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''Being Mortal: Medicine and What Matters in the End'' is a 2014 non-fiction book by American surgeon
Atul Gawande Atul Atmaram Gawande (born November 5, 1965) is an American surgeon, writer, and public health researcher. He practices general and endocrine surgery at Brigham and Women's Hospital in Boston, Massachusetts. He is a professor in the Departmen ...
. The book addresses
end-of-life care End-of-life care (EoLC) refers to health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotio ...
,
hospice Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by ...
care, and also contains Gawande's reflections and personal stories. He suggests that medical care should focus on well-being rather than survival. ''Being Mortal'' has won awards, appeared on lists of best books, and been featured in a documentary.


Description

''Being Mortal'' is a meditation on how people can better live with age-related frailty, serious illness, and approaching death. Gawande calls for a change in the way that medical professionals treat patients approaching their ends. He recommends that instead of focusing on survival, practitioners should work to improve quality of life and enable well-being. Gawande shares personal stories of his patients' and his own relatives' experiences, the realities of old age which involve broken hips and dementia, overwhelmed families and expensive geriatric care, and loneliness and loss of independence. In the beginning of the book he explores different models of senior living, including concepts such as
poorhouse A poorhouse or workhouse is a government-run (usually by a county or municipality) facility to support and provide housing for the dependent or needy. Workhouses In England, Wales and Ireland (but not in Scotland), ‘workhouse’ has been the ...
s, multi-generational households and
nursing home A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
s. Gawande explores personal stories as well as accounts from geriatric doctors such as Keren Brown Wilson, an originator of the
assisted living An assisted living residence or assisted living facility (ALF) is a housing facility for people with disabilities or for adults who cannot or who choose not to live independently. The term is popular in the United States, but the setting is s ...
concept. He ruminates on stories of people dealing with age-related frailty, serious illness and death, and his own confrontation with mortality. Gawande emphasizes the notion that people nearing death should be given the opportunity to live a meaningful life and still have a purpose. In the latter part of the book, Gawande shifts to end-of-life medical care and mentions practices such as
euthanasia Euthanasia (from el, εὐθανασία 'good death': εὖ, ''eu'' 'well, good' + θάνατος, ''thanatos'' 'death') is the practice of intentionally ending life to eliminate pain and suffering. Different countries have different eut ...
and
physician-assisted suicide Assisted suicide is suicide undertaken with the aid of another person. The term usually refers to physician-assisted suicide (PAS), which is suicide that is assisted by a physician or other healthcare provider. Once it is determined that the p ...
. He postulates that hospice is the most humane model of care. The book includes two of Gawande's New Yorker essays, which make up two of the book's eight chapters: "Things Fall Apart" and "Letting Go".


