What would you do if you had only a few days to live? Or a few weeks or months? What if a loved one were in this situation -- how could you help that person decide how to spend the time that remained? Perhaps you lost a family member or dear friend to a terminal illness and were baffled by that person's choices. How do you make sense of his or her last acts? Dr. David Casarett, a palliative care physician and researcher, specializes in the care of patients near the end of life. Drawing on his years of experience and the stories of patients he has treated, as well as his own research, he explores the wide variety of ways in which people spend their last days. Why do some people choose to be altruistic, while others are vengeful? Why do some leave a legacy, while others prefer to celebrate and enjoy their time with family and friends? Why do some fight and struggle to the last minute, while others accept their fate and use their limited time to reconnect or reconcile? The tremendous diversity of these last acts makes clear that there is no formula for dying well or choices that are right for everyone. At the same time, these stories reveal that some choices may be harmful to the dying person or those closest to him. Last Acts helps dying patients and their families think about the possibilities that exist at the end of life, so they may choose to spend their time in ways that help bring them peace of mind.
As a Stage IV cancer patient, I am sometimes asking myself "What do I do with the time I have left?" This book does not answer that question for you. What it does is provide thoughtful consideration from one who has experience in palliative care and has witnessed many end of life decisions. I highly reccommend this book for caregivers, family and friends of someone with a serious illness. If you have a serious illness it may help to validate decisions you have already made or open up new possiblities if you have years, month, days or even hours left.
Engaging, inspiring, thought-proviking
Published by Thriftbooks.com User , 14 years ago
With an artist's eye and a poet's heart, this delightful author applies his keen observation skills to what might otherwise be a rather heavy question: "What should I do with the limited time I have left?" As a palliative care physician, Dr. Casarett has been privy to many, many stories as people make choices about how to write the last chapter of their lives. And what a set of choices they exhibit! From forgiveness, to spontaneous abandon, to an ironic form of revenge, Dr. Casarett methodicially and respectfully explores the range of responses he has witnessed as people unequivocally come to terms with the fact that their time on earth is finite. I was impressed with the thoroughness and heart of this book, and the humility of the author to ask soul-searching questions (of himself and his patients). He sincerely listened to and reflected upon the depth of the answers, for there is no one "best" way to spend one's time. It is a profoundly individual choice. I found this book simultaneously engaging, inspiring and thought-provoking. Food for the heart and for the brain. Highly recommended, especially if you or a loved one is facing a serious illness. (Although we could all use to do a priority check now and then and not wait until we get a terminal diagnosis!)
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