Early in her hospice work Judy came to realize that a successful hospice outcome depended as much, if not more so, on the condition of the patient's spirit as it did on the condition of the patient's body. She realized that a healthy spirit could make the difference between a miserable death and a positive, meaningful end-of-life experience for both the patient's and their loved ones. During her hospice career, she worked directly with hundreds of dying persons and their loved ones.  Judy retired in 2002 to write "Spirit Matters", not only to pass on what she learned that is vitally important to persons faced with life limiting illness, but also to fulfill her promise to many of her hospice patients that their stories would be told so that others would benefit from what they had learned. For several years before her retirement, Judy was a guest lecturer for medical education programs at  various colleges and schools. She developed and , for many years, taught certified continuing education programs for nurses and social workers involved in hospice, long term care, hospital and home care. She has been interviewed on television, radio and has written articles for numerous newspapers. She was very active in hospice education throughout the Cleveland, Ohio metropolitan area. Judy is the past president of the North Coast Hospice and Palliative Nurses Association and has served on the Ohio Hospice Association Education Committee.