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The themes of beneficence and Autonomy stood out to my most because they played cohesive roles in this book. Health care providers want to do what is best for the patient. They make choices to improve their patient's wellbeing. In the case of dying, autonomy is what is best for the patient. They should be in charge of the rest of their life. The provider will give all of the options and the patient chooses what works for them best. Making sure the patient is comfortable creates an easier passing for them and the family. When Paul said he wanted to be home he was asked what made home and he said his daughter. He was able to have his wife and daughter at his side when he passed and that helped put him at ease. And letting the patients make these end of life decisions allows them a sense of ownership of themselves. This gives them a sense of being in charge of their body when they feel like they no longer have control over it. We cannot prevent death, but we can help make it comfortable.

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This book will help me with my profession and my personal life. As I am writing this now I found out that my grandmother has been admitted to the hospital for the third time since having Covid. I am hoping to take what I learned from the wife's section of the book as my family is uncertain what is going to happen. Death is a possibility but so is life. But it is important to plan for both.
I hope to work in the emergency department after graduation and I am sure that I will encounter death and dying. This book has taught me a few things. Medicine and science is flawed. There will be times where I will not be able to prevent death. Time dictates how we live and the choices we make. People who have less time have different priorities than others and those needs are met differently. Also, death brings people together. Family will want to be around their loved one before that person passes. Nursing care will need to be given to the family and friends as much as it needs given to the patient. Therapeutic care will be something I have to practice but I hope to always be mindful when caring for my patients and their families.

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Death comes for all of us. For us, for our patients: it is our fate as living, breathing, metabolizing organisms   Most lives are lived with passivity toward death— it’s something that happens to you and those around you. P64

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“The tricky part of illness is that, as you go through it your values are constantly changing. You try to figure out what matters to you, and then you keep figuring it out. It felt like someone had taken away my credit card and I was having to learn how to budget. You may decide you want to spend your time working as a neurosurgeon, but two months later, you may feel differently. Two months after that, you may want to learn to play the saxophone or devote yourself to the church. That may be a one-time event, but living with terminal illness is a process.” P 86

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I have witnessed a lot of death and dying in my life. It is something that will happen to me one day; yet, I do not live my life as though it will happen. I don't think we acknowledge out death until it is no longer passive. We tend to make plans about how we want to die once we know it is approaching. This strikes because we do not know when we will die and for some of us it will happen unexpectedly. We know this and still we do not prepare for it.

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I chose this picture because I think it represents the dying process. You are led down one path until you have to choose a new one. This process is repeated over and over until the inevitable end is reached.

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As we grow, we change. The more we learn the more it alters our choices. For me that is learning what kind of nurse I want to be and where I want to work. It is interesting to think that learning when I will die could change my life completely. All of your goals are different if you cannot think long term. That would also change how you prioritize them. Simply knowing when you will die can change the way you view life.