Safe Patients, Smart Hospitals
How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out
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Safe Patients, Smart Hospitals
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Narrado por:
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Paul Heitsch
Acerca de esta escucha
First, do no harm - doctors, nurses, and clinicians swear by this code of conduct. Yet in hospitals and doctors' offices across the country, errors are made every single day - avoidable, simple mistakes that often cost lives. Inspired by two medical mistakes that not only ended in unnecessary deaths but hit close to home, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time.
Dr. Pronovost began with simple improvements to a common procedure in the ER and ICU units at Johns Hopkins Hospital. Creating an easy five-step checklist based on the most up-to-date research for his fellow doctors and nurses to follow, he hoped that streamlining the procedure itself could slow the rate of infections patients often died from. But what Dr. Pronovost discovered was that doctors and nurses needed more than a checklist: the day-to-day environment needed to be more patient-driven and staff needed to see scientific results in order to know their efforts were a success. After those changes took effect, the units Dr. Pronovost worked with decreased their rate of infection by 70 percent.
Today, all 50 states are implementing Dr. Pronovost's programs, which have the potential to save more lives than any other medical innovation in the past 25 years.
©2010 Peter Pronovost, MD, PhD, and Eric Vohr (P)2019 TantorLos oyentes también disfrutaron...
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Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's best-selling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last 10 years, neither error rates nor costs have come down, despite scientific progress.
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5 out of 5 stars
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Everyone should read this book.
- De Julie en 06-11-16
De: Marty Makary
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If I Betray These Words
- Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First
- De: Wendy Dean, Simon Talbot
- Narrado por: Wendy Dean
- Duración: 10 h y 26 m
- Versión completa
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General5 out of 5 stars 38
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Narración:5 out of 5 stars 34
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Historia5 out of 5 stars 34
Offering examples of how to make medicine better for the healers and those they serve, If I Betray These Words profiles clinicians across the country who are tough, resourceful, and resilient, but feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system. If I Betray These Words confronts the threat and broken promises of moral injury—what it is; where it comes from; how it manifests; and who’s fighting back against it. We need better healthcare—for patients and for the workforce. It’s time to act.
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5 out of 5 stars
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Dust bowl
- De Doc en 04-12-23
De: Wendy Dean, y otros
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The Problem of Alzheimer's
- How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
- De: Jason Karlawish
- Narrado por: Jason Karlawish, Jonathan Todd Ross
- Duración: 13 h y 41 m
- Versión completa
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General5 out of 5 stars 36
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Narración:4.5 out of 5 stars 28
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Historia5 out of 5 stars 28
In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. Sixteen million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their 70s and 80s, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis.
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5 out of 5 stars
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A must read
- De kara kuntz en 05-20-21
De: Jason Karlawish
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The Price We Pay
- What Broke American Health Care - and How to Fix It
- De: Marty Makary MD
- Narrado por: Marty Makary MD
- Duración: 9 h y 29 m
- Versión completa
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General5 out of 5 stars 971
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Narración:5 out of 5 stars 847
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Historia5 out of 5 stars 841
One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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5 out of 5 stars
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Very important book!
- De Wayne en 05-17-21
De: Marty Makary MD
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Confessions of a Surgeon
- The Good, the Bad, and the Complicated...Life Behind the O.R. Doors
- De: Paul A. Ruggieri MD
- Narrado por: Eric Martin
- Duración: 8 h y 2 m
- Versión completa
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General4.5 out of 5 stars 308
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Narración:4.5 out of 5 stars 281
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Historia4.5 out of 5 stars 281
As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting.
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4 out of 5 stars
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Enjoyed the anecdotes!
