With the End in Mind: Dying, Death and Wisdom in an Age of Denial

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Si bien se aprende uno que otro concepto sobre cómo es el proceso de muerte en personas con cuidados paliativos, en los que se puede aplicar uno que otro consejo, parece más un libro de “mini cuentos”. People witnessed death, dealt with it, prepared for it, even embraced it ( John Donne used to sleep in his own coffin; Jeremy Taylor wrote his 17th-century manuals for the soul, Holy Living and Holy Dying, which became the preeminent works of the ars moriendi tradition; in The Tempest, Prospero consigns himself to an old age in which every third thought will be of death). This book tells dozens of stories about people facing the end of their lives, and how best medical and nursing personnel work together to ensure their patient experiences a good death. De ahí aburre, pues las historias son repetitivas, con un inglés bastante rebuscado y se vuelve tedioso, pues ya no hay aprendizajes prácticos, pero sí un exceso de conversaciones transcritas que sirven para entretener a unos cuantos.

This was a book to take in slowly, chapter per chapter, intimate and tender story per intimate and beautifully written story. With meditations on life, death, and the space between them, With the End in Mind describes the possibility of meeting death gently, with forethought and preparation, and shows the unexpected beauty, dignity, and profound humanity of life coming to an end. She has written this because, as a palliative care specialist of 30 years, she has seen a lot of people dying. I bought this book out of a sense of duty because of my work with Pilgrims Hospices but now I have read it I want to share it with you.I truly believe each person should read this book; the stories are heartbreaking but the lessons are forever. Although anecdotal, this was presented by Mannix as the usual method in The Netherlands: doctors brainwashing patients into believing that their lives became too hard to bear and that there are better options than living and suffering to the painful end.

Thank you so much for your honesty and for taking what was possibly a great deal of time and effort in doing so. So the good doctor, when explaining the nature of a disease and the possible treatments, should be quite explicit about the details and what the patient and the carers are likely to face.She clearly describes the actual process of death by gradual illness to the people in her care, their families, and the reader. In previous centuries, death was familiar and not hidden behind institutional walls: before the 20th century, there would have been scarcely an adult who had not seen their parents, some of their children, and their friends die. I think this book is as much about how to interact with people who are facing death as it is about the different ways people face their own death. Having qualified as a Cognitive Behaviour Therapist in 1993, she started the UK s (possibly the world s) first CBT clinic exclusively for palliative care patients, and devised CBT First Aid training to enable palliative care colleagues to add new skills to their repertoire for helping patients.