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Imagine you are a nurse making night rounds. You show up for work and the nurse before you shares that one of the patients in your care tonight will most likely not make it through the evening. He of course is the first patient you visit, and he is alert and aware that he is dying. He asks you to stay with him and you explain that you will come back and sit with him but first you have to check on the other patients in your care. You begin your evening and make your rounds with each of your patients, and when you return you discover the one patient, who asked for your time as he was dying, passed away. Alone.
This is exactly what happened to Sandra Clarke, a bedside nurse at Peace Health Sacred Heart Hospital, in Eugene, Oregon. She was convinced it should never happen again and created the No One Dies Alone (NODA) program which put trained volunteers with patients in the last hours of life. This program has been implemented in health care facilities around the world.