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The Journey's End

An Investigation of Death and Dying In Modern America

ebook
1 of 1 copy available
1 of 1 copy available

In the tradition of Atul Gawande's Being Mortal, this compassionate work helps individuals develop a more accepting view of dying while teaching them what to expect and how to navigate the healthcare system at the end of life.

In elderhood, the health care system has a narrow view of how to provide care. It focuses on extending a patient's life at all costs, with an over-reliance on machines and procedures, instead of caring holistically for the person. Accordingly, many of us will likely spend our final weeks in long-term care facilities or an ICU.

Dying at home, peacefully, and surrounded by family is almost impossible in our world—and our fear of death is a major contributor to this impossibility. Fittingly, the central idea of this book is that in old age, or when facing a terminal diagnosis, it is more important to understand your life rather than to extend it. While this may seem simple, its implications are profound.

A natural death means accepting that, at some point, we are old enough or sick enough to die. In our cynical and overly clinical age, it is difficult to reflect on the meaning of one's life, but that kind of honest introspection is exactly what we need. Accordingly, The Journey's End seeks to help people manage their healthcare, their expectations, and their decisions in the final phase of life.

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    • Publisher's Weekly

      January 23, 2023
      Connelly, former CEO of a health care company, argues in his informative debut that death should be better handled in the medical system. Suggesting that current practices prize excessive interventions that can prolong suffering for end-of-life patients, Connelly details how features like fee-for-service insurance pay structures, which compensate doctors for the amount of procedures they complete, reinforce an overly aggressive form of elderly medical care. Instead of keeping patients alive at all costs, Connelly recommends helping them better come to grips with death, which can confer “closure, freedom, and a sense of purpose.” Connelly suggests patients create advance healthcare directives, explore palliative care options, and proactively discuss their philosophy on end-of-life care with loved ones. More broadly, his suggested policy reforms include eliminating prescription drug advertisements, which give patients false hope for cures, and taxing healthcare benefits to decrease demand for high-cost treatments. Connelly constructs a convincing case for reimagining cultural conceptions of death, though the discussions of policy recommendations and “death literacy” (an understanding of “what life will be like near the end”) sometimes fail to cohere. Readers curious about end-of-life care practices will find this a helpful if imperfect primer.

    • Booklist

      March 15, 2023
      The literature on extending one's life is, not surprisingly, popular and abundant. Here, Connelly argues that, in certain cases, the all-consuming goal of staying alive can actually lead to more pain and fewer well-lived days. Connelly, who worked as the CEO of one of the nation's largest health systems, argues not for individuals to ignore their health concerns but instead to endeavor to make their end-of-life wishes known in advance. The Journey's End outlines the ways the labyrinthine American medical system, from the focus on physician specialization to the complicated billing structures, encumbers the care patients receive, often leading to more invasive tests and procedures for negligible results. Connelly also provides ways patients can achieve better autonomy in how care is given as life ends. This is an incisive call to action that readers, no matter the stage of their current medical journey, will come away from more prepared and informed. A perfect complement to Atul Gawande's Being Mortal (2014).

      COPYRIGHT(2023) Booklist, ALL RIGHTS RESERVED.

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Languages

  • English

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