Dying - which we all inevitably must do - can be appreciably better for each of us if we approach end of life conversations early, while we still have the capacity to make our own decisions. This book can help us all with this. In addition, Courageous Conversations on Dying guides physicians in their role of supporting patients and families through decision-making for end of life, concentrating on patients' goals. Whether we are physicians, patients, family members, or caring individuals who want the best possible end of life experience for ourselves and each other, we must acquire the skills for loving, fruitful conversations. In this book, you'll learn how to prepare for these conversations, including what kind of setting, what words to use, how to be a good listener, how to empathize, how to help in decision-making, how to properly document end of life wishes, and more, along with many case studies to illustrate the points.

The story of the end-of-life experience of a palliative care physician who helped thousands of patients to die well. We all die. Most of us spend the majority of our lives ignoring this uncomfortable truth, but Dr. Larry Librach dedicated his life and his career to helping his patients navigate their final journey. Then, in April 2013, Larry was diagnosed with terminal pancreatic cancer. Unlike the majority of us, Larry knew the death he wanted. He wanted to die at home, surrounded by his family: his wife of forty years, his children, and his grandchildren. He did. He was peaceful and calm at the end. Larry proved that the “good death” isn’t a myth. It can be done, and he showed us how. Ever the teacher, Larry made his last journey a teachable moment on how to die the best death possible, even with a pernicious disease. As hard as it is to guide patients toward dying well, it is far harder to live those precepts day by day as the clock ticks down to one’s own death, but Larry, together with author Phil Dwyer, chronicled his final journey with courage and humour.

In this moving and compassionate classic—now updated with new material from the authors—hospice nurses Maggie Callanan and Patricia Kelley share their intimate experiences with patients at the end of life, drawn from more than twenty years’ experience tending the terminally ill. Through their stories we come to appreciate the near-miraculous ways in which the dying communicate their needs, reveal their feelings, and even choreograph their own final moments; we also discover the gifts—of wisdom, faith, and love—that the dying leave for the living to share. Filled with practical advice on responding to the requests of the dying and helping them prepare emotionally and spiritually for death, Final Gifts shows how we can help the dying person live fully to the very end.

Physicians who care for patients with life-threatening illnesses face daunting communication challenges. Patients and family members can react to difficult news with sadness, distress, anger, or denial. This book defines the specific communication tasks involved in talking with patients with life-threatening illnesses and their families. Topics include delivering bad news, transition to palliative care, discussing goals of advance-care planning and do-not-resuscitate orders, existential and spiritual issues, family conferences, medical futility, and other conflicts at the end of life. Drs Anthony Back, Robert Arnold, and James Tulsky bring together empirical research as well as their own experience to provide a roadmap through difficult conversations about life-threatening issues. The book offers both a theoretical framework and practical conversational tools that the practising physician and clinician can use to improve communication skills, increase satisfaction, and protect themselves from burnout.

That Wasn't A White Hair, Was It? We’re so afraid of aging that we begin to devalue ourselves and others with each passing year. The phrase "30 years old" incites panic. Seniors live in separate communities and barely interact with young people, while middle-aged people spend millions each year on anti-aging products. But what if we have it all wrong? Isabel Tom grew up living with grandparents and has spent over a decade of her career serving older adults. In The Value of Wrinkles she: Teaches you what the elderly offer us that we cannot live without Challenges our cultural beliefs and practices that affect those who are aging Gives you practical insight on how to care for those older than you

Death is inevitable, dying badly is not. A good death is achievable, and this book explains how. There is an art to dying well that can be taught and learned. While death is inevitable, dying badly is not. This practical guide to achieving a good death will reduce the fear that often cloaks discussions about death and dying and give readers the knowledge and skills to achieve a peaceful and gentle death. With the multiple options available at the end of life, people can design and direct their end-of-life journey so they have as fulfilling and meaningful life as possible right up to the end and achieve the elusive good death when the time comes. Chapters focus on essential elements of living well and preparing for a good death including: Death cleaning so we don’t burden our loved ones with a big mess Talking with loved ones and doctors about our end-of-life wishes and aspirations so they know what matters to us and how we want to be treated Writing a legacy letter (an ethical will) and a memoir to let loved ones know what is deep in our hearts. Understanding caregivers, an under-appreciated group of people, usually unpaid women, who number in the millions. The benefits of palliative care, hospice care, and end-of-life doulas and the necessary vigilance to get the most out of these essential services. End-of-life options, including medical-aid-in-dying (MAID) and voluntarily stopping eating and drinking (VSED). What it’s like to die and how to help people as they die. Options for disposition of the body of a loved one (or your own body) after death, especially in an economically and ecologically responsible way Planning commemorations and celebrations of life. The nature of grief, including how to deal with it, and why it is often unbearably painful. This thoughtful and gentle guide, exploring one of the most difficult human topics, equips every reader with the information they need to overcome the anxiety and confusion that so often overwhelms end-of-life planning so they may intentionally plan for “a good death” that will provide comfort for all during one’s final act.

“This beautiful book, full of wisdom and warmth, teaches us how to protect and preserve our most valuable possessions—the relationships with those we love. It shows that the things that matter definitely aren’t ‘things,’ and how to empower your life in the right direction.” —Dr. Stephen R. Covey, author of The 7 Habits of Highly Effective People Four simple phrases—“Please forgive me,” “I forgive you,” “Thank you,” and “I love you”—carry enormous power to mend and nurture our relationships and inner lives. These four phrases and the sentiments they convey provide a path to emotional wellbeing, guiding us through interpersonal difficulties to life with integrity and grace. Newly updated with stories from people who have turned to this life-altering book in their time of need, this motivational teaching about what really matters reminds us how we can honor each relationship every day. Dr. Ira Byock, an international leader in palliative care, explains how we can practice these life-affirming words in our day-to-day lives. Too often we assume that the people we love really know that we love them. Dr. Byock demonstrates the value of “stating the obvious” and provides practical insights into the benefits of letting go of old grudges and toxic emotions. His stories help us to forgive, appreciate, love, and celebrate one another and live life more fully. Using the Four Things in a wide range of life situations, we can experience emotional healing even in the wake of family strife, personal tragedy, divorce, or in the face of death. With practical wisdom and spiritual power, The Four Things That Matter Most gives us the language and guidance to honor and experience what really matters most in our lives every day.