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The Conversation: A Revolutionary Plan for End-of-Life Care
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Review
"A timely book, written with sensitivity, on a subject which pertains to every single human being and family in the world today." - Richard Selzer, MD, author of MORTAL LESSONS"For too long, a conspiracy of silence has stood between Americans and the quality care they need, want, and deserve. The Conversation could change all that. Good quality care requires that the treatments are consistent with the values, preferences, and priorities of the people we serve. Now, through the stories in The Conversation, Dr. Volandes shows how skillful communication can make the best of even the hardest situations." - Ira Byock, MD, professor, Dartmouth's Geisel School of Medicine; Chief Medical Officer, The Institute for Human Caring; author of THE BEST CARE POSSIBLE and DYING WELL"My encounter with Dr. Angelo Volandes changed the way I think about life's most precious weeks and hours, and gave me hope for a better future. Your encounter with this passionate humanitarian and the heartbreaking, inspiring stories he tells will affect you the same way." - Jonathan Rauch, Senior Fellow, The Brookings Institution"Through seven stories of seven patients, Angelo Volandes movingly and evocatively tells the tale of how American healthcare does death wrong, often with tragic consequences, and how we can do it right. This is a book about how to live life as well as possible right up until the end, and it should be required reading for anyone who is mortal." - Shannon Brownlee, author of OVERTREATED"Part memoir, part tales from the trenches, part guide, The Conversation shows how medicine fails patients with serious illness, then offers a different, better approach to improve not only how we die but--more importantly--how we live." - Louise Aronson, MD, Director, Northern California Geriatrics Education Center and UCSF Medical Humanities"Volandes has done more than anyone to translate the incomprehensible and the unimaginable into clear visual terms for real human beings trying to decide how they want to be cared for in the future." - Diane Meier, MD, Director of the Center to Advance Palliative Care; Professor of Geriatrics & Palliative Medicine, Mount Sinai School of Medicine"Worth the price of the book alone is Volandes’ easy-to-follow guide for determining and making known one’s end-of-life wishes." - Booklist"Written with passion and clarity, this book moves beyond others on the topic by including empirical evidence of how to make such conversations about end-of-life care most effective." - Library Journal"Appropriately, Volandes neither attempts nor claims to be impersonal or unemotional about this charged topic; rather, he brings his personal and professional experiences as well as research to his impassioned argument . . . [He]makes his points succinctly and convincingly and offers readers the tools to make change within their own lives." - Shelf Awareness"A thoughtful and thought provoking book that confronts the fear of death with the grace of wisdom and understanding." - Spiritualty and Health"Enlightening." - Jane Brody, The New York Times
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About the Author
Angelo Volandes is a physician, writer, and patients' rights advocate. He practices internal medicine at Massachusetts General Hospital in Boston, and is on faculty at Harvard Medical School. He is Co-Founder and President of Advance Care Planning (ACP) Decisions, a non-profit foundation implementing systems and technologies to improve the quality of care delivered to patients in the health care system.Born and raised in Brooklyn, NY, he was educated at Harvard, Yale, and the University of Pennsylvania. He lectures widely across the country, and spends his time in Massachusetts with his wife Aretha Delight Davis, MD, JD and their two daughters.
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Product details
Paperback: 240 pages
Publisher: Bloomsbury USA; Reprint edition (January 5, 2016)
Language: English
ISBN-10: 1620408554
ISBN-13: 978-1620408551
Product Dimensions:
5.3 x 0.6 x 7.9 inches
Shipping Weight: 12.6 ounces (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
118 customer reviews
Amazon Best Sellers Rank:
#85,095 in Books (See Top 100 in Books)
Underway in this country is a monumental effort to transform healthcare, driven by the need to reduce waste, redundancy, and danger . What Dr. Volandes brings to the table is visibility into the lives of those who struggle to find their way through this complicated, confusing, and intimidating medical industrial complex and reveals the simple yet profound notion that we can take back control of what happens to us. What is astounding is that to take control we must start with the simple act of conversation. When we, as healthcare providers, caregivers, family members and loved ones can lovingly and courageously discuss what is most important to a person at the end of life, we can support and honor that person. We can ensure that he or she is treated in a manner consistent with what defines them; in short, we can change the world. This book puts us on that path.
