How to Get Over Grudges Before You are on Your Deathbed

As a hospice physician I have had the experience many times of sitting with a patient at the very end of life who was struggling to forgive someone they hadn’t seen or spoken to in years. I’ve recognized that the passage from life to death is a difficult process and going through it with a lighter load of emotional and spiritual “baggage” is helpful. So, many patients are motivated to leave behind their anger and resentment even toward people they’ve spent their entire lives hating.

My patient Anne told me several times that she had already forgiven her sister Mary even though they hadn’t spoken to one another for years. She told me that Mary had always been a troublemaker who had hurt her many times in the past, but again, she insisted that she had forgiven her. However a few days before she died Anne desperately wanted to talk to Mary to tell her that she loved her “just as she was.” Anne admitted that she had been carrying a grudge toward Mary all of her life and that she now recognized that true forgiveness meant changing how she viewed and talked about Mary.

While dying was a powerful motivator for Anne to tie up her own loose ends in life, I’ve realized that getting over grudges doesn’t have to wait until our final breaths are taken. In fact, if we manage earlier in life to actually forgive those who have harmed us we can enjoy the benefits of letting go of negative memories and making room for more positive and joyful feelings. Science has validated this idea by showing in studies that there are physical and emotional gains from the practice of forgiveness.

The problem is that it is not easy to get over the wounds of the past. In fact our brains are hard-wired to hold onto the negative events from the past as a form of protection and our egos are resistant altogether to the idea of letting someone “off the hook” who has harmed us.

So forgiveness is a practice that takes work to accomplish. But it’s so important that I’ve spent my entire adult life working on forgiveness as a spiritual practice. And I also included it as one of the “7 lessons from the dying” in my book What Really Matters. I’ve learned that there are several mindset shifts that have to take place in order to forgive. Here are some of the shifts in thinking that are necessary and a practice that can help you begin to forgive:

Life is a classroom.

The first step toward being able to let go of grudges is to begin to see that life is simply one learning opportunity after another. During our time here on Earth we are presented with a series of challenging lessons and we can choose whether to learn something from them or not.

The people in our lives who cause us the greatest difficulties are actually teachers who can help us grow if we choose to see life from that perspective.

You’re not entitled to a life free from difficulties.

We often believe that the harm that has come to us throughout the course of life should never have happened, that it wasn’t fair or deserved. We hang on to our grudges against other people as a badge to prove how we have been victimized by life. It is true that life isn’t fair but it was never intended to be. We are participants in a cycle of life that contains both birth and death and an equal measure of pain and joy. So we cannot expect that we should avoid pain in our lifetimes and we need to learn to get over being angry that this how things are.

The past no longer exists.

Whatever happened before this very moment exists now only in your memory. You are using your own energy and life force to keep your memories of the past alive and if they are negative memories they can exhaust you, making it impossible to enjoy all the positive little moments that life could offer you right now. No matter what has happened in the past this present moment is brand new and you have the opportunity to enjoy it if you choose. Look around and you’re bound to see something beautiful in your life if you are not totally depleted from carrying around your old resentments.

You can make yourself whole again.

Even if the person who has harmed you in the past has no remorse for their behavior, you can heal the anger you carry for them. You don’t have to sentence yourself to years of “hard labor” hauling the burden of that person’s bad behavior in your life. He or she may never apologize or even recognize the pain that has been caused but you can let go of it anyway. In fact the best revenge as has been said, could be a life well-lived and fully enjoyed in spite of pain and difficulties.

It’s not your job to punish other people.

Life will bring those who have hurt you plenty of difficulties of their own—you can release them from your anger without worrying that you are letting them “off the hook.” Don’t waste your time and energy wishing suffering on others because that will only punish you further. Don’t allow other people to continue to bring harm into your life by hating them—hatred is bad for your health and doesn’t bring you satisfaction anyway.

Look at life experiences from different perspectives.

One healing practice for forgiveness is the “4-View Process” in which you intentionally look at experiences through different lenses. Use your journal to write about 4 Views of the situation that is causing you pain. The 3rd-person view describes the facts of the event as a reporter might write in a newspaper article; the 2nd-person view is from the vantage point of the person you have a grudge against; the 1st-person view looks inside your own memories of the event for other hidden feelings; and the Galaxy View is the perspective of a wise teacher or guide who is helping you see ways you can grow from this experience and find compassion and love within your pain.

