Last Comforts : Notes from the Forefront of Late Life Care

Ellen Rand

5 ratings by Goodreads

Language: English

Published by Ellen Rand, 2016

0996615342 / 9780996615341

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Seller: AHA-BUCH GmbH, Einbeck, GermanyAHA-BUCH GmbH

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nach der Bestellung gedruckt Neuware - Printed after ordering - 'A must read for caregivers, individuals with serious illnesses, their loved ones who care about their care, and elected officials.Using the reporter's skill of interviewing, analyzing and explaining, Ellen Rand tells us what does not work today on our path to death and how the 'system' can be changed so that we can die with dignity, in comfort and with those we love around us.She explains why it is time to 'tear down the wall' that separates hospice care from palliative care, the wall that separates those who want to continue treating their illness yet would like to die a natural death and the wall that reimburses for all sorts of medical procedures and tests but not for compassionate discussion.Rand explains why the nursing assistant in a nursing home, ostensibly at the bottom of the professional totem pole, is the key to good compassionate care and why she needs to have the autonomy to be effective. She explains why there is just too much paperwork necessary in hospice care just as there is in all of health care—taking the caregiver's time away from the patient. She describes the lack of training of physicians to engage in meaningful listening conversation about medical care in general and end of life care in particular. And the importance of training in palliative care, empathy, interprofessional collaboration and care coordination.Rand refers to the studies of physicians who consistently state—contrary to how most physicians actually practice—that they would not want aggressive end of life care but rather a care system more akin to that found in hospice and with good palliative care beforehand.Importantly, the author understands that for change to occur, it will take the concerted efforts of many, working together. She uses examples of leading politicians who understand what needs to happen but can only make it happen if there is a groundswell of public outcry for change. I am reminded of a phrase from Abraham Lincoln 'Public sentiment is everything. With public sentiment, nothing can fail. Without it, nothing can succeed.' '—Stephen C Schimpff, MD Internist, professor, former CEO of the University of Maryland Medical Center and author of Fixing the Primary Care Crisis: Reclaiming Relationship Medicine and Returning Healthcare Decisions To You And Your Doctor.'Journalist Ellen Rand embedded herself in the front lines of end-of-life care and became a participant in the quest to transform dying.'To anyone perplexed by why so many Americans die badly when so many enlightened alternatives exist, Last Comforts provides answers and points the way to tangible solutions.'Rand’s investigative skills and wordcraft result in a must-read book, not only for healthcare and policy wonks, but more importantly, for any adult child bearing the weight of parent care. Authoritative and highly readable, Last Comforts is at once sobering and hopeful.'—Ira Byock, MD, Founder and Chief Medical Officer. ProvidenceInstitute for Human Caring; author of Dying Well and The Best Care Possible.

Seller Inventory # 9780996615341

Title
Last Comforts : Notes from the Forefront of Late Life Care
Author
Ellen Rand
Publisher
Ellen Rand
Publication year
2016
Condition
Neu
Binding
Taschenbuch
Language
English
ISBN 10
0996615342
ISBN 13
9780996615341
Item weight
569 grams
Dimensions
229x152x21 mm

AHA-BUCH GmbH

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