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^^ PDF Download Last Rights: Rescuing the End of Life from the Medical System, by Stephen P. Kiernan

PDF Download Last Rights: Rescuing the End of Life from the Medical System, by Stephen P. Kiernan

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Last Rights: Rescuing the End of Life from the Medical System, by Stephen P. Kiernan

Last Rights: Rescuing the End of Life from the Medical System, by Stephen P. Kiernan



Last Rights: Rescuing the End of Life from the Medical System, by Stephen P. Kiernan

PDF Download Last Rights: Rescuing the End of Life from the Medical System, by Stephen P. Kiernan

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Last Rights: Rescuing the End of Life from the Medical System, by Stephen P. Kiernan

"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.

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. 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.

  • Sales Rank: #426348 in Books
  • Published on: 2007-12-10
  • Released on: 2007-12-10
  • Original language: English
  • Number of items: 1
  • Dimensions: 8.50" h x .72" w x 5.50" l, .64 pounds
  • Binding: Paperback
  • 320 pages

From Booklist
*Starred Review* Anyone who has stood helplessly by as physicians insisted that a battery of tests and interventions could prolong the life of a loved one, only to see those expensive efforts fail, is certain to be moved by Kiernan's presentation. While his assertion that the American way of dying has changed only during the last 30 years may be debatable, there is no question that the process of dying has undergone a radical makeover. It has become, too often, a parade of last-ditch, state-of-the-art medical interventions, to the direct detriment of the dying person and his or her family and friends. Those who have a terminal illness, Kiernan says, deserve to die quietly, in their own homes, surrounded by loved ones and as pain-free as possible. He makes it sound simple enough, and a lot cheaper than the currently popular, if futile, pricey hospital heroics that prolong little more than misery. The problem is that American medical schools devote more time to teaching students about diseases not even found in the U.S. than to preparing them to work with terminal patients. Doctors, therefore, are ill equipped in every way to accompany a patient down the path to a serene death. A nice polemic, even without practical advice on assuring one's own peaceful demise. Donna Chavez
Copyright © American Library Association. All rights reserved

Review

“Damn, I wish I'd had this book before my own father died. Part a guide to thinking through the policy questions surrounding the end of life, and part an informal handbook for helping with the deaths of your own loved ones, it also offers a final and supreme gift: the chance to begin thinking about what your own life means in the context of its inevitable end.” ―Bill McKibben author of The End of Nature

“With an uncommon mix of stories and scholarship, Stephen Kiernan has described the challenges that remain at life's end, despite efforts to reform care over the past few decades. With candor, clarity, and an advocate's sense of urgency, he seeks to understand why our acute-care system has been so resistant to change and how we can infuse
greater humanity to life's final chapter.” ―Joseph J. Fins, M.D., F.A.C.P., Chief of the Division of Medical Ethics, Weill Medical College of Cornell University, and author of A Palliative Ethic of Care: Clinical Wisdom at Life's End

“Last Rites paints a frightening picture of the disorganized, deficient, and disastrous ways many people are cared for and die. Thankfully, Kiernan goes beyond exposé to uncover hopeful progress and practical ways to protect and nurture the people we love. Kiernan's Last Rites is to end-of-life care today what Nader's Unsafe at Any Speed was to car safety in the 1960s. This is one book that America must read!” ―Ira Byock, M.D., Professor of Palliative Medicine, Dartmouth Medical School, and author of Dying Well and The Four Things That Matter Most

From the Inside Flap

• Half of people who die in hospitals today suffer severe untreated pain.
• Residents were abused in one-third of U.S. nursing homes in 2003.
• Health expenses are the nation’s leading cause of personal bankruptcy.
• Only six U.S. medical schools require students to take a course on care of the dying.

These are just a few of the incredible findings award-winning journalist Stephen P. Kiernan reveals in Last Rights,an exposé of America’s substandard care of people who are dying. Recent medical advances have dramatically reduced sudden causes of death like heart attacks, strokes, and accidents. Today people’s lives end slowly, giving them an unprecedented opportunity for meaningful closure---free of pain, among loved ones, with their affairs in order and spiritual calm attained.

Instead, most Americans discover that their doctor has minimal training in providing the care they need, and will seek to extend life no matter how painful, expensive, and futile that effort might be. Patients and families watch as their wishes are ignored. They experience a nightmare of hospitals, specialists, high-tech treatments, and helplessness dealing with a medical system that means well but does not listen.

It doesn’t have to be that way. In Last Rights,Kiernan tells the stories of people who died after enduring avoidable pain and needless indignities. More important, he shares the stories of people whose last days were pain free, who lived life fully right to the last moment. Above all, he shows how patients and families can regain control of the dying process, creating familial intimacy like never before.

Bolstered by both scientific research and intimate portraits of people from all walks of life, Last Rightsoffers 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. Stephen P. Kiernan has written for The Boston Globeand other publications, and for fourteen years wrote for the Burlington Free Pressas a columnist, editorial writer, and investigative reporter. He received the George Polk Award for medical reporting, the Joseph Brechner Center’s Freedom of Information Award, and has been a two-time finalist for the Gerald Loeb Award for Financial Journalism. Kiernan lives with his two sons in Vermont. Visit www.stephenpkiernan.com.

Most helpful customer reviews

28 of 28 people found the following review helpful.
About What We All Know Is Going to Happen
By John Matlock
When asked, the overwhelming percentage of people thinking about their own deaths say that they want to die at home, either alone or with family around and without pain.

About 1200 people a day make it this way. The other 5300 who die on an average day die in a hospital, surrounded by machines and strangers, and often in pain because the doctors are afraid to give to many drugs to patients where the government might come down on them.

My own father reached a point where he was given six months to a year to live. Or he could have an operation. He had the operation. Only afterward were we told that now he had perhaps one to five years. He lived a year and a half, and was in pain every day. The medical profession did not do him a favor.

For me this book can be summed up by four sentences on the last page, they reflect my exact hopes for myself when the time comes:

'Dozens of people taught me that same lesson during my research. They did not fear death, but they feared dying badly. They did not want to live forever, but they wanted to live well for as long as possible. They did not want to die one moment too soon, but they did not want to suffer one moment too long.'

3 of 3 people found the following review helpful.
VERY HELPFUL
By JS02563
This book was just what was needed to reassure our family that our decision for Hospice care was the right course for our elderly parent's end of life. It contained so many good suggestions that we were able to act upon. It helped us all cope with our loss, both before and after the actual death.

I recommend this book HIGHLY if you are facing a similar situation. The constant focus is on Quality of life and comfort during one's last days, just what my father wanted! Very reassuring!

1 of 1 people found the following review helpful.
last things...
By Gene C. Bammel
most people of mature years are loathe to think of what their final weeks or months are likely to be like. This book puts many of these issues in perspective, and I would put it in the category of "required reading" for everyone over fifty. The author has rich experience of dealing with people who either were reasonably well prepared for their last days, or were not prepared at all. This book can help put you in the right category...

See all 37 customer reviews...

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