Rituals can help you let go.

To finally release an old grudge it can be helpful to use a ritual that symbolizes being done with the past and moving on to this present moment. Some useful practices include burning sticks or pieces of paper in a campfire to represent clearing away what you no longer want to carry, floating flower petals down a stream, or blowing leaves or seeds into the wind. These physical actions can create a powerful shift internally as you mark the transition that has taken place.

Forgiveness may be one of the most difficult tasks we are given the opportunity to learn during this lifetime but it is also one of the most rewarding. You can reap the benefits during the last hours of your life if you want to wait until that moment to let go or you can start whittling away at your grudges right now. The choice is yours to make, but trust me, you have no idea how good forgiveness feels until you’ve tried it!

Download The Forgiveness Toolkit for some additional support in getting over your grudges.



The Minimalist Approach to the End of Life

Learn how a new lifestyle trend can revolutionize the way we approach our last days.

In recent years the minimalist lifestyle has been trending throughout the United States, particularly among the millennial generation. Unlike their parents who sought after material goods and wealth as part of “living the dream,” many younger people are choosing to live a simple lifestyle with fewer possessions, tiny homes, and less waste and consumption.

According to author Joshua Becker: “Minimalism slows down life and frees us from this modern hysteria to live faster. It finds freedom to disengage. It seeks to keep only the essentials. It seeks to remove the frivolous and keep the significant. And in doing so, it values the intentional endeavors that add value to life.”

While minimalism provides a more relaxed and meaningful way of life to its youthful followers, this movement could also be an answer to today’s current healthcare crisis surrounding the end of life. With an emphasis on simplicity and intentionality, the guiding principles of minimalism provide a framework for changing our approach to the later years of life and the process of dying and death. Here are some of those principles and how they might be applied to decision-making at the end of life:

Less is more

The current default mentality of our healthcare system seems to be “if some is good, then more is better.” A patient arriving in an emergency room anywhere in the country in the midst of a cardiac arrest will receive full-bore, defibrillated, intubated, catheterized, crash-cart care unless an advance directive and/or a healthcare proxy is available in the moment to refuse that care. And a cancer patient is likely to be offered treatment up until the last breath is taken, even when there has been no improvement from that treatment.

In this medical system more care will almost always be offered and carried out unless patients and their representatives are able to say “no” to that care. The patient’s best defense is to adopt the “less is more” mindset of minimalism and recognize that in many situations more care creates more side effects, more expense, more suffering, and more stress on patient and family.

Opting for less care can create space and time for enjoying moments with loved ones, contemplating what really matters in life and savoring the small pleasures that bring joy and meaning to existence. Less care can mean more quality of life if you approach it with intentionality and informed decision-making.

To be a “minimalist healthcare consumer” you must have an advance directive that spells out your wish for less rather than more care. You must communicate this desire to your medical providers, your healthcare proxy and your loved ones.

But you also have to address your fear of suffering, aging, illness and death, because those fears can drive you to choose more care when faced with a crisis. Complete your paperwork but also do your inner work to confront your deep-seated and normal anxieties about the end of life so that you will be ready to face the natural passage from life to death. You should also practice the “less is more” mindset during your later years by making careful decisions about the non-emergent healthcare you receive from your provider during routine office visits.

Eliminate the non-essential

Throughout your later years as you seek out medical care keep asking: “Is this essential?” Question every treatment or diagnostic test that is recommended to you and demand to know why it is necessary, how it might benefit you, and what could happen if you don’t do it. Don’t accept a procedure or test until you have had time to do your own research or get a second opinion. Some standard recommendations that have been accepted in the past such as the annual physical exam and routine screening procedures are now being questioned as they have been shown to result in over-diagnosis and excessive treatment.

If you take prescription medications ask if they are still necessary and if you can systematically discontinue some of them to see if they are helping or worsening your symptoms. Studies show that seniors who take multiple medications are more likely to experience negative side effects and even unnecessary death from the combination of potent drugs.

Find a primary care medical provider who agrees with your “less is more” philosophy and will help you create a sensible and simple plan for managing your healthcare needs. Don’t seek out specialty care unless your primary care provider says it is necessary. You have a right to say “no” to medical care and to find a practitioner who supports your right.


