I was uncomfortable about making this decision for her, even though her healthcare provider and I had met with her some months earlier to reaffirm her advance directives and to have her sign a new form that consolidated her directives.

Nicole bravely tackled the elephant. "So, forgive me for being forward and for asking this so bluntly, but what is keeping you from telling your kids about being trans?"

Is there a hospice care provider who has helped you or a loved one honor life by understanding and honoring the process of death? I encourage you to share your experience and continue this important conversation.

Diane Rehm, the treasured NPR host of The Diane Rehm Show and friend to UsAgainstAlzheimer's, has written a deeply personal, profoundly moving, incredibly honest book about her life before and after her husband's death.