- De suzanne en 07-31-17
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The Desperate Hours
- One Hospital's Fight to Save a City on the Pandemic's Front Lines
- De: Marie Brenner
- Narrado por: Kirsten Potter
- Duración: 15 h y 41 m
- Versión completa
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General4.5 out of 5 stars 46
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Narración:4.5 out of 5 stars 40
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Historia4.5 out of 5 stars 40
In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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3 out of 5 stars
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Way too much politics
- De Josh en 07-18-22
De: Marie Brenner
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Less Medicine, More Health
- 7 Assumptions That Drive Too Much Medical Care
- De: H. Gilbert Welch
- Narrado por: L. J. Ganser
- Duración: 8 h y 18 m
- Versión completa
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General5 out of 5 stars 103
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Narración:5 out of 5 stars 92
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Historia4.5 out of 5 stars 92
The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated - and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
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4 out of 5 stars
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The truth will set you free
- De Rene B Milner en 04-01-16
De: H. Gilbert Welch
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In Pain
- A Bioethicist’s Personal Struggle with Opioids
- De: Travis Rieder
- Narrado por: Travis Rieder
- Duración: 8 h y 56 m
- Versión completa
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General4.5 out of 5 stars 126
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Narración:4.5 out of 5 stars 110
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Historia4.5 out of 5 stars 111
A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal - a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic.
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5 out of 5 stars
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An essential read in a time of crisis
- De Kelly Heuer en 06-25-19
De: Travis Rieder
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Silent Invasion
- The Untold Story of the Trump Administration, Covid-19, and Preventing the Next Pandemic Before It's Too Late
- De: Deborah Birx
- Narrado por: Kathe Mazur
- Duración: 22 h y 3 m
- Versión completa
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General4.5 out of 5 stars 132
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Narración:4.5 out of 5 stars 114
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Historia4.5 out of 5 stars 115
In late February 2020, Dr. Deborah Birx—a lifelong federal health official who had worked at the CDC, the State Department, and the US Army across multiple presidential administrations—was asked to join the Trump White House Coronavirus Task Force and assist the already faltering federal response to the Covid-19 pandemic. For weeks, she’d been raising the alarm behind the scenes about what she saw happening in public—from the apparent lack of urgency at the White House to the routine downplaying of the risks to Americans.
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5 out of 5 stars
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Great insight into Public Health
- De Ann-Karen Weller en 05-09-22
De: Deborah Birx
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Epic Measures
- One Doctor. Seven Billion Patients.
- De: Jeremy N. Smith
- Narrado por: Patrick Lawlor
- Duración: 10 h y 12 m
- Versión completa
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General4.5 out of 5 stars 62
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Narración:4.5 out of 5 stars 51
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Historia4.5 out of 5 stars 49
Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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5 out of 5 stars
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Fabulously insightful read!
- De Dr. Jack E. Fincham en 10-08-15
De: Jeremy N. Smith
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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- De: Brendan Reilly
- Narrado por: Rob Shapiro
- Duración: 15 h y 7 m
- Versión completa
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General4.5 out of 5 stars 2,238
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Narración:4.5 out of 5 stars 2,034
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Historia4.5 out of 5 stars 2,030
An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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5 out of 5 stars
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Simply Brilliant
- De Blue en 06-20-14
De: Brendan Reilly
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How Doctors Think
- De: Jerome Groopman M.D.
- Narrado por: Michael Prichard
- Duración: 10 h y 27 m
- Versión completa
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General4 out of 5 stars 754
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Narración:4 out of 5 stars 397
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Historia4.5 out of 5 stars 398
On average, a physician will interrupt a patient describing her symptoms within 12 seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong: with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
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3 out of 5 stars
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Disappointing
- De Audiophile en 05-13-07
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Influencer, Second Edition
- The New Science of Leading Change
- De: Joseph Grenny, Kerry Patterson, David Maxfield, y otros
- Narrado por: Joseph Grenny
- Duración: 8 h y 10 m
- Versión completa
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General4.5 out of 5 stars 88
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Narración:4.5 out of 5 stars 72
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Historia4.5 out of 5 stars 72
From the best-selling authors who taught the world how to have Crucial Conversations comes the new edition of Influencer, a thought-provoking book that combines the remarkable insights of behavioral scientists and business leaders with the astonishing stories of high-powered influencers from all walks of life. You'll be taught each and every step of the influence process - including robust strategies for making change inevitable in your personal life, your business, and your world.
