Wonderful idea! i really appreciate this way of bringing the presumptive end of life process (approaching death) and the actual death and follow up grieving process out of the shadows of denial that our culture is entrenched in. However one suggestion. The very precondition for accepting hospice care requires a stopping of attempts to heal and a letting go to palliative care. That requirement alone contributes to one of the deeply limiting aspects that keep the average hospice referral rate to a dismal few days preventing some time for the incredibly healing and heartwarming privilege - when possible- for life review, relationship healing (apologies and forgivenesses) and the full expression of gratitude for having been alive at all. If the graphic could have three versions-or varieties- that were "cousins" from a design perspective- that indicated, (1) we are in the midst of a presumptive end of life process, a process of preparing, letting go, facing the unknown, deciding to stop quality of life compromising interventions, etc. (2) Second distinction requiring a design response would be to alter it to indicate we are experiencing the definitive death of a loved one/ and (3) third, we have just experienced a death within the last days, weeks and perhaps three months.... And we're in the midst of that early phase grieving process. Somehow having one symbol with three variations could extend even more compassion and cultural space for the enormous differences between the three....there must be an elegant design response to this, don't you think?