Medical Doctor Volandes offers a plan for terminal patients to share with their family members and loved ones concerning how and when their lives should end. He informs the reader that “only 24 percent of Americans older than sixty-five die at home; 63 percent die in hospitals or nursing homes, sometimes tethered to machines, and often in pain†(3). He blames the medical profession—doctors like him— for their failure “to have discussions with patients about how to live life’s final chapter†(3). If you should become a terminally ill patient, you must have The Conversation with your doctor.I am reminded of a scene from the Mike Nichols’s 2001 HBO film Wit (based on Margaret Edson’s play), starring Emma Thompson as a highly educated woman dying from late-stage Ovarian cancer. A kind nurse played by Audra McDonald asks Thompson what her wishes are when her heart stops. Thompson indicates she prefers DNR status: Do Not Resuscitate. Thompson’s young intern, a former university student of hers, makes an error on her chart, and the Full Code treatment to revive her ensues instead. McDonald, fortunately, is on hand to remind the doctor, and Thompson is allowed to die in relative peace—as she’s wished. All too often, according to Volandes, Americans are not afforded the courtesy of having The Conversation, and patients are subject to CPR, when statistics show that only a small number of the elderly survive such efforts.At the same time, Volandes explains that medical doctors are trained in the following manner: “To doctor patients is to learn how not to die†(8). They and their staffs often can’t help themselves. With all the lifesaving equipment and procedures available to them, physicians forget the old saw, “First, do no harm,†and forge ahead because they can. Volandes states, “Patients can drive change by having greater knowledge of their options, while doctors can drive change by communicating and advocating for those choices . . . every doctor knows that in the end, we all find ourselves on the patient’s side of the stethoscope†(9).Most of the research, he tells us, indicates that terminal patients are healthier and have a better outlook at the end of their lives if they know what their choices are, and the two choices are pretty much this: you either want to be at home, made comfortable with pain control, or you want to be Full Code, where the hospital staff does everything to keep you alive until your loved ones say “Turn it off.†The doctor’s book is simply written and lacks the dry, overladen rhetoric of medical speak. Instead, he employs moving anecdotes about patients facing the end of their lives, including one about his own father. He describes the video [...] he produces to screen for patients and their loved ones to help them decide how their lives should end, instead of, defaulting to the hospital.I plan to keep The Conversation handy and study it when and if the time arrives. I could always get hit by a truck!
This book is part of what really is a revolutionary approach to health care as the end of life approaches -- treat the patient, not the disease. Doctor Volandes wants patients and their doctors to think about the health care they want when an illness reaches the point where a cure is unlikely. The way he wants patients to think about it is by learning what various alternative kinds of care entail, and by talking about what they want -- openly and honestly, with their loved ones and their doctors. Do they want medical professionals to "do anything"? Do that want some support of functions that are failing, but not the most drastic? Or do they want comfort care, in which everything possible is done to eliminate pain and discomfort, but in which drastic measures are not taken.If no decision is made, Dr. Volandes points out, the medical default is to do anything to keep the patient alive; that's what medical ethics call for unless the patient orders otherwise, and that's how the system works. Allowing this to happen, or in fact deciding to "do anything" often has nothing to do with treating the illness itself, but consists of treating the conditions that arise from it -- CPR when the heart stops, a ventilator when breathing fails, a feeding tube when the patient cannot eat. These may prolong life, but the quality of life that results can be miserable. For those who are already at that point, or who have loved ones at that point, these are decisions that need to be made, or the default will apply. Some may in fact choose the "do anything" option: that's their choice. But many others will choose not to accept drastic treatment, and will focus instead on care that keeps the comfortable. These are choices that need to be considered, and communicated clearly before a crisis arises.For those of us who are not ill, but who are getting on, these are also choices that should be considered and communicated. If nothing else, it can spare our loved ones a great deal of anguish when our time comes. Dr. Volandes way of doing this is what he calls "The conversation". He provides ways of approaching this, and he also talks about ways of communicating one's wishes once choices have been made -- living wills, health care proxies, and so on and so forth.This is a compassionate "how to" guide to making -- and communicating! -- choices that older people should make.
I received my copy of The Conversation yesterday, and read the whole thing, cover-to-cover. Angelo's book is so important; everyone must read it. We will all face end-of-life issues sometime in our lifetime, and it could be sooner than we think. As someone who has been dealing with terminal lung cancer for over 6 years, I should have already had The Conversation, but I have put it off. No longer! Angelo has given me the courage and the information I need to talk to my sons - and doctors - about this very difficult topic.I waited too long to have The Conversation with my mother; she's still alive at 94, but has severe dementia. As her health care proxy, I only hope I will make the right decisions for her in the end, which will be soon. She has only said she wants DNR. Angelo makes it clear that we need much more specific, personal information.I'm so glad Angelo has written this book. I am going to gift it to many of my friends and family.
