Table of Contents

CHAPTER ONE

  •      So Here I am—in a Place I Never Imagined

  •      A Look Behind the Scenes

  •      Death Cannot Be Denied

CHAPTER TWO

  •      To Live or Not to Live, that is the Question

  •      Health-Care Advance Directives and Durable Power of Attorney

  •      Cardiopulmonary Resuscitation

  •      How Successful is CPR and What are the Possible Complications?

  •      Life Support and Mechanical Ventilation

  •      Artificial Nutrition, Hydration, Tube Feedings, Intravenous Feeding

  •      Dialysis

  •      Pacemakers

  •      Surgical procedures

  •      Pharmaceuticals

  •      Lab and Radiology Procedures

  •      Tubes, Tubes, and More Tubes!

  •      Financial Impact

CHAPTER THREE

  •      Prolonging Death or Prolonging Life: Food for Thought

  •      The Issue of Communication

  •      Quality of Life

  •      How We Prolong the Dying Process

  •      Blurring the Line Between Life and Death

  •      Definitions of Death

CHAPTER FOUR

  •      Telling the Truth

  •      Terminal—A Confusing Term

  •      Prolonging Life vs. Quality of Life

  •      Telling the Truth in a Multicultural Environment

  •      Withholding the Truth

  •      Consequences of Withholding the Truth

  •      Communication Failure

  •      “Knowledge gap”

  •      “Transference and countertransference”

  •      “Physician discomfort with bad outcomes”

  •      “Lack of education in how to approach the care of the seriously ill and         their families”

  •      Patient Satisfaction and How It Impacts Insurance Reimbursement

  •      Actual Outcome Scores—the Things That Matter the Most

CHAPTER FIVE

  •      Holding On or Letting Go

  •      Hanging On

  •      Letting Go

  •      Focus on the Positive

CHAPTER SIX

  •      Putting it All Together

  •      To Those in The Health-Care Fields

  •      Remember Why You Chose Your Profession

  •      There is a Difference Between Being a Practitioner of Your Profession         and a Healer

  •      Communication Goes Beyond Mere Words

  •      Cultural and Ethnic Sensitivity

  •      Sensitivity and Privacy—a Modern-Day Illusion

  •      Be Genuine and Never Assume

  •      The Difficult Patient

  •      Final Thoughts

  •      Things to Consider

  •      Things to Do

  •      Final Words to All My Readers