Jerome Groopman's The Measure of Our Days is a compelling look at what we can learn about living when life itself can no longer be taken for granted because of severe illness. Jerome Groopman, M.D., one of the world's leading researchers in cancer and AIDS, is Professor of Medicine at Harvard Medical School, Chief of Experimental Medicine at Beth Israel Deaconess Medical Center. His laboratory helped to develop the new protease inhibitors for the treatment of AIDS, and in January of 1998 his laboratory identified another gene that appears to play a role in breast cancer.
Groopman has written extensively for many publications such as The New York Times, The Boston Globe, The New Yorker, and The New Republic and Time magazine as well as medical and scientific journals. The Measure of Our Days tells the reader about Groopman's technique with patients, not directly, but through stories. Groopman takes his title from a Psalm of David, Psalm 39, "Lord, make me to know mine end, and the measure of my days, what it is; that I may know how frail I am.
Dr. Groopman, as well as being a prolific writer, has an exceptional insight of the importance of confronting one's death, both for the patient and for their family and friends. The eight patients he synopsis’s vary extensively in their personalities and in their ailments, yet each of them in the end display a kind of heroism, strength, and the power to change their lives no matter what their diagnosis. Groopman's book is more than a collection of moving stories about sick people; it is about the strength hope gives us in times of need.
Groopman accounts the illnesses and deaths of four AIDS patients; there is the young boy who survived acute myeloblastic leukemia, but died of AIDS, from a blood transfusion, later in his teens; the physician with hemophilia, a fellow in Groopman's own research laboratory, who had been infected with HIV; an aged European businessman, and a young woman who contracted AIDS on vacation in Martinique. The book shows how she disengaged herself from the other AIDS patients in the waiting room because she did not want to face her future with this illness. She did not even tell her mom until she decided to adopt a child. Dan also hid his illness until he felt he had to tell Groopman incase it could effect his work.
In Alan Lightman’s, “Our Place in the Universe,” he describes his experiences in the Greek Isles explaining how meek it made him feel to be surrounded by the vast ocean with no land in sight except a small strip of brown in the distance. Great thinkers throughout history, have been exploring the visible variety of shapes, colors, and sizes, though the greatest of these are size, from the smallest atom to gargantuan stars. These massive differences in size change the way we view ourselves in the universe. (470) Garth Illingworth, from the University of California, has studied galaxies more than 13 billion light years away from us.
LITERACY EXPLICATION. Analysis of how the poet (May Swenson) uses poetic elements in the poem ‘ALL THAT TIME’. 1. Personification.
When it comes to a bad diagnosis it is often difficult for doctors to tell their patients this devastating news. The doctor will likely hold back from telling the patient the whole truth about their health because they believe the patient will become depressed. However, Schwartz argues that telling the patient the whole truth about their illness will cause depression and anxiety, but rather telling the patient the whole truth will empower and motivate the patient to make the most of their days. Many doctors will often also prescribe or offer treatment that will likely not help their health, but the doctors do so to make patients feel as though their may be a solution to the problem as they are unaware to the limited number of days they may have left. In comparison, people who are aware there is no cure to their diagnosis and many choose to live their last days not in the hospital or pain free from medications without a treatment holding them back. They can choose to live their last days with their family and will have more time and awareness to handle a will. Schwartz argues the importance of telling patients the truth about their diagnosis and communicating the person’s likely amount of time left as it will affect how the patient chooses to live their limited
Sadly, life is a terminal illness, and dying is a natural part of life. Deits pulls no punches as he introduces the topic of grief with the reminder that life’s not fair. This is a concept that most of us come to understand early in life, but when we’re confronted by great loss directly, this lesson is easily forgotten. Deits compassionately acknowledges that grief hurts and that to deny the pain is to postpone the inevitable. He continues that loss and grief can be big or small and that the period of mourning afterward can be an unknowable factor early on. This early assessment of grief reminded me of Prochaska and DiClemente’s stages of change, and how the process of change generally follows a specific path.
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
Atul Gawande’s book, Being Mortal, focuses on end-of-life care for patients in the American healthcare system. Gawande includes evidence along with anecdotes from his own life surrounding his career as a surgeon and his role in helping family members navigate their own end-of-life decisions. Much of Gawande’s argument rests on the premise that while end-of-life care in the American healthcare system is heroic and equipped with the best possible advancements in medicine, it too often fails the patients it is supposed to help. A large part of Being Mortal focuses on the doctor-patient relationship (especially in the context of shared-decision making) and how we often fail to recognize the things that are most important for our elderly in their
Being in hospice care is a better alternative than being stuck in the hospital to try to avoid the unavoidable. Common misconceptions about Hospice could include that hospice makes life more miserable; however, a physician expressed his findings in Hospice,“You can only fail a patient if you fail to understand and respond to their needs. We may not be able to cure all of our patients, but if we can make them comfortable in the last moments of their lives, we will not have failed them”..Hospice care gradually emerged in the 1970s, when groups like the National Hospice Organization were formed “in response to the unmet needs of dying patients and their families for whom traditional medical care was no longer effective.”Herbert Hendin, an executive director of the American Suicide Foundations illustrates a story of a young man diagnosed with acute myelocytic leukemia and was expected to have only a few months before he died. He persistently asked the doctor to assist him, but he eventually accepted the medical treatment. His doctor told him he can use his time wisely to become close to his family. Two days before he died, Tim talked about what he would have missed without the opportunity for a
Nurses are both blessed and cursed to be with patients from the very first moments of life until their final breath. With those last breaths, each patient leaves someone behind. How do nurses handle the loss and grief that comes along with patients dying? How do they help the families and loved ones of deceased patients? Each person, no matter their background, must grieve the death of a loved one, but there is no right way to grieve and no two people will have the same reaction to death. It is the duty of nurses to respect the wishes and grieving process of each and every culture; of each and every individual (Verosky, 2006). This paper will address J. William Worden’s four tasks of mourning as well as the nursing implications involved – both when taking care of patients’ families and when coping with the loss of patients themselves.
Breaking rules is what makes humans learn. This is what David Levithan interpreted in his 322-page fictional novel, Every Day. David Levithan uses characterization, vivid imagery, and irony to convey to readers that systems don’t follow rules.
In one portion of Gilman’s story, the narrator describes an act of treatment that her husband and physician had implemented.
Hutchinson, Tom “Illness and the hero’s journey: still ourselves and more”, CMAJ. 162.11 (2000):p.1597 web (date accessed).
Isn’t it overwhelming to consider the fact that approximately one in eight deaths in the world are due to cancer? To make this more comprehensible, the number of deaths caused by cancer is greater than caused by AIDS, tuberculosis, and malaria combined. Along with the idea that this disease does not have a definite cure is a mind-staggering concept to grasp. If not caught in time, cancer means guaranteed death. These types of thoughts were floating around my head when my mother had told me that my father had mouth cancer.
Kübler-Ross, Elisabeth. On Death and Dying: What the Dying Have to Teach Doctors, Nurses, Clergy and Their Own Families. London: Routledge, 2009. Print.
One aspect of life that most individuals take for granted is physical health. Most people assume that an individual cannot lose physical health or if somebody becomes sick the health care system will be able to recover one’s health with the new medical advances that are always happening around the world. However, this is not always the case some individuals have to face a chronic loss of health and deal with the implications of this on their life. The loss of health I will be talking about today is not a direct loss of personal health, but a loss of health that my father experiences and how different components of this loss affected my family and I’s life.
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.