Being mortal : ageing, illness, medicine, and what matters in the end

**In __Being Mortal__, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending**Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. Full of eye-opening research and riveting storytelling, __Being Mortal__ asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end. Medicine has triumphed in modern times, transforming the dangers of childbirth, injury, and disease from harrowing to manageable. But when it comes to the inescapable realities of aging and death, what medicine can do often runs counter to what it should. Through eye-opening research and gripping stories of his own patients and family, Gawande reveals the suffering this dynamic has produced. Nursing homes, devoted above all to safety, battle with residents over the food they are allowed to eat and the choices they are allowed to make. Doctors, uncomfortable discussing patients’ anxieties about death, fall back on false hopes and treatments that are actually shortening lives instead of improving them. And families go along with all of it. In his bestselling books, Atul Gawande, a practicing surgeon, has fearlessly revealed the struggles of his profession. Now he examines its ultimate limitations and failures – in his own practices as well as others’ – as life draws to a close. And he discovers how we can do better. He follows a hospice nurse on her rounds, a geriatrician in his clinic, and reformers turning nursing homes upside down. He finds people who show us how to have the hard conversations and how to ensure we never sacrifice what people really care about. Riveting, honest, and humane, Being Mortal shows that the ultimate goal is not a good death but a good life – all the way to the very end. --front flap

#1 New York Times Bestseller

In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending

Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering.

Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified.

Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.

#1 New York Times Bestseller In Being Mortal , bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end. In Being Mortal, Gawande examines his experiences as a surgeon, as he confronts the realities of aging and dying in his patients and in his family, as well as the limits of what he can do. And he emerges with story that crosses the globe and history, exploring questions that range from the curious to the profound: What happens to people's teeth as they get old? Did human beings really commit senecide, the sacrifice of the elderly? Why do the aged so dread nursing homes and hospitals? How should someone give another person the dreadful news that they will die? This is a story told only as Atul Gawande can - penetrating people's lives and also the systems that have evolved to govern our mortality. Those systems, he observes, routinely fail to serve - or even acknowledge - people's needs and priorities beyond mere survival. And the consequences are devastating lives, families, and even whole economies. But, as he reveals, it doesn't have to be this way Being Mortal: Medicine and What Matters in the End is a 2014 non-fiction book by American surgeon Atul Gawande. The book addresses end-of-life care, hospice care, and also contains Gawande's reflections and personal stories. He suggests that medical care should focus on well-being rather than survival. Being Mortal has won awards, appeared on lists of best books, and been featured in a documentary. A Prominent Surgeon Argues Against Modern Medical Practices That Extend Life At The Expense Of Quality Of Life While Isolating The Dying, Outlining Suggestions For Freer, More Fulfilling Approaches To Death That Enable More Dignified And Comfortable Choices. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families of the terminally ill. Introduction The Independent Self Things Fall Apart Dependence Assistance A Better Life Letting Go Hard Conversations Courage Epilogue Notes on Sources Acknowledgements Activities of daily living -- Things fall apart -- Dependence -- Assistance -- A better life -- Letting go -- Hard conversations -- Courage.