4/27/10 Pam's condition rapidly deteriorated during the day yesterday. The Hospice nurse indicated this was part of of the natural process of Pam's system shutting down. Pam looked comfortable and relaxed and she responded to the family with a slight smile or glow. Pam definitely knows where she is going.

This morning brought no further noticeable decline in her condition. In fact, she looked more comfortable than she did yesterday. Maybe the fact that our dog Sadie was on the bed with her was more comforting than the pain relievers.

Hospice has been a real blessing and responsive to Pam's needs. We will monitor Pam's condition and update this blog regularly.