Awards

''Being Mortal'' won
British Medical Association The British Medical Association (BMA) is a registered trade union for doctors in the United Kingdom. The association does not regulate or certify doctors, a responsibility which lies with the General Medical Council. The association's headquar ...
Council Chair's Choice, the overall prize, at the BMA Medical Book Awards, and the
National MS Society The National Multiple Sclerosis Society (NMSS) is a nonprofit organization that was founded in New York City as the Association for Advancement of Research on Multiple Sclerosis on March 11, 1946 by Sylvia Lawry. Ms. Lawry was a lawyer looking fo ...
Books for a Better Life Award Winner. Other recognitions include,
Samuel Johnson Samuel Johnson (18 September 1709  – 13 December 1784), often called Dr Johnson, was an English writer who made lasting contributions as a poet, playwright, essayist, moralist, critic, biographer, editor and lexicographer. The ''Oxford ...
Prize for Non-Fiction Nominee for Longlist (2014), Royal Society of Biology General Book Prize (2015), Oprah.com Best Books of the Year, ''
Los Angeles Times The ''Los Angeles Times'' (abbreviated as ''LA Times'') is a daily newspaper that started publishing in Los Angeles in 1881. Based in the LA-adjacent suburb of El Segundo since 2018, it is the sixth-largest newspaper by circulation in the Un ...
'' Holiday Books Guide,
BuzzFeed BuzzFeed, Inc. is an American Internet media, news and entertainment company with a focus on digital media. Based in New York City, BuzzFeed was founded in 2006 by Jonah Peretti and John S. Johnson III to focus on tracking viral content. Ken ...
Best Books of the Year,
Shelf Awareness Shelf Awareness is an American publishing company that produces two electronic publications/newsletters focused on bookselling, books and book reviews. Overview With offices in Seattle, Washington, and Montclair, New Jersey, ''Shelf Awareness' ...
Best Books of the Year, Apple iBooks Best of the Year, L.A. Times Book Prize – Finalist,
NPR National Public Radio (NPR, stylized in all lowercase) is an American privately and state funded nonprofit media organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It differs from other ...
Best Book of the Year,
Indies Choice Book Awards The Indies Choice Book Award (formerly known as Book Sense Book of the Year 2000-2008) is an American literary award that was inaugurated at BookExpo America 2000. The American Booksellers Association (ABA) rededicated the award (previously kno ...
Winner, ''
Milwaukee Journal Sentinel The ''Milwaukee Journal Sentinel'' is a daily morning broadsheet printed in Milwaukee, Wisconsin, where it is the primary newspaper. It is also the largest newspaper in the state of Wisconsin, where it is widely distributed. It is currently o ...
'' Guide to the 100 Best Books of the Year,
Barnes & Noble Barnes & Noble Booksellers is an American bookseller. It is a Fortune 1000 company and the bookseller with the largest number of retail outlets in the United States. As of July 7, 2020, the company operates 614 retail stores across all 50 U. ...
Discover Great New Writers,
Audie Award The Audie Awards (, rhymes with "gaudy"; abbreviated from ''audiobook''), or simply the Audies, are awards for achievement in spoken word, particularly audiobook narration and audiodrama performance, published in the United States of America. They ...
Finalist,
Amazon's Best Books of the Year Amazon's Best Books of the Year is a list of best books created yearly by Amazon.com Amazon.com, Inc. ( ) is an American multinational technology company focusing on e-commerce, cloud computing, online advertising, digital streaming, and ...
, Barnes and Noble Best New Books of the Year, and ''
The Economist ''The Economist'' is a British weekly newspaper printed in demitab format and published digitally. It focuses on current affairs, international business, politics, technology, and culture. Based in London, the newspaper is owned by The Econo ...
'' Magazine Books of the Year.


Adaptations


Television documentary

"Being Mortal" was a
PBS The Public Broadcasting Service (PBS) is an American public broadcasting, public broadcaster and Non-commercial activity, non-commercial, Terrestrial television, free-to-air television network based in Arlington, Virginia. PBS is a publicly fu ...
Frontline Front line refers to the forward-most forces on a battlefield. Front line, front lines or variants may also refer to: Books and publications * ''Front Lines'' (novel), young adult historical novel by American author Michael Grant * ''Frontlines ...
documentary episode based on the book of the same name that aired February 2015. It was directed and co-written by Thomas Jennings; Gawande served as co-writer and correspondent. It follows Gawande "as he explores the relationships doctors have with patients who are nearing the end of life". The film shows how doctors—himself included—are often untrained, ill-suited and uncomfortable talking about chronic illness and death with their patients. "Being Mortal" was nominated for an
Emmy award The Emmy Awards, or Emmys, are an extensive range of awards for artistic and technical merit for the American and international television industry. A number of annual Emmy Award ceremonies are held throughout the calendar year, each with the ...
in the "Outstanding Informational Programming: Long Form" category.


Film

In February 2022,
Searchlight Pictures Searchlight Pictures, Inc. is an American film production company and a subsidiary of Walt Disney Studios, which is part of the Walt Disney Company. Founded in 1994 as Fox Searchlight Pictures, Inc. for 20th Century Fox (later 20th Century Stu ...
announced the development of a film adaptation written, directed, and produced by
Aziz Ansari Aziz Ismail Ansari (; born February 23, 1983) is an American actor and stand-up comedian. He is known for his role as Tom Haverford on the NBC series ''Parks and Recreation'' (2009–2015) and as creator and star of the Netflix series ''Master ...
in his feature directorial debut.


References

{{reflist 2014 non-fiction books American non-fiction books Metropolitan Books books Books about death Books by Atul Gawande Non-fiction books adapted into films