In recognition of National Hospice Week, Nov. 7 to 14, I have words of appreciation for Pumpkin. She is a delightful 7-year-old chow/huskie mix. She offers pet therapy to hospice patients. Her unique contribution fits well with the philosophy of hospice which is to increase the quality of life. The goal of hospice is to relieve suffering and to enhance peace, dignity and joy during the last chapter of life. Hospice brings comfort, emotional support and wholesome experiences to the patient and family.

Pumpkin was a companion dog for Shulto Johnson who called her, "Sweet Pumpkin Pie." He was a 91-year-old Oxford HomeCare/Hospice patient who was unable to keep her due to his weakness. To alleviate his worry that she might go to a dog pound my wife, Martha, adopted her in October 2007.

Pumpkin charmed us with her friendly manner and calmness. We have completed seven sessions of Basic Obedience Training and seven classes of Public Good Behavior with Pumpkin. She earned the Canine Good Citizen Award from the American Kennel Club. The Pet Therapy of the Ozarks group has certified her good behavior. Calm by nature, she never jumps up on people when visiting them.

Pumpkin and I enjoy visiting at Cox South hospital cancer floor and at the Hulston Cancer Center. Pumpkin is loved when she visits at many area nursing facilities.

A pleasant surprise to folks who first meet her, Pumpkin connects well with people who suffer from a wide range of conditions. Patients with dementia savor the experience of petting her. The tactile warmth of her soft, deep fur brings smiles and laughter to people who are withdrawn. Pumpkin's presence can momentarily deliver a person from brooding over what their terminal illness might bring next.

Upon the joy of touching Pumpkin, memories of pleasant pets are awakened. People share stories of good times experienced with pet companions. The reliving of happy times with an animal is a helpful break from boredom. Daily existence of dealing with illness can be depressing. The boredom of isolation caused by failing health can make suffering the only constant companion.

Pumpkin's presence offers a refreshing break. We all need a timeout when handling a stressful journey. Many patients awaken to wonder by interacting with Pumpkin. They discuss her breed, age, habits and funny behaviors. Warm conversations are found in sharing stories of family dogs.

If a patient wants to feed Pumpkin a treat, she comes prepared with her own stash of approved snacks, carried in a pocket of her Oxford HomeCare/Hospice vest. I show patients how to offer a treat with an open hand. Patients laugh with delight as Pumpkin licks their hand. Affection from such a sweet dog is good medicine.

Pumpkin brings joy to patients who want to be photographed with her to remember the visit. She sits patiently while they pat, hug and even place their faces into her fur.

A picture of the patient with Pumpkin in a greeting-card type frame is our gift.

The remembrance of this good time with Pumpkin can break up the monotony of a long shut-in day and warm the heart.

Cliff Rawley lives in Springfield.