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E-grāmata: Journey's End: An Investigation of Death and Dying In Modern America

4.33/5 (13 ratings by Goodreads)
  • Formāts: EPUB+DRM
  • Izdošanas datums: 04-Apr-2023
  • Izdevniecība: Rowman & Littlefield Publishers
  • Valoda: eng
  • ISBN-13: 9781538175491
  • Formāts - EPUB+DRM
  • Cena: 31,31 €*
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  • Formāts: EPUB+DRM
  • Izdošanas datums: 04-Apr-2023
  • Izdevniecība: Rowman & Littlefield Publishers
  • Valoda: eng
  • ISBN-13: 9781538175491

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In the tradition of Atul Gwandes Being Mortal, this compassionate work helps individuals develop a more accepting view of dying while teaching them what to expect and how to navigate the healthcare system at end of life.

The health care system has a narrow view of how to care for patients in elderhood. That view focuses on extending life with machines and procedures, not caring holistically for the patient. As such, patients will likely spend the last years of their lives in long-term care facilities and their final weeks in an ICU. Our fear of death contributes to this model for health. Dying at home, peacefully, and surrounded by family is almost impossible in our world.

Fittingly, the central idea of this book is that in old age, or when facing a terminal diagnosis, it is more important to understand your life rather than to extend it. While this may seem simple, its implications are profound.

A natural death means accepting that, at some point, we are old enough or sick enough to die without trying to interrupt that natural process beyond being kept comfortable. In our cynical and overly clinical age, it is difficult to reflect on the meaning of ones life, but that kind of honest introspection is exactly what we need. Accordingly, The Journeys End seeks to help people manage their healthcare, their expectations, and their decisions in the final phase of life.

Papildus informācija

In the tradition of Atul Gwandes Being Mortal, this compassionate work helps individuals develop a more accepting view of dying while teaching them what to expect and how to navigate the healthcare system at end of life.
Foreword vii
David B. Nash
Acknowledgments xi
Introduction xiii
1 Preparing for the Last Phase of Life
1(10)
2 Agony as the Default Option
11(14)
3 The Fiction of Living Forever
25(10)
4 The Art and Science of Medicine
35(12)
5 The Ethics and Economics of End-of-Life Care
47(12)
6 The Physician's Burden
59(12)
7 Patient Autonomy: A Double-Edged Sword
71(12)
8 Who's Afraid of the Big, Bad GR?
83(10)
9 Disappearing
93(8)
10 Options for End-of-Life Care
101(12)
11 Preparing Paperwork for Elderhood
113(14)
12 Understanding the FFS Physician Payment System
127(16)
13 Changing the Primary Care Payment Model
143(14)
14 Making Comfort Care More Accessible
157(10)
15 New Funding Options for End-of-Life Care
167(8)
16 Reinstituting the Role of Care Coordination and Creating a Home
175(10)
17 Accepting Life's Limits
185(6)
18 The Importance of Accepting Trade-Offs
191(10)
19 Concluding Observations
201(8)
Appendix: Recommendations for Improving End-of Life Care 209(6)
Notes 215(14)
Bibliography 229(8)
Index 237(14)
About the Author 251
Michael D. Connelly served as the CEO of Mercy Health, one of the nation's largest health systems, from 1994 to 2017. Currently, he is the CEO Emeritus of Mercy Health (now Bon Secours Mercy Health System). He has global experience with health systems in Germany, the United Kingdom, Denmark, Sweden and Spain. He has also visited health facilities and orphanages around the world, including in Port a Prince, Haiti; Mathare Slums in Nairobi, Kenya; Kingston, Jamaica; Georgetown, Guyana, and Panguma, Sierra Leone. He has extensive governance experience and has chaired the following boards: Catholic Charities USA, the Urban League of SWO, the National Catholic Health Association, Catholic Medical Mission Board (CMMB) in NYC, and Premier, Inc. He also chaired the United Way for Greater Cincinnati (the 6th largest in the US) in 2013. He has published 17 articles in various healthcare journals, and currently lives on Johns Island, South Carolina.