03350nam 22005173 450 991016284810332120210901203222.01-101-98257-8(CKB)3710000001044454(MiAaPQ)EBC6057287(Au-PeEL)EBL6057287(OCoLC)1156037429(EXLCZ)99371000000104445420210901d2017 uy 0engurcnu||||||||txtrdacontentcrdamediacrrdacarrierExtreme Measures Finding a Better Path to the End of LifeEast Rutherford :Penguin Publishing Group,2017.©2017.1 online resource (275 pages)1-101-98255-1 Alone in the trenches -- The end-of-life conveyor belt -- Abandoned in a sea of options -- The illusion collusion -- Where we come from -- Who we are -- The personal toll -- Sharing the journey."An ICU and Palliative Care specialist featured in the Netflix documentary Extremis offers a framework for a better way to exit life that will change our medical culture at the deepest level In medical school, no one teaches you how to let a patient die. Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care--to become an ICU physician--and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter's journey from wanting to be one kind of hero to becoming another--a doctor who prioritizes the patient's values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself : the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients' pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully. Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human."--Provided by publisher.Terminal careTerminally illCareMEDICAL / Terminal CarebisacshMEDICAL / EthicsbisacshMEDICAL / Critical CarebisacshTerminal care.Terminally illCare.MEDICAL / Terminal Care.MEDICAL / Ethics.MEDICAL / Critical Care.616.02/9MED042000MED050000MED015000bisacshZitter Jessica Nutik1246632MiAaPQMiAaPQMiAaPQBOOK9910162848103321Extreme Measures2890362UNINA