Last Rights: Rescuing the End of Life from the Medical SystemMacmillan, 14/11/2006 - 301 páginas “This country is fairly crowded with doctors, families, and patients—all possessed of good intentions—failing to achieve the simple goal of allowing people to die with dignity and grace.” In the 1970s, most Americans died swiftly and brutally: of heart attacks, strokes, cancer, or in accidents. But in the past three decades, medical advances have extended our lives and changed the way we die. In Last Rights, Stephen Kiernan reveals the disconnect between how patients want to live the end of life—pain free, functioning mentally and physically, surrounded by family and friends—and how the medical system continues to treat the dying—with extreme interventions, at immense cost, and with little regard to pain, human comforts, or even the stated wishes of patients and families. Backed with surveys, interviews, and intimate portraits of people from all walks of life, from the dying and their families to the doctors and nurses who care for them, this book will be for our time what Elizabeth Kubler-Ross’s books were for a previous generation. |
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Índice
Last Hours | 3 |
This Is the News | 7 |
A Baby and a Basketball Game | 18 |
A Dog Is Better Than a Pill | 23 |
So Much Potential | 47 |
NOT AN EMERGENCY | 49 |
What Is a Crisis? 555 | 51 |
Possible Paths | 55 |
The Economics of Dying | 152 |
The Most Important Time | 159 |
SMELLING THE ROSES | 177 |
Her Wishes Were Totally Ignored | 179 |
The Desire for Control | 183 |
Dreams Coming True | 191 |
The Final Caress | 207 |
We Can Celebrate | 216 |
Still Alive | 65 |
Mysteries of Life | 71 |
Two Visions | 72 |
HEAL THYSELF | 75 |
Doctors Beginnings | 77 |
Take Five Years | 82 |
A Piece of Cake | 88 |
Maybe I Can Make You Laugh | 103 |
Barriers to Change | 109 |
MEDICINE AND LOVE ARE NOT THE SAME THING | 125 |
One Experience | 127 |
Families as Problems | 130 |
No One in Charge | 138 |
A GIFT OF SILVER | 221 |
Lobster Newburg | 223 |
A Bowl of Applesauce | 233 |
Illness As Opportunity | 240 |
THE LESSON OF THE LEAVES | 243 |
The Endless Cycle | 245 |
An Agenda for Improvement | 247 |
Four Final Lessons | 271 |
Sources and Resources | 277 |
Acknowledgments | 289 |
291 | |
Outras edições - Ver tudo
Last Rights: Rescuing the End of Life from the Medical System Stephen P. Kiernan Pré-visualização limitada - 2006 |
Last Rights: Rescuing the End of Life from the Medical System Stephen P. Kiernan Visualização de excertos - 2007 |
Last Rights: Rescuing the End of Life from the Medical System Stephen P. Kiernan Pré-visualização indisponível - 2007 |
Palavras e frases frequentes
Abby advance directives Adyn asked Betty Betty's Bilder body breathing called cancer caregivers CHAPTER chemotherapy clinical comfort death died disease drugs dying patients emotional end-of-life end-of-life care experience family members father feeding tube feel final friends going gradual dying grief happen health-care heart attacks hospice hospice care human interventions Ira Byock issues Jack Jack's Journal of Palliative less lives lives end lobster Newburg loved lung Maude medical school Medicare months mother nonmedical nursing homes organizations pain management pain medication palliative care Palliative Medicine Pasman patients and families percent persistent vegetative person Ph.D physician-assisted suicide physicians problems receive residents Respite House sister spending stop story suffering surgery terminally ill Terry Schiavo textbooks thing tients tion told treatment ventilator weeks wife