Atul Gawande’s book, “Being Mortal: Medicine and What Matters in the End,” explores different themes such as, aging, death, and the mishandling of both aging and death by the medical profession’s. This book also addresses what it means to live well near the end of life. It is not just to survive, not just to be safe, not just to stay alive as long as the medical technology allows, but, according to the author it is about what living truly means to an individual. The author describes that the idea of “Being Mortal” developed as he watched his elderly father go through a steep decline in his health and the eventual death. He soon realized that during his medical education and training he was never taught how to help his patients with managing …show more content…
Both the patients are unhappy with their experience in assisted living and skilled nursing facilities. The author mentions that nursing home prioritizes the provision of ‘nursing’ over the creation of ‘home.’ This is upsetting for patients because they do not sense the comfort of being home. In his 1961 study Asylums, Goffman noted some shocking similarities between nursing homes and prisons. In many nursing homes residents are not allowed to walk alone in case they fall, eat certain foods in case they choke, use knives in case they cut themselves. In fact, in many institutional homes patients are not allowed to keep pets in case those pets cause inconvenience to the staff. Gawande notes that an obsession with risk is stultifying the lives of the elderly people in our society, in the years when their choices should be cherished and respected even if those choices shorten their lives. We have exalted longevity over what makes life worth living says the author. Often our elders are forced into making dramatic changes. Not only do they have to accept the fact that they must leave the home environment, they must also accept the fact that aging and health needs necessitate this move. Therefore, it is important that nursing homes provide the comfort and replicate home like environment. Hippocrates in his article “Airs Waters Places,” says, “For where the changes of the seasons are most frequent and most sharply contrasted, there you will find the greatest diversity in physique, in character, and in constitution. These are the most important factors that create difference in men’s constitutions; next come the land in which man is reared, and the water. For in general you will find assimilated to the nature of the land both the physique and the characteristics of the inhabitants.” In extension, he is saying that health
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Being Mortal: Medicine and What Matters in the End, is a book written by Atul Gawande. It is a thought-provoking exploration of how modern medicine has changed the way we approach aging and death. Gawande outlines how medicine has improved life expectancy, but at the cost of a diminished quality of life. He reflects on his own experience as a surgeon and shares stories of individuals who have faced terminal illnesses. Through these personal stories, Gawande provides a unique perspective on how to approach care for the elderly and people with terminal illnesses.
“The Age of Dignity” is written by Al-Jen Poo, who is a director of the National Domestic Workers Alliance (NDWA) and co-director of the Caring across Generations campaign. The author discusses challenges faced by the elderly in society due to lack of supporting culture. She mentions, “By 2035, 11.5 million Americans will be over the age of eighty-five, more than double today’s 5 million, living longer than ever before.” It is necessary to value the care of old people so that people can age with dignity and security. To support the care of older adults, a culture needs to be built where elderly are respected in the society.
For many, death is not an easy topic. There are those who find the ambiguity of what occurs in the afterlife frightening and some others who fear that death will cut their lives short before they fulfill their destinies. In an almost subconscious fashion, mankind has leaned on medical technologies to help deal with the ambiguity of the afterlife. Biotechnology has emerged as the premiere form of medical technology that enables mankind to further try to resist mortality. With the development of biotechnology, people are able to fight illnesses and other harms which also help decrease their chances of dying.
It was not intended to make readers sad or necessarily agree with his decision, however, to examine their own life and situation and to contemplate death, as it is inevitable for everyone. Most people are bound to have to face a similar choice as Clendinen. Maybe not in the same extreme measure, but most people will have to make a decision for a family member who is no longer capable of making medical decisions for themselves. Clendinen achieved his purpose and readers should walk away from this article recognizing exactly what Clendinen’s beliefs are on death, and it ought to make them curious about their own thoughts and beliefs. At the very least, talk with their loved one’s before they ever become ill and find out their loved one’s wishes.
One of the most significant current discussions in legal and moral philosophy is whether a person who has no will to live can be allowed to die by the doctors, who know that the enormous cost of time, expense and professional effort spent on them is a waste. Similarly, in this essay, Living Will, by Danielle Ofri, the author describes her own dilemma as to whether she should be allowing patients who have no will to live to die or she should try to motivate them to live. Although it is true that, many of the patients may appear to be having no will to live at all, the author describes how deep inside they may actually be having a hope and willingness to continue to live. This paper will focus on the term ‘living will’, which is a term which can be interpreted in different ways. In fact, there are two meanings to the title of this essay ‘Living Will’, first of which means the will to live more based on hope and the second is the will written during the lifetime wanting not to live anymore due to lack of any motivation due to many diseases.
