Most Americans, when pressed, have a vague sense of how they would like to die. They may imagine a quick and painless end or a gentle passing away during sleep. Some may wish for time to prepare and make peace with themselves, their friends, and their families. Others would prefer not to know what's coming, a swift, clean break. Yet all fear that the reality will be painful and prolonged; all fear the loss of control that could accompany dying.
That fear is justified. It is also historically unprecedented. In the past thirty years, the advent of medical technology capable of sustaining life without restoring health, the expectation that a critically ill person need not die, and the conviction that medicine should routinely thwart death have significantly changed where, when, and how Americans die and put us all in the position of doing something about death.
In a penetrating and revelatory study, medical anthropologist Sharon R. Kaufman examines the powerful center of those changes -- the hospital, where most Americans die today. In the hospital world, the deep, irresolvable tension between the urge to extend life at all costs and the desire to allow "letting go" is rarely acknowledged, yet it underlies everything that happens there among patients, families, and health professionals. Over the course of two years, Kaufman observed and interviewed critically ill patients, their families, doctors, nurses, and other hospital staff at three community hospitals. In ...And a Time to Die, her research places us at the heart of that science-driven yet fractured and often irrational world of health care delivery, where empathetic yet frustrated, hard-working yet constrained professionals both respond to and create the anxieties and often inchoate expectations of patients and families, who must make "decisions" they are ill-prepared to make.
Filled with actual conversations between patients and doctors, families and hospital staff, ...And a Time to Die clearly and carefully exposes the reasons for complicated questions about medical care at the end of life: for example, why "heroic" treatment so often overrides "humane" care; why patients and families are ambivalent about choosing death though they claim to want control; what constitutes quality of life and life itself; and, ultimately, why a "good" death is so elusive.
In elegant, compelling prose, Kaufman links the experiences of patients and families, the work of hospital staff, and the ramifications of institutional bureaucracy to show the invisible power of the hospital system itself -- its rules, mandates, and daily activity -- in shaping death and our individual experience of it.
...And a Time to Die is a provocative, illuminating, and necessary read for anyone working in or navigating the health care system today, providing a much-needed road map to the disorienting territory of the hospital, where we all are asked to make life-and-death choices.

lgrsnf/And_a_Time_to_Die_by_Sharon_Kaufman.epub

lgli/And_a_Time_to_Die_by_Sharon_Kaufman.epub

Kaufman, Sharon

Simon & Schuster, Incorporated

Atria Books

United States, United States of America

New York, UNITED STATES, 2005

New York, 2014

1, 2005

Mobilism

{"isbns":["0743282523","2004052530","9780743282529"],"last_page":416,"publisher":"Scribner"}

A reassuring and illuminating examination on our conflicting wishes about the end of life, how the politics and routines of the American hospital have formed our understanding and experience of death, and ultimately why what we consider a'good death'is so hard to attain.In a penetrating and revelatory study, medical anthropologist Dr. Sharon Kaufman uses two years of intensive observations and interviews with scores of patients, family members, physicians, nurses, social workers, and other staff at several community hospitals in California to explore the heart of a science-driven yet fractured and often irrational world of health care delivery, where empathetic yet frustrated, hard-working yet constrained professionals both respond to and create the anxieties and often inchoate expectations of patients and families, who must make'decisions'they are ill-prepared to make. She sought out the critically ill, the dying and their friends and relatives. She followed patients from admission to death—days, weeks, or sometimes months later—through, what is often for them and their families, a Kafka-esque journey. She asked hospital staff what they were doing and why and stood beside doctors and nurses, observing their work, cynicism, compassion and frustration. And she paid close attention to the most important player of allthe hospital beauracracy and how it impacts the manner and timing of patient death. Her investigative research links together the emotional experiences of patients and families, the dedicated work of hospital staff and the ramifications of institutional bureaucracy to show the invisible power of the hospital system itself—its rules, mandates and daily activity—in organizing death and individual experience of it. The book is the story of real patients and their families, an account of what drives the American hospital today, and a report on the complex sources and implications of doing something about death.

**Most Americans, when pressed, have a vague sense of how they would like to die.**__...And a Time to Die,____...And a Time to Die____...And a Time to Die__

2021-10-03