Funerals help us publicly mark a change in status. For example, someone who has lost their spouse goes from someone who is married to someone who is single. A funeral allows everyone to publicly acknowledge this change and begin offering the mourner support in their new status. Second, funerals often wake us up and make us think about our lives and how we want to spend our remaining days.

Dr. Wolfelt puts it this way:

“People who take the time and make the effort to create meaningful funeral arrangements when someone loved dies often end up making new arrangements in their own lives. They remember and reconnect with what is most meaningful to them in life. They strengthen bonds with family members and friends… [and] emerge changed, more authentic and purposeful. The best funerals remind us how we should live.”

Two red roses lying on top of a dark marble grave markerof

As a Whole

These purposes are not necessarily distinct steps and may happen in any order, but they are intertwined. The funeral experience as a whole is like a rite of passage. We emerge transformed, with a new identity, a new relationship with our lost loved one, and a new relationship with our community.

Unfortunately, not all funerals are successful in helping us heal. This is because we have lost part of our understanding of why funerals matter and how to create a meaningful and healing funeral ceremony that will give us a good start on the healing process. But it’s not too late to learn. For more information on funerals, their purpose, and how to create a personalized, meaningful, and healing ceremony, check out the articles below:

Do Funerals Still Matter?

Should a Funeral Be Efficient or Effective?

7 Elements of a Healing and Meaningful Funeral

6 Ways to Personalize a Funeral

5 Meaningful Actions to Personalize a Funeral

Cremation and the Importance of Ceremony

5 Unique Venues for a Celebration of Life Service

Jun 09
Love0
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How to Prepare for a Funeral Arrangement Conference

By Meaningful Funerals No Comments

Are you facing the imminent loss of a loved one in hospice care? When the time comes, the emotions of grief may hit you hard. These feelings vary from person to person and may include sadness, shock, anger, or anxiety. It is during this time of emotional distress that an arrangement conference takes place and a funeral is planned, unless funeral arrangements were taken care of ahead of time. Whether the funeral was planned in advance or you will be planning a final tribute soon, the funeral home will ask for certain vital statistics about your loved one.

Why does the funeral home need these vital statistics?

Throughout the funeral planning process, the funeral home staff acts as your representative in many ways. They coordinate between third parties, like the florist, clergy, musicians, Veterans Affairs, etc. Also, with the vital information provided, they obtain permits for burial or cremation; in some cases, help prepare the obituary; and submit a request for a death certificate to the county. And if your loved one was a veteran, they coordinate with the Armed Forces for any military honors you may request for your loved one. These are just a few of the details they take care of, but to accomplish these, the funeral home staff needs to know your loved one’s pertinent information.

Focus on woman's hands as she signs documents on a clipboard

What vital statistics should I bring with me to the arrangement conference?

If possible, it’s best to prepare this information before you attend the arrangement conference. By doing so, you will make the arrangement conference much smoother and more efficient for yourself and your loved ones.

Be sure to bring these vital statistics to the funeral arrangement conference for your loved one:

  • Full legal name
  • Address
  • Race and gender
  • Date of birth
  • Date of death
  • Place of death (city and county)
  • Age
  • Social Security Number
  • Occupation (kind of business or industry)
  • Marital status
  • Spouse’s name (if applicable)
  • Maiden name (if applicable)
  • Father’s name
  • Mother’s maiden name
  • Education information
  • Armed Forces information (including DD-214)
  • Name of surviving spouse and family members

Middle-aged man sitting at table, signing documents, tablet lays nearby

Is there anything else I should bring?

It is always helpful to come prepared with obituary information (or an already written draft of the obituary). Additionally, the more you think about the service details, the easier the conversation will go. So, consider what kind of service you want for your loved one, what personalized touches you will add to make the ceremony unique to your loved one, and where will you lay them to rest permanently.

The more information you take with you to the arrangement conference, the better. But no matter what, the funeral home staff will work with you to make sure that, together, you create a ceremony that is healing, meaningful, and uniquely tailored to your loved one’s life and spirit.

If you would like more information on planning a funeral, the following articles may be helpful to you:

Funeral Planning Checklist

Quick Start Resource Guide: Planning a Funeral

What Are My Burial Options?

What Should I Know When Considering Cremation?

