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Dying Well: Peace and Possibilities at the End of Life Paperback – March 1, 1998

123 customer reviews

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Editorial Reviews

Amazon.com Review

On his deathbed, faced with creditors and unpaid bills, Oscar Wilde said despairingly, "I am dying beyond my means!" If only the poor, beleaguered genius had read this book! None of us gets out of here alive, but reading this book will lessen your fear of the ultimate end and give you some guidance about enjoying your life to the fullest right up until your final moment. Do people really enjoy life in the face of death? People do. The stories of individuals in Dr. Byock's book will move and inspire you to change your feelings about the end of your life, and also your feelings about your life in the present. --This text refers to an out of print or unavailable edition of this title.

From Publishers Weekly

This study of how to die well displays uncommon vitality. Byock, president elect of the American Academy of Hospice and Palliative Care, is a gifted storyteller. Beginning with his own father's terminal illness, he details without scientific cant the process of decline that awaits most of us. The case studies, which form the humanistic soul of this work, never devolve into the maudlin or saccharine. Life on the edge of the great crossing is explored in all its sadness and pathos, but Byock also makes room for wisdom, hope and even the joy of final understanding. By recounting the passages of patients in his Missoula, Mont., practice, Byock makes a forceful case for hospice care and against physician-assisted suicide. He demonstrates how the physical pain and emotional despair of the dying may be handled. The family constellation of the terminally ill is also analyzed, with emphasis on a hospice's ability, through its doctors, nurses, psychologists and social workers, to help those left behind. Not only is this book informative, especially the question-and-answer section at the end, it is also insightful. Readers will sense Byock's personal growth as his understanding of final issues flowers through a 20-year specialization. Byock recalls his growth from a callow resident to a concerned son and, finally, to a healer with a mission. Whether it's the middle-aged mother who must resolve disillusionment with her sister, the bitter father of three who achieves serenity or the gutsy teenage girl with a rare genetic disease, the people whose sojourns Byock recounts receive from him the dignity they merit. German rights to Kinder Verlag; author tour.
Copyright 1996 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.
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Product Details

  • Paperback: 320 pages
  • Publisher: Riverhead Books; 1 edition (March 1, 1998)
  • Language: English
  • ISBN-10: 1573226572
  • ISBN-13: 978-1573226578
  • Product Dimensions: 6 x 0.8 x 9 inches
  • Shipping Weight: 9.6 ounces (View shipping rates and policies)
  • Average Customer Review: 4.7 out of 5 stars  See all reviews (123 customer reviews)
  • Amazon Best Sellers Rank: #25,426 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews

189 of 195 people found the following review helpful By daphne.stevens@att.net on July 26, 2000
Format: Paperback
This book is one of those rare works that combines passionate engagement with a universal issue, artful storytelling, and clinical expertise. The author allows each of the patients he describes to bless him, and thereby to bless the reader. Dying, the author argues, is not simply a holding pattern between life and death. It is a vital developmental time that holds infinite possiblities for deepening, learning to love, serving one another both as caregiver and receiver of care, and simply learning to "be" after what often has been a lifetime of mechanistic "doing." Such possibility is created when simple principles of Hospice are honored. Pain must be absolutely controlled. The patient (and the family) must be tenderly companioned. Such care, the author convinces us, is a privilege, a holy time in which human beings gather together in the face of Mystery in all of its agony and joy and wonder and transcendent meaning. We can only create human community, the author suggests, when we are willing to simultaneously look death in the face and to remain open to the gift of healing. I closed the book more alive, more thankful, less fearful, and more curious about the prospect of the adventures ahead.
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116 of 118 people found the following review helpful By J. Dietsch on February 16, 2000
Format: Paperback
I'm the kind of person whose eyes start to glaze over if I try to absorb more than a few pages of social science/self help type writing. I was steered to this book when I was helping my mother as she died. I had so little experience with death that I worried about doing the wrong thing. As I read the stories I was drawn in, absorbing each small "message" with each story. One, about a man whose final gift to his family was to allow them to help him as he died, touched me so deeply I read it to my mother in her last days. I wish I'd read this book earlier but I don't think it could ever be too late.
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100 of 102 people found the following review helpful By Kirie Pedersen on December 7, 2005
Format: Paperback
When I was quite young, with a pre-teen stepdaughter, my husband was diagnosed with terminal cancer. He was ill for the duration of my stepdaughter's adolescence. I sought vainly for guidance about caring for a loved one whose life is ebbing slowly away. Nobody ever told me a dying person might be angry or might lash out at those with whom he was most close. Now that I've read Dr. Ira Byock's "Dying Well," I understand. According to Dr. Byock, founding member of one of the most extensive hospice and palliative care groups in the United States, those with serious illnesses may lash out from pain, or from a sense that they have lost their dignity, the ability to *do.* Men and women who have devoted their healthy lives to caring more about others than about themselves feel equally angry and often humiliated. Caregivers and patients alike lack vocabulary for the entirely new language--verbal and non-verbal--of dying. Indeed, it may be a language we don't want to learn any more than the seriously ill person wants to face the unknown ahead. From his decades of hospice and palliative care, Ira Byock selects specific family groups to illuminate responses to illness, pain, and death. He details the attitudes, behaviors, and methods to preserve dignity through accurate assessment of discomfort and pain. He shows us how to listen. "Dying well" provides a narrative and vocabulary to ease our linguistic and emotional awkwardness. Byock's book belongs in every medical and home health care facility, counseling office, and home library.
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40 of 41 people found the following review helpful By Judy K. Underwood on January 23, 2007
Format: Paperback
I was overwhelmed with the task of helping my dear friend in the last 11 months of her life. She was diagnosed with terminal cancer and asked me for help to die "a good death." I had no experience in end-of-life issues but wanted to help her in any way I could. I was frequently overwhelmed by it all. Most of the books I found on the topic were too long or too difficult to read during this emotional time. When I found Dr. Ira Byock's book, Dying Well, I finally felt like I had a friend to support me. Each of his stories helped me in a different way. Having this book in my library has served as a valuable resource many times. If you're not up to reading the whole thing, the Question and Answer Section at the end is worth the price of the book.

Judy K. Underwood, Ph.D., Author, Dying: Finding Comfort and Guidance in a Story of a Peaceful Passing, [...]
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32 of 33 people found the following review helpful By Patricia Lavins on June 27, 2000
Format: Paperback
Anyone who is or could be a caregiver or patient needs to read this book. A good death is indeed an achievable goal but it is one that requires the active assistance of patient and family if it is to be achieved in this day and age. The medical community does not take the time to present the required information that people need to make informed decisions. This book does the job for them.
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28 of 29 people found the following review helpful By A Customer on January 14, 1999
Format: Paperback
This wonderful book approaches the process of dying using individual case vignets which illustrate the essence of the book: no one need die in pain. Dr. Byock outlines care available to terminal patients, both through hospice and palliative medical options. He addresses the subject with regard to both dying persons and those who love and care for them. One purpose of Dr. Byock's book is stated to be to be an effort to elevate dialogue from that of painful death vs. euthanasia to painful death vs. non-painful death. He shows that, through the specialty of Palliative Medicine, consideration of euthanasia becomes unnecessary. This is the first book I've read (Kubler-Ross, Stephen Levine, etc.) that gives specific information regarding how to assist people in the process of dying by making available physical, emotional and psychic support. Anyone facing death (and aren't we all?) will sleep better knowing that they and they're loved ones can die comfortably with the help of the medical community and hospice. This is a "must have" book for anyone pondering life's end.
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