Doctors need to talk about death instead of trying to keep patients alive at any cost

I like this title: Doctors need to talk about death instead of trying to keep patients alive at any cost.

This was the title used by Kate Mclean in her article:

Doctors Need To Talk About Death Instead Of Trying To Keep Patients Alive At Any Cost
I am an advocacy of this medical management since I started my private practice in 1982. I somehow formalized my advocacy when I started formulating my Self-declared Life Plan / Intentional Living Plan Program in 1994. I formalized my advocacy on this through my ROJ-OCIL on Intentional Living in October 2019.

I will continue to advocate this up to the time I die.

I am collecting articles written by other authors to support my advocacy. Here are 3 of them so far. I hope other people will show me more.

Doctors Need To Talk About Death Instead Of Trying To Keep Patients Alive At Any Cost…/doctors-talking-to-patients-deat…

My 92-Year-Old Father Didn’t Need More Medical Care…/we-protected-my-term…/604312/…

Atul Gawande’s ‘Being Mortal’…/atul-gawande-being-mortal-review.…

How to prepare yourself for a good end of life…/How-to-prepare-yourself-for-t…

May 7, 2019, 10:16 PM

How to prepare yourself for a good end of life

This article supports, substantiates, affirms, validates and endorses (SSAVE) ROJoson’s Intentional Life Plan Project and Advocacy.

Some exceprts that I pick up from this article the SSAVES my Intentional Life Plan Project and Advocacy:

The peculiar problems of modern death — often overly medicalized and unnecessarily prolonged – …..

According to a 2017 Kaiser Foundation study, 7 in 10 Americans hope to die at home. But this is not happening. This state of affairs has many causes, among them fear, a culture-wide denial of death, ignorance of medicine’s limits, and a language barrier between medical staff and ordinary people.

Have a vision. Imagine what it would take you to die in peace and work back from there. Once you’ve got the basics clear, expand your horizons.

Stay in charge. If your doctor isn’t curious about what matters to you or won’t tell you what’s going on in plain English, fire that doctor.

Know the trajectory of your illness. If you face a frightening diagnosis, ask your doctor to draw a sketch tracking how you might feel and function during your illness and its treatments. A visual will yield far more helpful information than asking exactly how much time you have left.

When you become fragile, consider shifting your emphasis from cure to comfort and find an alternative to the emergency room.

Find your tribe and arrange caregivers.

Don’t wait until you’re at death’s door to explore your passions, deepen your relationships and find your posse.

Take command of the space. No matter where death occurs, you can bring calm and meaning to the room.

Clean house: Hospice nurses often list five emotional tasks for the end of life: thank you, I love you, please forgive me, I forgive you, and goodbye.

Think of death as a rite of passage. In the days before effective medicine, our ancestors were guided by books and customs that framed dying as a spiritual ordeal rather than a medical event. Without abandoning the best of what modern medicine has to offer, return to that spirit.

Over the years, I’ve learned one thing: Those who contemplate their aging, vulnerability and mortality often live better lives and experience better deaths than those who don’t. They enroll in hospice earlier, and often feel and function better — and sometimes even live longer — than those who pursue maximum treatment.

We influence our lives, but we don’t control them, and the same goes for how they end. No matter how bravely you adapt to loss and how cannily you navigate our fragmented health system, dying will still represent the ultimate loss of control.

But you don’t have to be a passive victim. You retain moral agency. You can keep shaping your life all the way to its end — as long as you seize the power to imagine, to arrange support and to plan.


I, ROJoson, have this template of Intentional Life Plan for those with terminal illness (about 6 months to live). This was adopted by GCG.

My Intentional Life Plan

6 months (March 2019 – August 2019)


1. Try my best to stay alive and productive up to my last moment on earth.
2. Make peace with God.
3. Make peace with everybody.
4. Endorse my material possessions.
5. Make clutter management of my stuff.
6. Make an advance directive on how my family will manage me when I am near death and after I die.
7. Bond or maximize bonding with my family.
8. Enjoy myself to the maximum or fullest.

Will try to complete Nos. 2 to 6 as soon as possible without waiting for 6 months. Will try to complete Nos. 2 to 6 within 2 months as much as possible.

GCG has stage 4 pancreatic cancer (with liver metastasis).

As of May 2019, 2 months after she made her Intentional Life Plan, GCG has accomplished 1, 2, 3, 5, 6, 7, and 8. She is still finalizing No.4.

She has completed an advance health care directive staying that she does not want to die in the hospital and she does not want any form of life support system (she will just accept pain medications). She has made advance funeral and burial instructions (she wants cremation right away).


End-of-life care is the term used to describe the support and medical care given during the time surrounding death.

Hospice is provided for a person with a terminal illness whose doctor believes he or she has 6 months or less to live if the illness runs its natural course.

Palliative care is medical care for people living with a serious illness. This type of care is focused on relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family.

What is terminally ill? definition and meaning

Terminally Ill
A status assigned to a person who has been diagnosed with an illness and is expected to die within a certain time frame, usually six months.

Read more:

Terminal illness is a disease that cannot be cured or adequately treated and that is reasonably expected to result in the death of the patient within a short period of time. This term is more commonly used for progressive diseases such as cancer or advanced heart disease than for trauma. In popular use, it indicates a disease that eventually ends the life of the sufferer.

The status of a person expected to die within 6 months from a specific condition, and thus may need hospice care
Medical Webster Dictionary


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