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The Conversation: A Revolutionary Plan for End-of-Life Care, by Angelo Volandes
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There is an unspoken dark side of American medicine--keeping patients alive at any price. Two thirds of Americans die in healthcare institutions, tethered to machines and tubes at bankrupting costs, even though research shows that most prefer to die at home in comfort, surrounded by loved ones.
Dr. Angelo E. Volandes believes that a life well lived deserves a good ending. Through the stories of seven patients and seven very different end-of-life experiences, he demonstrates that what people with a serious illness, who are approaching the end of their lives, need most is not new technologies but one simple thing: The Conversation. He argues for a radical re-envisioning of the patient-doctor relationship and offers ways for patients and their families to talk about this difficult issue to ensure that patients will be at the center and in charge of their medical care.
It might be the most important conversation you ever have.
- Sales Rank: #101936 in Books
- Published on: 2016-01-05
- Released on: 2016-01-05
- Original language: English
- Number of items: 1
- Dimensions: 7.91" h x .61" w x 5.30" l, .50 pounds
- Binding: Paperback
- 240 pages
Review
“Worth the price of the book alone is Volandes' easy-to-follow guide for determining and making known one's end-of-life wishes.” ―Booklist
“Written with passion and clarity, this book moves beyond others on the topic by including empirical evidence of how to make such conversations about end-of-life care most effective.” ―Library Journal
“Appropriately, Volandes neither attempts nor claims to be impersonal or unemotional about this charged topic; rather, he brings his personal and professional experiences as well as research to his impassioned argument . . . [He]makes his points succinctly and convincingly and offers readers the tools to make change within their own lives.” ―Shelf Awareness
“A thoughtful and thought provoking book that confronts the fear of death with the grace of wisdom and understanding.” ―Spiritualty and Health
“Enlightening.” ―The New York Times
About the Author
Angelo E. Volandes is a physician and researcher at Harvard Medical School and Massachusetts General Hospital. He is also the co-founder of Advance Care Planning Decisions, a nonprofit organization devoted to encouraging The Conversation through the use of videos. He lives outside Boston, Massachusetts.
Most helpful customer reviews
26 of 26 people found the following review helpful.
Want to tranform healthcare? Read this book.
By Rae S Seitz, MD
Underway in this country is a monumental effort to transform healthcare, driven by the need to reduce waste, redundancy, and danger . What Dr. Volandes brings to the table is visibility into the lives of those who struggle to find their way through this complicated, confusing, and intimidating medical industrial complex and reveals the simple yet profound notion that we can take back control of what happens to us. What is astounding is that to take control we must start with the simple act of conversation. When we, as healthcare providers, caregivers, family members and loved ones can lovingly and courageously discuss what is most important to a person at the end of life, we can support and honor that person. We can ensure that he or she is treated in a manner consistent with what defines them; in short, we can change the world. This book puts us on that path.
17 of 17 people found the following review helpful.
Compelling, Required Reading
By William J. Kennedy
The Conversation serves as fascinating introduction to the life and work of Harvard Medical School physician researcher Angelo Volandes. As other reviewers have noted, the book is equal parts physician-patient narrative and how-to book in what it means to navigate life's final chapter. There are additional themes in the book of importance: the full circle of a father-son relationship, the complex interface between technology and human values, and how an aging population will touch us all in some way.
The writing is a superb combination of storytelling and practical advice. The stories- the professor and his wife, the poetry teacher, the young woman with breast cancer, the coal miner- conclude with Volandes' challenges in navigating The Conversation with his own father. You read about these lives spellbound and wanting more. Maybe it is because these characters are so real, we naturally start to think about what we would want in similar circumstances. Volandes walks with us on this journey with the final sections of the book offering real world advice for individuals and families. It is an incredible reading experience to start with these stories and end up at our own lives.
I heard Volandes interviewed on public radio recently and he distilled his message into what matters most: The Conversation is not about dying but living. It's about knowing what we want (and what our loved ones want) so we can live a better life in the face of whatever might happen in the future. At the heart of the book is an optimistic message, one that Volandes clearly believes in enough to dedicate his career to advancing. I cannot recommend The Conversation enough as a compelling novel and a start in clarifying some of the most important decisions we will ever make.
16 of 16 people found the following review helpful.
I'm so glad Angelo has written this book
By Laurie Geary
I received my copy of The Conversation yesterday, and read the whole thing, cover-to-cover. Angelo's book is so important; everyone must read it. We will all face end-of-life issues sometime in our lifetime, and it could be sooner than we think. As someone who has been dealing with terminal lung cancer for over 6 years, I should have already had The Conversation, but I have put it off. No longer! Angelo has given me the courage and the information I need to talk to my sons - and doctors - about this very difficult topic.
I waited too long to have The Conversation with my mother; she's still alive at 94, but has severe dementia. As her health care proxy, I only hope I will make the right decisions for her in the end, which will be soon. She has only said she wants DNR. Angelo makes it clear that we need much more specific, personal information.
I'm so glad Angelo has written this book. I am going to gift it to many of my friends and family.
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