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Get Free Ebook The Berenstain Bears Go Out for the Team, by Stan Berenstain Jan Berenstain
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The Berenstain Bears Go Out for the Team, by Stan Berenstain Jan Berenstain
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From the Inside Flap
When backyard sluggers Brother and Sister join the Bear Country Cub League, they get real uniforms and play on a baseball field. They also have pressure to win and competition from the other cubs. But it's Mama's advice that helps them prepare sensibly for team sports.
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About the Author
Stan and Jan Berenstain were already successful cartoonists for magazines and adult humor books when they began writing children's books. The first story starring the bear family, The Big Honey Hunt, appeared in 1962. Since then, more than 360 Berenstain Bears books have been published, and more than 300 million copies have been sold. What began as an idea sparked by their young sons' love of reading has become one of the best-selling children's book series ever.
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Product details
Age Range: 3 - 7 years
Grade Level: Preschool - 2
Lexile Measure: AD670L (What's this?)
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Paperback: 32 pages
Publisher: Random House Books for Young Readers; Book Club ed edition (January 12, 1987)
Language: English
ISBN-10: 1442015462
ISBN-13: 978-1442015463
ASIN: 0394873386
Product Dimensions:
8 x 0.1 x 8 inches
Shipping Weight: 3.2 ounces (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
51 customer reviews
Amazon Best Sellers Rank:
#17,982 in Books (See Top 100 in Books)
Absolutely can never go wrong with a Bernstain Bears book. I loved them when I was a kid and now I am buying them for my nephew!!!
My 6yo son LOVES the Berenstain Bears. With no exaggeration, we read a Berenstain Bears book at least 5 out of 7 nights a week. This is a cute story and adds to the variety that is chosen from each night (thank goodness) :). The Berenstain Bears books always have a a little lesson that the Bear family learns about themselves. In this book, Brother and Sister are nervous about try-outs for a baseball team. They worry whether they'll make the cut, but also Brother's concerned that Sister may make the team and he won't. Mama even becomes an aggravated "bleacher" parent and is reminded "it's only a game".
This is a great book. My three year old loves baseball and this story is one of the consistent ones before bedtime. We have a Berenstain Bears collection and this book along with "Too much Junk Food" and "Got The Gimmies" keep showing up in mommy's story time chair.
Too long. My kid was bored. The story is not well thought out. They just made the book to add to their wide offering, The story is not interesting.
My three-year-old grandson loves this book. As with all Berenstain Bears books, The Berenstain Bears Go out for the Team teaches a lesson. In this case, the bears learn that hard work pays off, they learn not to let fear of failing stop them from trying.
My 5 and 6.5 year old love these books (I love that they have good values and they are Christian books)
My six year old grandson is a big fan of both baseball and Berenstain Bears. He picked this up immediately and read it in one sitting. A classic!
Our children loved this series -- they are now 30 and 35! Their children enjoy the books and I am purchasing all new ones for them because the ones we have are so worn!!
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Product details
Grade Level: 1 - 2
Paperback: 66 pages
Publisher: CreateSpace Independent Publishing Platform; Jou edition (March 31, 2017)
Language: English
ISBN-10: 1545052999
ISBN-13: 978-1545052990
Product Dimensions:
8 x 0.2 x 10 inches
Shipping Weight: 7 ounces (View shipping rates and policies)
Average Customer Review:
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Amazon Best Sellers Rank:
#2,058,053 in Books (See Top 100 in Books)
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Audible Audiobook
Listening Length: 11 hours and 17 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Books on Tape
Audible.com Release Date: February 16, 2005
Language: English, English
ASIN: B0007UD5HS
Amazon Best Sellers Rank:
Unfortunately, there is a lot of generic advice that will give you guidance. However, this book tries to hard covering too many topics with a superficial explanation. There are many vignettes of prior successes; however, past performance does not predict the future. Hindsight is 20/20.For people who are paying monthly payments on credit card accounts and other short term loans, people who feel like they have too many expenses or feel like they are in over their heads in bills, this book will give guidance. It is helpful for those who are seeking a method to plan for retiring. If you find your savings accounts with the 'low fuel' light on, this is the "AAA" equivalent of getting your finances kick started on your trip to better financial security.The book is broken down into major categories:Spend LessSave MoreMake MoreGive MoreSPEND LESSMany of the principles regarding spending less money, decreasing debt, and caveats of debt counselors are some key points to get out from under a heavy load of liabilities.SAVE MOREThe concept of investments such as diversifying in real estate, stocks and bonds sounds simple in theory. However, there are numerous volumes of books written on each subject. This book, however, is more of an introduction to summarizing major investment vehicles, rather than offering a definitive method of managing your assets.There are other books that will help you in your investing quest like the books listed below:The Real Estate Investor's Handbook: The Complete Guide for the Individual InvestorTechnical Analysis of Stock TrendsThe Winning Investment Habits of Warren Buffett & George SorosThe Intelligent Investor: The Definitive Book on Value Investing. A Book of Practical Counsel (Revised Edition)MAKE MOREThe author outlines methods of how to increase your income stream, and some topics are covered as more of a primer to get you started.AnotherSmall Business Ideas: 400 Latest & Greatest Small Business IdeasSUMMARYThis is a good primer on getting your finances turned around. It is more of an introduction on how to get started.