Cremation and the Importance of Ceremony

7 Elements of a Healing and Meaningful Funeral

Jun 09
Love0
Two men in uniform folding the American flag

Requesting Military Honors

By Meaningful Funerals No Comments

If you or a loved one are a veteran in hospice care, then you may be wondering about the process for requesting military honors at the funeral or memorial.

The Department of Defense, through a program called “Honoring Those Who Served,” is responsible for providing military funeral honors. In most cases, the military personnel who participate do so on a volunteer basis. Keep in mind, you must request military honors, so talk to the funeral director about making an official request.

Two men in uniform folding the American flag

Military funeral honors vary. A few factors that affect military honors are whether your loved one was active duty, retired, or a veteran; their rank; and the place of burial. For veterans buried in national cemeteries, the honors will have an added element of formality and include additional elements, such as a horse-drawn caisson for commissioned officers buried at Arlington Cemetery. Veterans buried in private cemeteries will be less formal and include fewer elements.

For now, let’s review the most common ceremonial elements and why they are significant to our veterans.

The Main Elements

Honor Guard

If you request military honors, at least two honor guards will attend the funeral. One of these honor guards is currently serving in the same branch as the veteran who has died. Depending on availability and the rank of the veteran, the honor guard may consist of more members. The honor guard will carry out the requested honors with precision and respect.

Flag-draped casket sitting on raised area, mourners standing nearby

Flag-Draped Casket/Urn

The flag-draped casket or urn is a prominent feature of a military funeral that dates back to the Napoleonic Wars in the late 18th and early 19th centuries. At that time, it was tradition to cover the dead with a flag before removal from the battlefield. Today, the tradition continues to remind the living of that person’s service and sacrifice. With the American flag, the blue field spreads at the head, over the left shoulder of the casket. After services conclude, the honor guard folds the flag and presents it to the next of kin.

Folding of the Flag

The honor guard at the funeral will also fold and present the flag. It takes 13 individual folding movements to create the ceremonial triangle, which is intended to represent the tricorn hats worn by George Washington and his men at the foundation of our country. After the flag is folded, the service member representing the veteran’s branch of service will present the flag to the next of kin and say:

“On behalf of the President of the United States, the United States (Army, Marine Corps, Navy, Air Force or Coast Guard), and a grateful nation, please accept this flag as a symbol of our appreciation for your loved one’s honorable and faithful service.”

Majority of bugle visible against the backdrop of an American flag

Playing of Taps

In 1862, during the Civil War, General Daniel Butterfield, with the help of bugler Oliver Norton, revised an earlier bugle call into what is now known as “Taps.” Previously, the song signaled to troops that it was time to put out the lights and go to sleep. However, shortly after Butterfield’s revisions, captain-in-charge John Tidnall presided over a funeral. He asked his men to play Taps rather than firing the customary three volleys. At the time, three volleys conveyed to the enemy an intention to begin fighting again. To avoid sending this message, the bugler simply played Taps. Since that time, the song has been associated with military funerals.

At funerals today, if a bugler is available, Taps will be played live. However, if no bugler is available, a recording of the song will always be played.

Additional Elements

To review, the honor guard, draping of the casket, folding and presentation of the flag, and the playing of taps are the core elements of a military funeral. Depending on availability, you can request to incorporate other symbolic actions.

These elements include:

  • Three-volley salute
  • Color guard
  • Pallbearers
  • Horse-drawn caisson
  • Military flyover

Military personnel holding American flag over urn, getting ready to fold flag

Know Your Veterans’ Benefits

In addition to the performance of these time-honored, symbolic actions, eligible veterans also receive other burial benefits. The VA offers burial benefits for eligible veterans, their spouses, and their dependent children. For instance, eligible veterans receive a burial space in a national cemetery where there is space available. This is at no cost to the family. Additionally, certain state cemeteries offer burial spaces to veterans, at no cost to the family. A veteran buried in a national cemetery is also eligible to receive opening and closing of the grave, perpetual care, a government headstone or marker, one burial flag, a Presidential Memorial Certificate, and a grave liner, at no cost to the family.

To learn more about your veterans’ benefits, visit www.benefits.va.gov.

For additional information on how to plan a personalized and meaningful service, take a moment to read 7 Building Blocks for a Meaningful Funeral Service.