feeling so much better, as if their body is drawing up all of their energy for one last hurrah. I donât know what causes it or why it happens, but nurses see it all the time. Thereâs more going on, you know, in our hearts and minds than those doctors know. Nurses see it every day. I donât think you need to worry.â
She regards me seriously for a while, and then she smiles.
âWould be it really naughty if you could take me for a spin out in the garden? I just want to feel the breeze on my face. Just for a little while; I donât want Mum to wake up and for me to not be here.â
âOf course,â I say, opening the patio doors, which each patientâs room has, leading out to the grounds.
âAnd Stella,â she says. âWould you write a letter for me? To Mum and Katy?â Graceâs room is lit very low, and no longer bare. Keris must have brought in the photo that is on her bedside table â maybe from her office, because at its heart is Grace wearing a lilac T-shirt, with the Marie Francis logo printed on, and a wide, wide smile, eyes disappearing into crinkles. Her arms are open but not quite encircling a large group of kids and teenagers â all ethnicities, girls and boys, grinning, their thumbs up, pulling faces, making signs behind each otherâs heads. A couple of them are holding one of those large outsized cheques that makes a presentation to charity. It looks like a snap that was taken in a moment of great fun. Sasha from the day team told me that there had been a constant stream of visitors by Graceâs side all day, and the room is filled to the brim with cards, drawings, flowers, pastel-coloured teddy bears holding hearts â thereâs even a balloon gently bobbing in the corner.
She is sleeping, her face turned towards the darkest corner. I havenât had a chance to talk to her since she arrived, but I can see she has a gentle face, recently altered by pain. But itâs a face that has a past, that has lived through difficult times. I can tell by the deep lines that are carved around her mouth and eyes. But for now at least she is relaxed. Pain-free. Her hands neatly folded on top of the bedspread.
Quietly I move around her, checking her pulse, her temperature, her blood pressure and oxygen saturation. Iâm comforted by the routine, the certainty in numbers, the peace that fills every corner of the room.
âWhere â¦?â Grace whispers the word as her eyes flicker open. Slowly she focuses on me. I take her hand and smile, reassuringly. Often a patient will forget where they are or why, for a few moments. You take their hand, and look them in the eyes, and help them to remember in the least frightening way that you can.
âItâs OK,â I tell her. âGrace, youâre in a hospice, do you remember? My name is Stella. Keris brought you here, and weâre looking after you now.â
I watch as her eyes glide around the room, taking a moment to focus, and I feel her fingers relax in mine.
âWhat time is it?â she says.
âAlmost two in the morning.â
âCould I have a drink of water, please?â
âOf course.â I pour a cupful and offer it to her with a straw. She shakes her head, and I help her sit up, so she can drink from the cup herself. Sheâs weak and she winces, but she can grip the cup and bring it to her lips.
âAre you in pain?â I ask her.
âNo.â She shakes her head, but I suspect she is lying. Patients do that; they donât want you to know how much pain they are in, in case it means something. When you are here, facing the very end of your life, no one wants anything to mean anything.
âIâll get the on-call doctor to have a look at your meds, just to make sure.â
âIâm fine.â
âDid your family come in today?â
She sips the water. âNo, I donât have any family. Well, I did once, years ago. But
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