Final Journeys: A Practical Guide for Bringing Care and Comfort at the End of Life
Author: Maggie Callanan
For more than two decades, hospice nurse Maggie Callanan has tended to the terminally ill and been a cornerstone of support for their loved ones. Now the coauthor of the classic bestseller Final Gifts passes along the lessons she has learned from the experts—her patients. Here is the guide we all need to understanding the special needs of the dying and those who care for them.
In her work with thousands of families, Maggie Callanan has witnessed the tears, the love—and the confusion and conflict—this final passage can evoke. Now, with honesty, compassion, and even humor, she empowers patients and their families to write the last chapter of their lives with less fear, less pain, and more control—so that all involved can focus their energies on creating the best possible ending.
From supporting a husband or wife faced with the loss of a spouse, to helping a dying mother prepare her children to carry on without her, Callanan’s poignant stories illustrate new ways to meet the physical, emotional, and spiritual challenges of this difficult and precious time. She brings welcome clarity to medical and ethical concerns, explaining what to expect at every stage. Each brief chapter also conveys a home truth about making crucial treatment decisions, supporting the patient’s dignity and individuality, and lightening the burden on caregivers.
Final Journeys is designed to be your companion, resource, and advocate. From diagnosis through the final hours, it will help you keep the lines of communication open, get the help you need, and create the peaceful end we all hope for.
Dick Maxwell <P>Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. - School Library Journal
Callanan (coauthor, Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying) has worked for more than 25 years as a hospice nurse; here, she aims to offer the dying and those close to them practical advice grounded in that experience. Interspersing stories from her work and life, she examines such topics as potential family conflicts, ethical dilemmas faced by health-care workers, and the various stages of the grieving process. She emphasizes that the terminally ill should be listened to with care and compassion and that their right to comfort should not be overlooked in sometimes futile attempts to prolong life. She also stresses the need for early discussion of end-of-life issues and the documentation of any decisions reached. The advice is unblinking and useful, but it is surrounded by an excess of fairly artificial re-created dialogs. Further, some readers might find the forays into subjects like afterlife communication to be at odds with the goal of providing useful and practical advice. Dennis McCullough's My Mother, Your Mother: Embracing "Slow Medicine," the Compassionate Approach to Caring for Your Aging Loved Onesoffers similar information. Recommended for large public libraries.
Table of Contents:
Introduction: "I Don't Know How to Do This" 1Reframing the Journey 7
"Tools, Not Tissues" 9
"Don't Tell Mom She's Dying. It'll Kill Her!" 18
Breaking the Silence 24
"We're Not Giving Up! We Have Hope!" 31
"Only the Best for My Father" 38
"I Don't Know... My Doctor Has My Records" 44
Making Difficult Decisions 49
The Right to Be Comfortable: Choosing Palliative Care 51
"I'm Dying! Of Course I'm in Pain!": Expert Pain and Symptom Control 56
Choosing Treatments-and Knowing Which Are Optional 63
It's Hard Enough to Die Once: Deciding About a Do-Not-Resuscitate Order 73
"We Can't Just Let Him Starve to Death!": Deciding About Artificial Nutrition 81
Making Ethical Decisions 92
Sharing the Journey 99
"I Love You, Mom, and I Want to Help, but I'm Not Moving to Miami!" 101
Listen to Your Body 108
Family of Birth, Family of Choice 113
How Friends Can Help 118
When Little Eyes Are Watching 127
People Die as They Live-Intensified 135
Avoiding Potholes 139
Tripping over YourRoots-and Crashing into the Family Tree 141
"Whose Death Is It, Anyway?" 145
Finding Power in a Powerless Situation 152
Caregiving in a Wounded Relationship 157
Understanding Cultural Differences 165
The Importance of Spiritual Influences 176
Don't Let the Dying See You Cry- and Other Myths 184
Long Road ... Getting Weary 193
"I Could Die Laughing" 195
Memory Making 202
"It Feels Like We're Losing Her Before She Dies!" 212
Our Pets May Know More than We Do 216
The "Final Gifts" of Nearing Death Awareness 222
Communicating Without Words 234
Coming to the End 239
What's Normal for Dying Isn't Normal 241
"It-All-Goes-to-Hell-in-a-Handbasket Day" 254
Being with, Not at, the Dying Person 260
"I Need Your Permission to Go" 268
The Final Hours 274
One Journey Ends, Another Begins 279
On the Toll Road: The Healing Power of Crying 281
Doing the Grief Work, Day by Day 285
"When I Think of Granddad, I Feel Lonely in My Throat": How Children Grieve 291
"For a Moment I Could Small Mom's Perfume" 303
Appendices 309
Your Strongest Tools Are Made of Paper: Advance Directives 311
The Dying Person's Bill of Rights 319
The Hospice Medicare Benefit 321
Recommended Reading and Resources 325
Acknowledgments 333
About the Author 337
Interesting textbook: The Insulin Resistance Diet or South Beach Diet Taste of Summer Cookbook
Dr. John Lee's Hormone Balance Made Simple: The Essential How-To Guide to Symptoms, Dosage, Timing, and More
Author: John R Le
A user-friendly guide by the authors of the classic bestsellers What Your Doctor May Not Tell You About Menopause and What Your Doctor May Not Tell You About Premenopause, this comprehensive, easy-to-follow book gives you the simple steps you need to determine if you have a hormone imbalance. Free of confusing medical terminology, yet filled with practical advice, Dr. John Lee's Hormone Balance Made Simple gives clear, step-by-step guidance for creating a natural hormone balance program tailored to your individual needs. Now you can learn which hormone regimen is right for you and how to help eliminate mood swings, hot flashes, night sweats, breast tenderness, irregular bleeding, and other distressing symptoms of menopause and premenopause. Discover how, with the help of: The Hormone Balance Test: Find out which symptom group you're in
Up-to-date information about symptoms and causes of hormone imbalance
A monthly calendar for tracking symptoms
Guidance on timing and dosage
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