While minimalism may be a trendy lifestyle with many people following the same guidelines, its principles encourage each person to find their own path to simplicity. As you begin to advocate for your individual philosophy of less medical care in later life it’s important to know yourself and seek out what is best for you.

Spend time thinking about the experiences of aging and dying that you may have witnessed with loved ones in the past. What would you like to be different in your end of life? How can you create a better path for yourself that reflects your unique wishes and desires?

For example, if you are a solitary person and prefer to live alone for as long possible then you will need family or community support to make sure you can safely stay in your own home as you age. If you enjoy social interactions with others you might choose to be in a senior living center in the future and you will need to provide for that option financially.

Get organized

One hallmark of minimalism is “keeping everything in its place.” This principle applies especially to your plans and paperwork for the end of life. Complete your estate plan, will, and advance directives and make sure those documents have been shared with the appropriate professionals and loved ones.

Decide what type of “less is more” funeral and burial or cremation you would like to have, perhaps a simple home funeral and green burial, and put those preferences in writing too. Keep your paperwork organized and accessible, including insurance forms, birth and marriage certificates, military discharge papers, titles, deeds, banking and investment information, online accounts and passwords, and medical records.

Live in the moment

A benefit of the minimalist approach is the ability to live lightly and with fewer burdens from the past and worries about the future. When you can live more fully in the present moment you are free to take in the small joys and pleasures that are available to you, like the beauty of a sunset, a bird singing outside your window, or the comforting aroma of dinner cooking on the stove.

However, living in the present moment takes work. You have to consciously let go of the past by giving away things you no longer need and making room for a new way of life. This applies to medical care at the end of life too—perhaps you will decide to discontinue treatments or procedures that have been part of your routine for a long time. Or you might part ways with a medical provider who doesn’t support your choice of a minimalist approach to the end of life.

As part of the medically minimalist lifestyle you will need to adjust to the normal changes of aging and learn to embrace them rather than seeking a medical solution to every ache and pain. Find modalities such as yoga, massage, relaxation, and imagery that can keep you comfortable without taking additional drugs. You may find that you receive positive “side benefits” from these practices rather than the negative side effects of many medications.

Prioritize what really matters to you

As Joshua Becker stated above, minimalism focuses on letting go of what is superficial and keeping those things in life that are significant. You have to determine what really matters to you in order to choose the components of your new less-is-more lifestyle.

This prioritization applies particularly to the non-tangible things like your relationships with loved ones and the time you spend with them. Would you prefer to stay in the community where you have lived for many years? Or would you consider moving to be closer to family as you age? These choices will play an important role as you let go of the complexities of the past and move toward a simpler way of life in the future.

No matter how old you are it’s never too early to start thinking about what is most important to you in life and making those things a priority. When you give your time and energy to the deeper and more significant aspects of life you will find it much easier to let go of all the things that don’t really matter to you.

Find Your Purpose

The key to successfully maintaining a minimalist lifestyle is recognizing that life has a greater purpose than just the accumulation of material possessions. When you know your own purpose you can make choices that support that purpose rather than interfere with it.

The healthcare decisions you make for yourself are important because your time, energy and finances can potentially be drained in later life if you pursue unlimited medical interventions in a quest to reverse aging and prevent death at all costs. The minimalist approach reminds us that the purpose of life is not to live as long as possible, regardless of the circumstances, but to live a life of meaning and quality for as many days as we can. Again, the emphasis is on the meaning and quality of life rather than on the quantity; another example of “less is more.”


While minimalism as a lifestyle may not suit everyone, it is certainly worthwhile to apply some of these minimalist principles to the later years of life as we contemplate how to make the most of our last days. As a general rule if we focus on what is simple and has the greatest meaning for us we will be guided to make wise choices for the end of life that reduce stress, wastefulness and suffering from unwanted medical care.

You can start your minimalist approach right now no matter what situation exists for you right now. Think of one thing in your life that you no longer need and let go of it today; then repeat that process each day from now on. The more you practice living simply the easier it becomes as you free yourself from old burdens. Perhaps when you reach the end of your days you will arrive unencumbered, free to move on through the final passage with lightness and ease—that at least is the hope for all of us.