End of Life Resources

Interviews and Lectures on End of Life

Why People Still Suffer at the End of Life (MP3)

As part of the Center's 25th Anniversary Lectures Series, Myra Christopher, President & CEO, examines why, in spite of progress made through the years, people still die alone in pain without the care we know how to give, and how we can change that. 


The Surrogacy Saga (MP3)

John Carney, president & CEO of the Center, discusses where to draw the line between physician guidance and respecting surrogate and patient wishes. Do surrogate decision makers need more help from doctors on end of life care? A couple of medical journals address this issue. (December 17, 2010)  


Facing Death (MP3)

How far would you go to sustain your life or the life of someone you love? When the moment comes, and you’re confronted with the prospect of "pulling the plug," do you know how you’ll respond? Those questions and many others are addressed in a PBS Frontline program on November 23, 2010 entitled Facing Death.


Transforming Care for People with Advanced Illness (MP3)

Living with advanced illness in America is painful, isolating and costly. Most people spend their last days alone in hospitals and nursing homes, often in pain, despite the availability of effective pain management. The current system fails the public, health providers and society. That is why “The Transformation Project: A New Initiative to Improve Advanced Illness Care” is creating a national consortium of leading organizations and individuals to work collaboratively on this issue.


To Feed or Not to Feed (MP3)

David Casarett, MD, Professor of Geriatrics at the University of Pennsylvania, discusses progress regarding questions about when and when not to use artificial nutrition and hydration. 


Should a Family Decide What Mom Didn't Say? (MP3)

It's a balancing act between improving end-of-life-care and protecting patients interests. Debra Schuster, JD, an elder law attorney in St. Louis, discusses whether surrogate decision-making is the answer.


What Now, Dr. Gawande? (MP3)

Myra Christopher, President & CEO, and John Carney, Vice President for Aging and End of Life at the Center, respond to Dr. Atul Gawande's August 2, 2010 New Yorker article: "Letting Go: What Should Medicine Do When It Can't Save Your Life?"


Hospice Care in Prison (MP3)

Carol McAdoo, National Hospice and Palliative Care Organization, discusses end of life in prison and why hospice is needed there. (August 6, 2010)


Mental Health and the End of Life (MP3)

Brian Carpenter, Professor of Psychology at Washington University in St. Louis, discusses what mental health needs are present at the end of life.


Chronic Disease and Aging (MP3)

The overwhelming majority of Americans will die of complications from a chronic disease. At the same time, that overwhelming majority will pay little attention to what that means. John Carney, vice president for aging and end of life at the Center for Practical Bioethics, discusses chronic disease and aging and the scope of issues involved, including changing expectations regarding end of life and need to better understand what works and what doesn't.


End of Life Issues in Missouri and Kansas (MP3)

Befuddled with the laws in Missouri and Kansas regarding end-of-life decisions for you and your family? Officials in both states are working to ensure practical preparations are being streamlined to address vital provisions including, living wills, durable powers of attorney and care outside of hospital concerns. Listen as John Carney, vice president for aging and end of life at the Center for Practical Bioethics, discusses these critical points that will impact families across the bi-state region. (February 26, 2009)



Please use the Menu Bar in the video screen to select a personal interview segment. 


End of Life: Reflections on a Good Death

Bioethics Forum Vol. 13 (1) Spring 1997

What Makes a Good Death? (PDF)

Shana Alexander and Nancy Pickard


My Ideal Death (PDF)

Nancy Pickard


A Good Death: Improving Care Inch by Inch (PDF)

Elise Ayers, MPH, Joan Harrold, MD and Joanne Lynn, MD


STILL/HERE Above Ground (PDF)

William Bartholome, MD


What Makes a Good Death? (PDF)

Daniel Callahan


Case Study: John (PDF)

Rosemary Flanigan, PhD


The Spice Box (PDF)

Myra Christopher


Reflections on a Good Death: An Interview with Carl E. Flemister (PDF)

Carl E. Flemister


A Good Death (PDF)

Alice Kitchen


A Good Death - Oxymoron (PDF)

Richard A. McCormick


Struggle (PDF)

Patrick Miller


An African American Looks at Death (PDF)

Marian Gray Secundy


End of Life: Treatment Redirection

Authors explore the ethical considerations in terminating aggressive curative treatment and moving toward aggressive palliative care. 


Bioethics Forum Vol. 14 (2) Summer 1998


Treatment Redirection: Moving from Curative to Palliative Care (PDF)


The Houston Process-Based Approach to Medical Futility (PDF)


Community Guidelines for End-of-Life Care: Incremental Change or Significant Reform (PDF)


A Meditation: May I Be a Cancerous Survivor? (PDF)


Considerations Regarding Withholding / Withdrawing Life-Sustaining Treatment (PDF)


Case Study: Barney Says No (PDF)


Practical Bioethics, Vol 2, No. 2 and 3, Summer 2006


The Ethics of Artificial Nutrition and Hydration: A Practical Guide (PDF)



End of Life Additional Resources