In the final day when she visits, Virginia notes that Mr. Thompson is unresponsive and his PPS is now 10%. The
grandchildren are at home. She takes extra time with the family to ascertain their comfort level with being there when
the death occurs and tells the grandchildren that even though their grandfather cannot speak to them right now he
can feel their presence and love. She reviews with Mrs. Thompson and her children how to know when death has
happened, whom to call, and what to expect about pronouncement, certification of death and the removal of the
body. Most importantly, she reminds them that they should not call 911 or an ambulance as this is an expected