Creagan utilizes clear, concise pointers here, breaking down step-by-step what loved ones and patients can expect in their last days—though he acknowledges there are many variables at play that can make the experience different for each individual. There are “fairly predictable phases of dying,” he writes, such as more exhaustion, withdrawal from others, and confusion, but he reminds readers that “death is never convenient.” Touching on patient preferences, comfort, dignity, and planning ahead, Creagan urges readers to be fully informed and prepared for the emotional journey they have in store—and offers several functional resources as well, including how to understand Do Not Resuscitate documents, last will and testaments, and the mechanics of organ donation.
"This book is about navigating those last days and saying farewell with hope, love, and compassion," Creagan writes, and that reverent stance permeates his guidance, offering those going through the dying process—as well as their family and friends—reassurance that this life stage can be approached with compassion and consideration. From funeral planning to the costs that often accompany end-of-life care to physician-assisted suicide, Creagan delves into challenging but crucial topics, and includes resources at the end for further reading (a link to free advance directives is particularly helpful). “These end-of-life journeys are never easy, even in the best of circumstances,” he encourages readers, but this valuable resource can help smooth the path.
Takeaway: Comprehensive and caring guide to end-of-life planning.
Comparable Titles: Steve Leder's The Beauty of What Remains, Kathryn Mannix's With the End in Mind.
Production grades
Cover: A-
Design and typography: A
Illustrations: N/A
Editing: A
Marketing copy: A
With some forethought and deliberation, life’s darkest passage can be made less agonizing and more graceful, according
to this illuminating guide.
Readers facing the anxiety of loss will find a reassuring roadmap here.
An insightful primer on a dying with dignity, full of plainspoken wisdom.
Mayo Clinic oncology professor Creagan draws on his decades of experience to address common issues faced by family members and caregivers in the palliative treatment of dying patients. Much of the book covers the physical symptoms and discomfort patients experience—including pain, sleeplessness, constipation, mental disorientation, and drowsiness—and the use of drugs, from painkillers like morphine to antidepressants to improve mood, in addition to some novel low-tech tricks (a low-speed fan blowing on a patient’s face, he notes, can relieve shortness of breath). The author also cautions readers about heroic medical intervention (“the higher the cost for care, the lower the quality of life for the patient and the lower the quality of death during the final weeks of life”) and warns about the minefield of uninsured costs that can bankrupt a family. He gives tips on how loved ones should interact with the patient (try asking about old times or a favorite pet) and how they should not (don’t dredge up old feuds or prattle on about current events) and emphasizes the necessity of making a clear will to prevent ugly fights over inheritances from erupting among family members at the deathbed. (He also tackles the heartbreaking decisions that can arise, such as the question of when the plug should be pulled on a patient on life support.) Creagan’s treatment of his fraught subject mixes down-to-earth practicalities with philosophical explorations, all conveyed in lucid, sympathetic, and evocative prose: “At the end of someone’s life, families look back and may not remember the skilled surgeon or the radiologist, but they certainly remember the nurse who provided a warm blanket or the physical therapist who performed a daily foot massage.”
