Let Me Decide

John Jacono is an assistant professor of nursing at Laurentian
University.

Thinking of a time when we are no longer able to influence what may or
may not be done to our bodies is not a pleasant exercise. But think
about it we must, because the alternatives are frequently even more
unpleasant.

The authors of this short, easy-to-read book, printed appropriately in
large type, present several coherent arguments in favor of preparing
Advance Directives. These directives can be used not only to define
perceptions of what factors render a disease reversible or irreversible,
but also to determine what treatments (under certain circumstances) are
to be considered as either basic or heroic. Even more important, given
the current climate, is a reminder to consider including in these
Advance Directives instructions about transfusions, organ donations,
postmortems, and disposal of remains. The freedom to care and to grieve
that these Advance Directives impart to caregivers is of incalculable
value.

Readers approaching this subject for the first time should find the
short discussion and examples accompanying each of the sections in the
Advance Directive form very helpful. A copy of the form is conveniently
included in the centre section of the book.

Discussing and ultimately formalizing one’s wishes about final
treatment goes some way toward reducing the helplessness associated with
the disease process. This valuable book does the same.