I didn't realize how old this book was when I purchased it, and I came here to see if I could still return it (unfortunately not).I want to write the author and see how these people are doing today, the couple he made buy a house in 2004 so they would get rich off the equity. If you are starting late you need to be reading F.I.R.E. books, not the antiquated info in this book! Perhaps the info on how to get out of debt or get a raise is good, but honestly, if I were this author I would have either written a revision or pulled the book from shelves because it is so not appropriate for getting ahead today. I'm 38 and found much more helpful info in books about extreme early retirement and financial independence.
Wish I had discovered this book in my 30's, but even in my mid 50's I found this book invaluable, and I have hope now that it's not too late to achieve financial stability, and even independence. Very empowering, yet not unrealistic or scary. David Bach lays out sensible, doable steps to take charge of your finances and your financial future. There's hope, everyone!
This book is very motivating. I got a lot of great tips about saving money and paying off debt that I am already implementing. The book flows very easily and can be applied to anyone in any economical situation. It makes an older saver feel hopeful that his/her economic situation can improve by following the many practical suggestions offered. I did not give it five stars only because a lot has changed in the financial world since it was written ie, the ease with which to obtain mortgages, etc. No fault of Mr. Bach of course, he's done a wonderful job of getting me to save more, spend less, and chip away at debt. I would strongly recommend this book to anyone who feels it's too late to get their finances in better shape.
This was written in 2006 prior to the home bubble and banks crashing, i.e. Fannie Mae, etc etc. No longer trusting of mutual fund advice or of bonds. Greening other useful advise.
In almost all of David Bach's books, he describes a file system for your financial files. I had a file system. But when the file cabinet broke, and after I started putting my important papers in folders in boxes, and then they filled up and I left them on top of a table... the paper fire hazard finally had to be dealt with. Although I didn't follow his system literally, it inspired me to scan all this rubble and organize it in my computer (about 1 month of effort). The very personal files (those with Social Security numbers and account numbers) are stored on my Iron Key. The paper in the living room is nearly gone by now, and I can find my documents all the way back to 2004 instantly and easily.If you are young, any of David Bach's books will be helpful regardless of their title. You are never too young to start saving, and he has great advice on how much, how and when to do this. Goals such as retirement and college are important. But if you just start building your financial portfolio as early as you can, you almost won't need to worry about the goals - the money will be there when you need it. David Bach also helps you to differentiate need from want, and identifies what "wants" waste your hard earned money.I recommend the Finish Rich series for everyone, young and old alike. These books are must haves!
This book taught me that I didn't need to be afraid of the fact that I had not managed my finances properly throughout my life - and that at age 61 it's not too late to start building a nest egg towards financial freedom.Bach's book is simple to follow, logical, and immensely motivational. My only regret is that several chapters talk about Institutions and support in the USA. I live in South Africa therefore these parts of the book were not relevant to me. But Bach gave me the leads to research the equivalent institutions in my own country.I recommend the book to anyone who, like me, has fooled themselves by thinking all their working lives that money is not important. It's a crucial aspect of wellbeing!
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Ebook Free What Is In A Rim?: Critical Perspectives On The Pacific Region Idea
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What Is In A Rim?: Critical Perspectives On The Pacific Region Idea
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About the Author
Arif Dirlik is professor of history at Duke University.
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Product details
Paperback: 341 pages
Publisher: Westview Press; 1 edition (October 9, 1994)
Language: English
ISBN-10: 0813319153
ISBN-13: 978-0813319155
Product Dimensions:
6.2 x 0.8 x 9.2 inches
Shipping Weight: 1.1 pounds
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Amazon Best Sellers Rank:
#1,875,969 in Books (See Top 100 in Books)
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