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Preface | |
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Prologue: End-of-Life Issues Are Not New for Me | |
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Get Ready Now For the Great Beyond | |
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Death Is Inevitable: So Be Prepared | |
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A Good Death: There's More Than One Right Way to Die | |
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Accepting the Patient's Terms | |
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When the Patient Is Prepared | |
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When Death Is Sudden | |
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Help from an Advance Directive | |
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Even a Good Death Can Sting | |
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What Most Patients and Families Want | |
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Advance Directives: A Living Will Is Not Enough | |
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But Will Your Living Will Help? | |
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Do You Really Mean "Do Not Resuscitate"? | |
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An Improved Living Will | |
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Box: Medical Living Will with Code Status Advance Directive | |
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You Must Assign a Health Care Proxy | |
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When Someone Refuses to Create an Advance Directive | |
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Funeral? Memorial? Why Plan Ahead for the End | |
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Controlling the Costs | |
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Warning: An Advance Purchase Can Backfire | |
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Box: Back-to-Nature Burials | |
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Planning a Service | |
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Charting a Course to the End of Life | |
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Uncertain Future: Living with a Bad Prognosis | |
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Tell Me, Doc, How Much Time Have I Got? | |
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The Value of Knowing Time Is Short | |
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Talking the Talk | |
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Doctors Need Help, Too | |
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Coma: When the Brain Is on Hold | |
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Common Causes of Coma | |
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A Confusion of States | |
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Living Well to the End: Where and How | |
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Do You Really Want to Die at Home? | |
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What IS Important? Control of Symptoms | |
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Is There a Role for Feeding Tubes? | |
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When Treatment Is Futile | |
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Withholding and Withdrawing Life Support | |
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When Someone Is Actively Dying | |
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Caregiving: Tending Someone at the End of Life | |
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A Rewarding Experience | |
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A Demanding Job | |
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Relieving Symptoms | |
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Managing Pain | |
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Getting the Help You Need | |
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Caring for the Caregiver | |
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How to Know and What to do When the End Is Near | |
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Respect Wishes for Privacy or Company | |
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Hospice and Palliative Care: Don't Wait Until It's Too Late | |
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An Underused Resource | |
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How Hospice Can Help | |
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Many Wait Too Long to Enroll | |
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Hospice Provides Palliative Care | |
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Sources of Hospice Care | |
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Box: A Hospice Doctor Finds Joy | |
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Spiritual Care: Lighten and Enlighten an End-of-Life Journey | |
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Spirituality Versus Religiosity | |
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Prepare Yourself Spiritually | |
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What Family and Friends Can Do | |
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What Doctors Can Do | |
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When a Child Is Dying: Surviving the Nightmare | |
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Children Need and Deserve Comfort Care | |
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Parents Can Help . . . and Need Help | |
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What Parents Want from Doctors | |
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Box: A Mother Recalls Her Baby's Last Day | |
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Needs of a Dying Child | |
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Easing the End of a Child's Life | |
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When a Child Dies Suddenly | |
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Continuing Care After a Child Dies | |
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What to Say: Conversations at the End of Life | |
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Silence Is Not Golden | |
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Create a Conducive Atmosphere | |
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Gird Your Loins for Strong Feelings | |
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What Is-and Is Not-Okay to Say | |
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Doctors, Too, Must Know What to Say | |
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Box: Improving Doctor-Patient Communication | |
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What Patients and Families Want and Need | |
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Box: Communicating with Hope | |
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Doctors Who Disappear: What Can Be Done About It | |
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An All-Too-Common Experience | |
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Why This Happens | |
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What Patients and Families Can Do | |
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Training Compassionate Doctors | |
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Assisted Dying: What to Consider When Illness Is Unbearable | |
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Clarifying the Terms | |
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Weighing the Options | |
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Opting for a Patient-Controlled Death | |
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Box: The Oregon Death with Dignity Act | |
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Considerations if You or a Loved One Seeks a Hastened Death | |
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Box: If You Are a Physician | |
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Grief: It's Not a Disease | |
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No "Right Way" to Grieve | |
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Anticipatory Grief | |
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Common Symptoms of Grief | |
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What Many Find Helpful | |
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When Grief Is "Complicated" | |
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Can a Support Group Help? | |
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Preserving Memories | |
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What to Say When Someone Dies | |
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What you Can Do to Help the Bereaved | |
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Life After Death: What You Leave Behind Counts | |
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Organ and Body Donations: A Gift of Life | |
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A Need Unmet | |
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Misconceptions Abound | |
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Donation Following Cardiac Death | |
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Age and Health Are Not Limiting Factors | |
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Whole Body Donation | |
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Box: Your Wishes About Organ and Tissue Donation | |
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Autopsy: Valuable Lessons from the Dead | |
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A Difficult Decision | |
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Many Benefits of Autopsy | |
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Lasting Legacies: Leave Memories and Life Lessons | |
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Legacies to Treasure | |
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Overcome Your Resistance | |
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Epilogue: From the Start Consider the Finish | |
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Acknowledgments | |
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Index | |
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Illustration and Permission Credits | |