Those who work with the dying can use this book to analyze their current practices and ensure that the needs of these patients and their families is truly being met in a holistic way. We must not only attend to the bodies of our dying patients, but also to their spirits. Giving false hope in these situations seems almost inhumane, but at the other end of this spectrum those without hope are almost guaranteed to not recover from their illnesses. In the article The end is (not) near: aging, essentialism, and future time perspective published in the Developmental Psychology Journal (Freund, Grah, Job, Mathia, & Weiss, 2016, p. 996) the authors state that “aging is an inevitable part of life, and not necessarily one that is associated with positive changes”. Even though the life expectancy has increased dramatically, the tools used to measure aging based on chronological age have not been adjusted to reflect this change (Sanderson & Scherbov, 2008,
INTRODUCTION WE choose our country, we choose our spouse, we choose our profession, we choose our political masters, and we choose where we want to live and how. We have to die one day, But how to die and when: should that be a matter of choice as well? Life and death were regarded as spheres of God’s planet before medical advancement. Currently, with an increase in the demand for Physician Assisted Suicide, life and death no longer seem to be accorded the same moral sanctity as earlier.
“Decision-making for end-of-life care has earned paramount importance as it has capability to prolong human life with the support of medical technologies or can let the natural death process continue by foregoing the treatment option. Hence, end-of-life care is facing various ethical dilemmas” (Karnik & Kanekar, 2016). Due to advances in medical technology, the decisions regarding death and dying are changing.
Both of them can be seen as evidence of basic human orientation towards a hopeful future. Death denying in religion, more than a desire for endless life, is the result of thirst for justice (Bloch, 1986). Similarly, being sick and dying before one’s time raise doubts on moral order and meaning of life. Medicine, as a mean of life continuation, together with doctors participates in a religious drama to fulfill the patients’ hope (Geest, 2005). Why do Distinctions
In Hellhole by Atul Gawande, the idea of solitary confinement as a means of punishment has been looked upon as more a form of torture. Gawande explains that the human rights of prisoners have been violated by means of solitary confinement. For the reason that it is in our nature to socialize with other people and by taking that away, it strips one of their rights as a human being. Mainly Gawande provides examples that relate to how solitary confinement is considered a form of torture. As in one experiment that involved monkeys, some monkeys were placed with fake mothers of wire and of cloth to figure out why they seemed disturbed.
In “ How Doctor Die”, an article written by Ken Murray, is about the way to prolong the life of doctors and patients when they have terminal illness. In most cases, a doctor home went, closed their practice and never set foot in a hospital again. They want to have more time with family. Doctor is a person treat the desease and save the patients; however, when they have illness, they are also like other patients. They can meet a difficulty with their patients in treament,but they feel easy when they are a patient.
Coping Patients often go through many challenges especially at the end of life care. One of the problems is coping with the stress and stressors. Coping is an integral part of any treatment; therefore, the patient often needs to develop some managing mechanisms. These are learned although, at some point, the patient is only left with few or no coping mechanisms (Caswell et al. 2015).
Content The concept of life and death cannot exist without one another. This topic is widely discussed throughout the book When Breath Becomes Air by Paul Kalanithi. This memoir explores Paul’s indeterminate definition of death as he passes through distinct stages of his life. As Paul progresses through each stage, he views death differently as he transforms from a student to a neurosurgeon, neurosurgeon to a patient, and eventually becoming a father, where he needed to take full responsibilities. The most important thing in life to him is illustrated the clearest as the book comes to an end, where Kalanithi explains how human knowledge is dependent on our roles and status in our society.
An elderly could live in a retirement center, nursing facility, or alone with relatives and be in good health or in bad health (Papalia, Feldman, & Martorell, 2012, pg. 541-542). Chronic illness and psychical change will be occurring during late adulthood yet, another focus will be psychological development, which is heavily influenced by the social environment in which one elderly lives and thus brings out the importance of finding good living arrangements. This is a huge factor in many other life stages as well. For instance, “the state of the job market may determine when offspring choose to leave home… [or] when we retire may depend on the provisions of our pension plan.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.