When Caring Trumps Curing

One day, the sun will set for all of us for the last time. Life invariably comes to an end. The timing is the great unknown. The conduct of your last days can however be largely controlled. With some thought about what makes your life worth while, you can specify the care you would like to receive in those days at the end when you may not have the ability to comprehend what is happening to you. Through a series of cases illustrating the choices that you need to consider you will learn that there is more to these plans than DNR or "full code." Through encounters with many patients the author poses questions and alternatives to contemplate. With this information you should be able to formulate a plan acceptable to you to be shared with your family or friends and your medical providers. Death in America has become a medicalized event conducted in the hospital, often the intensive care unit. This is true despite the overwhelming preference of most people to die at home, in familiar surroundings with those close to them at their bedside. Examples of the benefits of palliative care and hospice care are presented. The differences between these services, which share a common philosophy are explored. The end of your days can be peaceful, dignified and largely free of pain, anxiety and fear with the support of these professionals and your loved ones.