From Mary Gaitskill's contribution to Take My Advice: Letters to the Next Generation from People Who Know a Thing or Two (public library) — compiled by James L. Harmon.
My advice here is very specific and practicable. It is advice I wish someone had given me as forcefully as I’m about to give it now: When your parents are dying, you should go be with them. You should spend as much time as you can. This may seem obvious; you would be surprised how difficult it can be. It is less difficult if you have a good relationship with the parent or, even if you don’t, if you’re old enough to have lost friends and to have seriously considered your own death. Even so, it may be more difficult than you think.
If you’re a young person who has had a bad relationship with your parent, it’s a nightmare of anger, confusion, and guilt. Even if you hate them, you may still not want to believe it’s happening… Even if your parents have been abusive, physically or emotionally, they are part of you in a way that goes beyond personality or even character. Maybe “beyond” isn’t the right word. They are part of you in a way that runs beneath the daily self. They have passed an essence to you. This essence may not be recognizable; your parents may have made its raw matter into something so different than what you have made of it that it seems you are nothing alike. That they have given you this essence may be no virtue of theirs — they may not even have chosen to do so. (It may not be biological either; all I say here I would say about adoptive as well as birth parents.)
Nothing makes this plainer than being in the presence of a dying person for any length of time. Death makes human beings seem like very small containers that are packed so densely we can only be aware of a fraction of what’s inside us from moment to moment. Being in the presence of death can break you open, disgorging feelings that are deeper and more powerful than anything you thought you knew. If you have had a loving, clear relationship with your parent, this experience probably won’t be quite as wrenching. There may in fact be moments of pure tenderness, even exaltation. But you might still have to watch your parent appear to break, mentally and physically, disintegrating into something you can no longer recognize. In some ways this is terrible — many people find it absolutely so. There is another side to it, though: In witnessing this seeming breakage, we are glimpsing the part of our parents that doesn’t translate in human terms, that which we know nothing about, and which the human container is too small to give shape to.
Knowing your feelings is hard too because there’s so much emotion, it’s hard to tell which is truest. Part of you might want to leave right away; part of you might want to stay forever. That’s why I advised that you stay “for as long as you can.” What that means will vary with each person, with the needs of the parent and the other relations. A day might be enough, or it might take a whole month. If it’s a prolonged situation, it might be good to leave for a few days and come back. Those decisions are so personal they are beyond the scope of my advice — except my advice to pay close attention to yourself. If you feel, To hell with this, I’m getting out, don’t worry — there’s room for that. Maybe in fact you should leave. But before you do, be sure that voice is not shouting down a truer one. When your parents die, you will never see them again. You might think you understand that, but until it happens, you don’t.
They say that you come into the world alone and that you leave alone too. But you aren’t born alone; your mother is with you, maybe your father too. Their presence may have been loving, it may have been demented, it may have been both. But they were with you. When they are dying, remember that. And go be with them.