Last Rights: Rescuing the End of Life from the Medical System

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St. Martin's Publishing Group, Nov 14, 2006 - Social Science - 320 pages

In Last Rights, award-winning journalist Stephen P. Kiernan shows how patients and families can regain control of the dying process, creating familial intimacy like never before.

"Gripping...A superb resource for boomers dealing with their parents' final days...as well as for health-care professionals who need to hear this story from the other side."-Kirkus Reviews

With advances in medicine, technology, and daily diet and exercise practices, Americans are living longer than ever before. We have an unprecedented opportunity for meaningful closure – free of pain, among loved ones, with our affairs in order and spiritual calm attained. Instead, most of us discover that our doctor has minimal training in providing end-of-life care, and will seek to extend life no matter how painful, expensive and futile that effort might be.

Bolstered by both scientific research and intimate portraits of people from all walks of life, Last Rights offers a hopeful, profound vision for patients, doctors, and families: a way to honor people during their greatest vulnerability, a chance for families to reconnect, an opportunity for the medical system to treat patients with ultimate respect, a time to give comfort and compassion to those we most love.

 

Contents

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?
51
Possible Paths
55
No One in Charge
138
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

Still Alive
65
Mysteries of Life
70
Two Visions
72
HEAL THYSELF
75
Doctors Beginnings
77
Take Five Years
82
A Piece of Cake
88
This Was Medicine
95
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
We Can Celebrate
216
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
270
Sources and Resources
277
Acknowledgments
289
Index
291
Copyright

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About the author (2006)

Stephen P. Kiernan is a writer and journalist for the Burlington Free Press. He is the author of The Curiosity, Last Rights and Authentic Patriotism. His numerous awards include the Gerald Loeb Award for Financial Journalism, the Associated Press Managing Editors' Freedom of Information Award, and the George Polk Award. He lives in Charlotte, Vermont.

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