This is a comprehensive manual for anybody reaching the end of life, and for their caring friends, relatives, advocates, and caretakers. The author, an Episcopal priest, describes in detail the formidable challenges faced by those who wish to avoid months or years of painful treatment after they no longer have any hope of recovering any reasonable quality of life. Specific subjects include: the nature of physical death; legal documents to clarify one's wishes; the need for a strong advocate to have the patient's wishes honed moral questions that must be considered; means of dying painlessly once the decision is made; and much more, including how to respond to reluctant doctors, and the value of humour in communicating with a dying patient. Abraham emphasises that despite is position as a priest, this is not a religious book. It is intended for people of all faiths or no faith. People develop their own views on end-of-life issues, and for those who have not yet given it much thought, he offers facts and insights that are useful in forming one's moral beliefs. The decision, of course, must always be made by the patient, usually well ahead of time while he or she is able to make a sound judgment. If the patient desires continued medical treatment despite suffering and no means of recovery, that person's wishes must be honoured. However, he argues strongly that those who hope to avoid the terrible suffering that comes so often at the end of life should also have their wishes honoured. The book carries strong endorsements from a number of well-known authorities on death, dying, grief, and mourning, including Rabbi Earl A Grollman, the author of numerous best-selling books on death and grieving, and Derek Humphry, founder of the Hemlock Society and author of Final Exit.

About the Author

An Episcopal priest and thanatologist, John Abraham has spent most of his adult life as a pioneer in the fields of grief therapy, hospice, death education, and, more controversially, the right-to-die movement. This book is a product of those years of experience. Rabbi Earl A. Grollman, perhaps America’s best-known authority of death education and grief therapy, comments that “Whatever your opinions on the right-to-die movement, this is a book you must have in your library.” Abraham is also well-known for his sometimes unconventional sense of humor; perhaps personified by the his cover photo, standing next to his coffin, which serves as a bookcase pending its future use. His wit makes it easier for people to become educated on a serious subject, to be better prepared for their own eventual deaths and to advocate for their loved ones at the end of life.

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