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5 out of 5 stars
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Absolutely would recommend
- De M D en 01-06-25
De: Joseph Grenny, y otros
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Where Does It Hurt?
- An Entrepreneur's Guide to Fixing Health Care
- De: Jonathan Bush, Stephen Baker
- Narrado por: Patrick Lawlor
- Duración: 7 h y 21 m
- Versión completa
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General4.5 out of 5 stars 145
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Narración:4.5 out of 5 stars 114
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Historia4.5 out of 5 stars 116
A bold new remedy for the sprawling and wasteful health care industry. In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices.
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2 out of 5 stars
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No critical thinking
- De Steve from MD en 07-31-14
De: Jonathan Bush, y otros
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- De: Sheila Himmel, Fran Smith
- Narrado por: Coleen Marlo
- Duración: 6 h y 49 m
- Versión completa
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General4.5 out of 5 stars 72
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Narración:4.5 out of 5 stars 62
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Historia4.5 out of 5 stars 62
There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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3 out of 5 stars
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Sadly, not very engaging.
- De Debra S. Long en 06-16-18
De: Sheila Himmel, y otros
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How Healing Works
- Get Well and Stay Well Using Your Hidden Power to Heal
- De: Wayne Jonas MD
- Narrado por: Ray Porter
- Duración: 11 h y 28 m
- Versión completa
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General4.5 out of 5 stars 59
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Narración:5 out of 5 stars 51
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Historia5 out of 5 stars 51
Drawing on 40 years of research and patient care, Dr. Wayne Jonas explains how 80 percent of healing occurs organically and how to activate the healing process. In How Healing Works, Dr. Wayne Jonas lays out a revolutionary new way to approach injury, illness, and wellness. Dr. Jonas explains the biology of healing and the science behind the discovery that 80 percent of healing can be attributed to the mind-body connection and other naturally occurring processes. Jonas details how the healing process works and what we can do to facilitate our own innate ability to heal.
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5 out of 5 stars
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AWESOME !
- De Paula en 08-06-18
De: Wayne Jonas MD
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Presidential Takedown
- How Anthony Fauci, the CDC, NIH, and the WHO Conspired to Overthrow President Trump
- De: Dr. Paul Elias Alexander, Kent Heckenlively
- Narrado por: Bob Johnson
- Duración: 9 h y 40 m
- Versión completa
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General5 out of 5 stars 37
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Narración:4.5 out of 5 stars 34
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Historia5 out of 5 stars 33
In January 2020, Donald Trump was on the fast track to an easy re-election. While his first two years had been stymied by House Speaker Paul Ryan, Senate Majority Leader Mitch McConnell, and the Democrats, his third year had been one of remarkable success. The United States had low unemployment and was making strides across the globe. The president's rallies were well-attended, and he was being projected to win four hundred electoral votes and about forty-five states. Then came COVID-19.
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5 out of 5 stars
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Must listen!!
- De Christina Borkowski en 01-10-23
De: Dr. Paul Elias Alexander, y otros
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A Bittersweet Season
- Caring for Our Aging Parents - And Ourselves
- De: Jane Gross
- Narrado por: Kate Reading
- Duración: 15 h y 35 m
- Versión completa
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General4.5 out of 5 stars 82
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Narración:4.5 out of 5 stars 72
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Historia4.5 out of 5 stars 74
In telling the intimate story of caring for her aged and ailing mother, Jane Gross offers indispensable, and often surprising, advice for the rapidly increasing number of adult children responsible for aging parents. Gross deftly weaves the specifics of her personal experience with a comprehensive resource for effectively managing the lives of one's own parents while keeping sanity and strength intact.
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5 out of 5 stars
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Exceptional, thought-provoking, liberating!
- De Anne en 08-10-11
De: Jane Gross