
Matt Beall Limitless
Hospice Unfiltered: Death, TikTok & the Truth | #47 Penny Smith
Thu, 27 Mar 2025
In this compelling conversation, we sit down with Hospice Nurse Penny Smith—an end-of-life educator and viral TikTok personality—to explore what most people are afraid to talk about: death. From the raw truths of hospice care to the deeply human moments of last words, regrets, and paranormal experiences, Penny shares her wisdom from the bedside and the screen. We touch on everything from Medical Aid in Dying (MAID), handling online hate, to the unexpected road to fame—all with her signature honesty, heart, and humor.Follow Matt Beall Limitless: https://x.com/MattbLimitlesshttps://www.tiktok.com/@mblimitlesshttps://www.instagram.com/mattbealllimitless/https://www.facebook.com/people/Matt-Beall-Limitless/61556879741320/Listen on: YouTube: https://www.youtube.com/@mattbealllimitless Rumble: https://rumble.com/c/c-6727221 Patreon: https://www.patreon.com/c/MattBeallLimitless Check out Penny Smith:https://www.hospicenursepenny.com/https://www.instagram.com/hospicenursepennyhttps://www.tiktok.com/@hospicenursepennyhttps://www.facebook.com/HospicsNursePenny/https://www.youtube.com/channel/UCIXqRJ1BSV99wQ9y_R7Dgew Episode Timeline:00:00 Introductions13:27 Death in Social Media19:17 Paranormal Experiences27:32 Stages of Hospice Care41:35 Talking about Death50:14 Hospice Patient Care1:06:57 Patient Families1:19:21 Actively Dying1:38:04 Regrets & Last Words1:42:57 The Haters2:01:40 MAID2:09:42 Famous Before TikTok2:16:37 Biggest Impact on You?2:17:39 ClosingThe views and opinions expressed on this podcast are not necessarily the views of the host or of any business related to the host.
Chapter 1: What is hospice care and why is it important?
I'm very, very passionate about advocating for hospice and educating on the end of life. It's my area of expertise. I'm literally a subject matter expert by virtue of being a certified hospice nurse. We're dealing with people at what is arguably the worst time in their life, but it's also the most sacred. Death is really unique to the person who's dying.
Chapter 2: How has social media changed the conversation about death?
There is a feeling when a person dies, something in the room, energetically. There's a shift that you can sense. I don't see it or hear it, I just feel it, like there's just something different in the room. Their good outcome is for that person to live. Our good outcome is for the person to die comfortably. Hospice doesn't add more days to your life, it adds more life to your days.
Chapter 3: What paranormal experiences occur during the dying process?
Because I've had patients who came on to hospice who didn't know that they were dying. I don't like euphemisms. I don't like to say passed away, gone to heaven. I've seen how confusing that can be for people. We use the words death, dying, died. I prefer now to just live my life and not worry about death and dying. So in a way, working with people who were dying taught me more about living.
You go by Hospice Nurse Penny. And I didn't realize when I first, I saw an article about you on the Daily Mail and I was fascinated. I'm interested in the topic of death and dying, of course. I think everybody, most people are. It feels like you actually, you either avoid the topic or you're fascinated by it. It's kind of one or the other.
Yeah.
You're all in or you're all out. Exactly. Exactly. But it seems like something we should be talking about as a society. But oftentimes I feel like people avoid it. And, you know, whether that's due to fear or just...
Chapter 4: How do families cope with a loved one in hospice?
Chapter 5: What are the stages of hospice care?
Chapter 6: How do hospice nurses handle death and dying?
You go by Hospice Nurse Penny. And I didn't realize when I first, I saw an article about you on the Daily Mail and I was fascinated. I'm interested in the topic of death and dying, of course. I think everybody, most people are. It feels like you actually, you either avoid the topic or you're fascinated by it. It's kind of one or the other.
Yeah.
Chapter 7: What is Medical Aid in Dying (MAID) and its implications?
You're all in or you're all out. Exactly. Exactly. But it seems like something we should be talking about as a society. But oftentimes I feel like people avoid it. And, you know, whether that's due to fear or just...
I think it's fear. It's fear because it's unknown. We used to die in our homes with our family back in the old days. And then medical technology advanced to the point where we could keep people alive longer, albeit most of the time they were in the hospital living longer. And then when they died, they were in the hospital. So we weren't really around death as much anymore.
Chapter 8: How can we better prepare for end-of-life conversations?
And it became more unknown to us. You know, we also have a medical community that is taught how to cure people, how to make people live. So when they die, death is seen as a failure. So there's, you know, many different aspects to why we're kind of afraid of death. But what I've learned being a hospice nurse and watching, you know, thousands of people dying and
how they interact with their families and how you can have a good death experience or a bad death experience is that the best way to have the good death experience is to be able to talk about it, to acknowledge it, to know what's happening. People are afraid when they see somebody going through the dying process.
They've never seen it depicted on television or movies unless it's a violent death experience. You know, they're great at making violent death look realistic, but not so much a natural death, which is how most people are going to die. So when they see their person going through these changes, their body going through these changes, it's scary to them.
But as a hospice nurse, when I tell them that's normal, their relief is palpable. It's like, it is? Yeah, that's normal. We see that all the time.
And if you had to guess, how many deaths do you think that you've actively observed?
Oh. hundreds, maybe into a thousand. I worked in a hospice care, two different hospice care centers for seven years. That was the first part of my hospice career. So at the bedside, in your face, death and dying. Hospice care centers are mostly for people on hospice who have acute symptom management needs that cannot be treated at home. They need to have skilled nursing 24-7.
And although the plan is to bring them in on this higher level of care, get them on the medications they need to be on, stabilize them and send them back home. Most people, when they have a pain crisis or terminal agitation, something that lands them in the care center are close to the end of life. Those things happen close to the end of life. So they usually would die in the care center.
So I might see five or six people die in a couple of days. I could be off on the weekend and come back to our 20 bed facility and we have a whole new round of patients. Everybody died over the weekend. So it's hard for me to estimate exactly how many I've witnessed their last breath, but it's, it's been in the hundreds for sure.
Yeah. Gotcha. Gotcha. And, and how many years have you been a hospice nurse?
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