A Simple Act of Compassion Transforms a Mother’s End-of-Life Journey

Bill reached out to Parmenter's Niki Pugach for help with his wife Sarah's end-of-life journey. Niki not only facilitated Sarah's hospice care, but also helped coordinate a special early graduation ceremony for Bill's and Sarah's son Nick, bringing joy to the family and alleviating Sarah's stress of potentially missing this momentous event.

A Simple Act of Compassion Transforms a Mother’s End-of-Life Journey

Bill reached out to Parmenter's Niki Pugach for help with his wife Sarah's end-of-life journey. Niki not only facilitated Sarah's hospice care, but also helped coordinate a special early graduation ceremony for Bill's and Sarah's son Nick, bringing joy to the family and alleviating Sarah's stress of potentially missing this momentous event.

After dedicating his life’s work to caring for others as a palliative care nurse, Bill unfortunately needed to apply his gift for compassionate caregiving toward aiding his wife Sarah through a terminal illness. A mother of two, Sarah was just 60-years-old when she was diagnosed last year with Glioblastoma, an aggressive form of malignant brain tumor.

As Bill witnessed his wife’s cancer progress, he reached out to his former colleague Niki Pugach for assistance. With more than 30 years of social work experience, Niki leads Parmenter’s One-on-One Social Worker Support program and works as a hospice social worker for Good Shepherd Community Care, a Parmenter grantee organization. Niki readily signed on to facilitate Sarah’s hospice care and to help guide Sarah and her family through Sarah’s end-of-life journey.

Niki is also a longtime Parmenter trustee and proponent of Parmenter’s program, UGrieve, helping to improve support and compassion for college students who are grappling with a loved one’s end-of-life and/or death. With UGrieve in mind, Niki quickly focused on the family’s sorrow around the distinct possibility Sarah may not be able to attend her son’s upcoming graduation as a math major from UMass Lowell. As she had done for other families, Niki suggested she could help organize a special early graduation ceremony. Sarah, Bill, Nick and his sister Elizabeth were all thrilled by the prospect of this event.

Niki explains, “Part of hospice is expecting the unexpected and working with it. Sarah expressed how meaningful it would be to her to see Nick graduate. Granting even the smallest request for someone facing the end of their life can make a world of difference.”

Niki worked with Cori Lee, Program Administrator of UMass Lowell’s math department to coordinate the unique ceremony. Ms. Lee and her colleagues were eager to oblige and immediately stepped up to make arrangements. “We try our hardest to show compassion for what’s happening in students’ personal lives. We wanted to do whatever we could to help support Nick,” she says.

Five of Nick’s math professors, along with Ms. Lee, traveled to join Nick and his family for the intimate graduation ceremony. In addition, a math professor who never even had Nick in her class was so moved by Nick’s story, she chose to attend. “Pomp and Circumstance” played on a small speaker as Nick, adorned in cap and gown, and his professors marched from the kitchen to the living room where Sarah sat alongside her family, all beaming with pride. Professor Matthew Beyranevand made a moving speech about Nick and his resilience throughout this extremely difficult period, including, “Nick has been balancing the demands of a full academic workload with the emotional and practical demands of caring for a mother who is seriously ill. The strength and perseverance that he has shown throughout this difficult time are nothing short of extraordinary.”

All one had to do was see the look on Sarah’s face to know how impactful this gathering was for her. Bill described, “Sarah’s mouth was agape through the whole thing, as she was so taken aback. She just kept repeating, ‘this is so awesome!’ and ‘I am so happy!’ throughout the ceremony. It was truly beautiful.”

Bill wrote to Niki afterwards, “Everyone wants to make a positive difference in the world and you, Ms. Lee and the faculty at UMass Lowell certainly did that here.” Parmenter is hoping to affect changes on college campuses so that faculty, staff and students all lead with empathy and compassion, just as UMass Lowell did in this situation.

Sadly, Sarah passed away on May 1, 2025. Her absence at Nick’s formal college graduation will be palpable, but her family will garner great comfort in the memory of the special ceremony they were fortunate to share with her.

If you or someone you know is grieving or in need of compassionate end-of-life care, please visit our Resource Hub for educational, inspirational, and informative videos, guides and overviews of local support groups.

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Who We Are

We provide support for compassionate end-of-life care and bereavement programs in MetroWest, Massachusetts.

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Our Legacy

Financials

How We Help

We award grant funding and develop inspirational educational events, programs and resources to help our neighbors navigate the end-of-life and grief process.

Overview

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Educational Development

UGrieve

The UGrieve program is building compassionate campuses to support higher education students who have experienced a loss.

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We offer hope and assistance to community members who are grieving or in need of compassionate end-of-life care.

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Videos, guides, support groups, and more to help our community members navigate challenging grief and end-of-life journeys.

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Adult Bereavement

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Who We Are

We provide support for compassionate end-of-life care and bereavement programs in MetroWest, Massachusetts.

Overview

Mission and Values

Our Team

Our Legacy

Financials

How We Help

We award grant funding and develop inspirational educational events, programs and resources to help our neighbors navigate the end-of-life and grief process.

Overview

Grants

Programs

Educational Development

UGrieve

The UGrieve program is building compassionate campuses to support higher education students who have experienced a loss.

Learn More

Our Impact

We offer hope and assistance to community members who are grieving or in need of compassionate end-of-life care.

Overview

By the Numbers

Inspiring Stories

In the News

e-Newsletter

Events

Inspiring and educational events hosted by The Parmenter Foundation.

Our Events

Resource Hub

Videos, guides, support groups, and more to help our community members navigate challenging grief and end-of-life journeys.

Support Groups

One-on-One Support

Adult Bereavement

Children’s Bereavement

Teen Bereavement

Life & Estate Planning

Hospice & Palliative Care

Elder Care

Pet Loss

Take Action

You have the power to create a lasting impact in someone’s life.

Take Action

Ways to Give

Host a Fundraiser

Get Involved

I Need Support

You are not alone. We are here to help guide you through this difficult time.

Find Support Now

Donate Now

100% of donations we receive are allocated directly to programs that serve our community.

Strengthen Your Community Today