Introduction Terminology

Relationships with anyone Relationships with doctors

Desires … … leading to Care Systems
Closing phase of life

Lessons learned Random statistics

Introduction

If, three years from now, you share responsibility for a loved-on whose mind and/or body is falling apart, you will wish that today you had started to learn about that.

In 2022, the current state-of-the-art is the book Being Mortal:  Medicine and What Matters in the End by Dr Atul Gawande.
   The book is about our struggle to cope with the constraints of human biology.  Where our current medical power to control that is finite.

This article is basically my notes from this book.  [Notes from me alone appear below in square brackets.]

Perhaps someday, there will be better materials.  But today, this is what I know:

Relationships with anyone

Really 👂︎ listen to people:

Desires …

Socioemotional selectivity theory:

Terminally-ill people want to:

Thus, we attempted to create care systems that lets people do this …

Closing phase of life

Remember the narrowing focus, to here and now – the people and experiences near us.

A mounting series of crises, from which medicine can offer only temporary rescue.

[With 📱︎☎ 911, or] in the 🏥︎ ER/ED or hospital, you may lose all control over your care:

Review sections on Hospice treatment priorities above, and Lessons learned below.

Random statistics …

63% of doctors overestimate future survival time, by an average of 530%!  Only 17% of doctors underestimate future survival time.

Risk factors for falling (and breaking your hip):

Cancer costs are U-shaped:

25% of Medicare spending is for 5% of patients, in their final year of life.

More than half of those living in 3-Stage Retirement Villages 3SRVs run through their savings.