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My expertise is in end of life care for adults. Identifying when someone is approaching the end of their life. Benefits and burdens of end of life treatments. Managing pain and other symptoms. Providing care for dying patients at home. Advocating for someone who is dying in a hospital or nursing home.

Experience in the area

More than 28 years of experience in hospice care. Currently consulting with hospices to promote access for patients to receive hospice care earlier in the course of their illness. Betsy provides training for hospice marketing staff to effectively work with nursing facilities to help identify eligible patients. She writes Additional Development Request (ADR) letters to Medicare to help hospices get paid for their services and to avoid future claim denials.


Hospice and Palliative Nurses Association


Articles: Clinical Reviews, Advance for Nurses, Nursing Spectrum, Washington Business Woman,; Understanding Medical-Surgical Nursing (FA Davis and Company), Guide to Caregiving in the Final Months of Life (TM Brown publishers).


Bachelors of Science in Nursing, additionally trained as a Family Nurse Practitioner and certified as a hospice and palliative care nurse.

Awards and Honors

Outstanding Woman in Loudoun County (VA) by Loudoun County Commission on Women 1997 and 2002.

What do you like about this subject?

Families of dying patients need to receive unbiased evidence-based medical information in order to make good decisions. I enjoy helping them formulate the questions that will benefit their loved one and help them to feel more effective in caregiving.

Something controversial or provocative about this subject

Many people are fearful when they hear the suggestion of hospice care. They fear that if they accept hospice care, they will be deprived of future treatments that may benefit them. Some patients improve with hospice and are discharged. It makes sense, that when your pain is controlled and your emotional and spiritual distress resolved, that you could physically improve.

Average Ratings

Recent Reviews from Users

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    K = Knowledgeability    C = Clarity of Response    P = Politeness
Kimberly04/05/16101010Thank you so much for your quick .....
David03/14/161010Thank you for your answer. It's not .....
Kathy09/16/15101010Thank you so much for your response .....
Tina12/27/14101010Thank you so much Betsy you have .....
Tamara11/08/14101010Thank you so very much for your .....

Recent Answers from Betsy Murphy

2016-04-05 Colon Cancer Stage 4:

Kimberly,    I am so sorry that this has happened to you and your husband. Let me address each question you have asked.    Yes, the fluid build up is significant. Each time it is removed it does affect

2016-04-05 liver cancer with multiple tumors in the liver stage 4:

Maria,  I am so sorry about your father  Yes the cloudy ring in the eyes is a marker of liver disease. The twitching is a result of toxins which are normally processed by the liver. The liver is not working

2016-03-12 Reassurance for those scared:

David,  I am so sorry for your loss. Most patients are afraid of the dying process. While hospice care assures they do not suffer, mother nature has also put into place some mechanisms to assure comfort

2015-09-15 End of Life for Cirrhosis:

Kathy,  I am really sorry that your family has to go through such a difficult process with your brother. My experience has been that some patient's survive for a very short time. Once organs begin to fail

2015-08-10 My Mom vs. Hospice Nurse:

Donald,    I am so sorry that you are having that experience with hospice care.  First, in hospice, patients get to choose. It is not up to the hospice staff to decide if the choice was correct or not


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