Dying Well: The Stewardship of Our Health and Time in Our Final Years

The post discusses the inevitability of death and its acceptance as part of God’s mission. It emphasizes the importance of maintaining a connection with Jesus for eternal life, the stewardship of one’s body, and living a life dedicated to God’s work. Balance is crucial, as is navigating decisions around health and end-of-life care thoughtfully.

It is tough to accept that dying is something we have to do. I would go so far as to call it part of my God-given mission. God has kept me on this planet for a long list of things that He wants to do through me. Eventually it will be enough, and the remainder of God’s mission will be carried on by other people. All I have to do at that point is to let this sin damaged body go to the grave.

If I have my sins forgiven by God, then my destiny at death is eternal life with Him starting in Heaven. That is a great thing for me. I can have that only by being connected to Jesus.

The connection to Jesus is something only God can do. Jesus made it the way to eternal life by fulfilling God’s Law and paying the spiritual punishment of my sin by being forsaken by God on the cross. The connection to this is done by God too. Only He can get through to a person and make the connection usually through baptism. Once connected (saved) priority one is remaining connected. Keep feeding the faith by Word and Sacrament, surround yourself with other supportive believers, be a person who knows God through prayer, always have your radar on opportunities to do the work of the Kingdom of God. That is what you can do. God will keep you from falling.

When you finally physically grind down to the point where you can die, it will be an emotional balance between wanting to do more, but knowing you’re done, and being eager for what comes next. Dying well, means looking forward:

16 So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day. 17 For this light momentary affliction is preparing for us an eternal weight of glory beyond all comparison, 18 as we look not to the things that are seen but to the things that are unseen. For the things that are seen are transient, but the things that are unseen are eternal.

2 Corinthians 4:16-18 (ESV)

How should we manage “grinding down”/”wasting away”? There is the stewardship of our bodies to consider. On the one hand, I want to get out of here. This life on Earth doesn’t compare favorably to Heaven. On the other, the work of the Kingdom of God is a good thing in a place that really needs it and I want to be of service. With this tension in mind, I believe we do our best to a point.

To be considered good stewards of the body, we definitely don’t cut corners to hasten our death: no suicide, no medical non-compliance, no clearly bad habits, no unnecessarily risky behavior. There could be situations where we risk martyrdom, but we don’t go looking for it.

We are not asked to extraordinary things that prolong our lives into an artificially extended period where we will be of little use. I knew one man whose lungs were severely damaged by COVID. It was determined that he could never get off of a vent, so he stopped it, and died. I support that decision. That isn’t suicide.

Sometimes the decision isn’t so black and white. Family discussions and family prayer are necessary then. People tend to error on the side of doing too much, because they are not ready to grieve. You are not doing the person a favor, if they are in Christ.

Now I am going to really meddle. What about diet and exercise? If you have a clear medical diagnosis, like diabetes, where you need to be strict about diet. I would consider that to be not just a personal but also a spiritual obligation. We can all follow theories about how best to eat or care for our bodies, but the fact is that many extreme regimens often prove to be wrong in the end. I think the best stewardship of the body at any point in our lives is moderation in everything. If you follow conscience on this, you are doing well.

You may say that God determines the day of our death, and there is nothing we can do to change it; but the Bible says God knows the day of our death. Its date is not pre-determined, it is contingent. God just knows everything. With this in play it is possible to miss out on some of what God plans for us.

For we are his workmanship, created in Christ Jesus for good works, which God prepared beforehand, that we should walk in them.

Ephesians 2:10 (ESV)

Living, aging, and dying well is to complete that which God has prepared beforehand for us. He doesn’t give us a printout so that we can be prepared or look ahead. We can only be formed for service and ready to do it until the end.

Approaching Uselessness

We all need some sense of purpose. While we are still a part of this life, we will find purpose in many things: being a parent, having a job, even just entertaining ourselves. As we approach death and sometimes even before, a person can lose their sense of purpose. Things like a job loss, the death of a loved one or a steep decline in our own health will do that.

If one is facing death with no hope in Christ to have life after death with God, then you have a double downer. Death offers nothing but a false sense of relief and life offers nothing because it is a struggle to feel useful and there is no pleasure in living.

I have met people in this position. It’s the worst. I propose that you never have to be there. What God promises us by a connection to Jesus is real. It is not wishful thinking to make us feel better as we face our mortality. The evidence includes prophecies about Jesus, the miracles of Jesus, the resurrection of Jesus, eyewitnesses who willing faced death, critics who came to faith, the persistent survival of the Gospel message despite various forms of persecution, people who have had Near Death Experiences, and our own ability to see God at work in us.

When we have a connection to Jesus (just trust the promise of forgiveness and be baptized) then faith can grow to absolute certainty about what comes next. We can approach our own death with expectant joy. It like anticipating the best day ever.

We can also deal with our own physical decline in a new way. A critical Bible passage about living is Ephesians 2:10:

10 For we are his workmanship, created in Christ Jesus for good works, which God prepared beforehand, that we should walk in them.

Ephesians 2:10 (ESV)

Two assurances pop out of this passage. First, that we are an ongoing project of God. God is shaping us through learning, positive experiences, and even negative experiences. This shaping continues right up to the end of this life. Why? Because there is more to come. Our negative, end-of-life experiences are not useless experiences. Second, that God has a wide array of purposes for us that also continue to the end of this life.

We may lose certain forms of usefulness along the way: we retire, our kids grow up, we have a stroke and can’t speak, etc. Purpose doesn’t end, it just shifts. Even if all we can do is pray, we have a powerfully influential tool in our hands. Use it.

What if our brain gets so demented that we can’t pray? I’m not sure this happens, but if so, our presence may fulfill God’s purpose in some way. When we are finally done, then we are out of here. We don’t need to unnaturally extend our stay here.

Is eternal life like a perpetual vacation? There are clues to ongoing, productive purpose in eternity as well. I expect there is a great deal of leisure and partying, however. Never boredom. Never uselessness. I can’t say the same for the damned.

If you are struggling with the purpose of your life or if you know somebody like this, share this article. I know that it is hard to see past your immediate loss or situation. There is hope–most excellent hope. There is also a new way to look at life and it isn’t a game.