Like most other reviewers here, my life has been touched by the kind hearts and helping hands of hospice nurses and so I was very interested to hear about other experiences. In my case, I have only ever seen "good death" results (where the person died peacefully and in comfort) although I know that it is not a guarantee from any hospice service provider. Although I know that the job has changed significantly in the past few years (Ms. Telpner touches on this briefly as her decision to leave; while technology has made some aspects of the job easier it also distances staff from the patients and turns a "care" role into an administrative one -- this is echoed by nurses near and far) I have seen some agencies manage their patients in the 'same old way' as ever and never let their requirements get in the way of patient care. This is admirable, but again cannot be guaranteed.
In this book, Telpner shares stories of some of her patients from a range of backgrounds. Many people do not realize that hospice is available to EVERYONE and so Telpner's role took her to mansions and also meth lab houses. Being the consummate professional, she does not let the environment affect the way she treats her patients. Although if it sounds too goody-two-shoes, there's plenty of down-to-earth moments and frank admissions to make the reader feel that Telpner is being truthful (i.e., being forced to act in counter-intuitive ways by management, having patients who she just doesn't "click" with, etc.).
If you're looking for an insider's look about the hospice industry, this is a great recommendation. It is not meant to be a step-by-step guide on "how to die" but gives a good foundation for what to expect (Will hospice nurses kill you? No. Even if you ask nicely? Still no. Will you get enough pain medicine? Yes. Will I poop my pants? Probably, but who cares? Enjoy what your body can do while it still can do it!) and possibly even what to ask for -- if a nurse doesn't "click" ask for someone else, if you want to be handled a certain way, speak up. You don't have to pray or be stoic -- cry if you want to, pretend you're in a play if you'd like, dress fancy or refuse clothes all together. Hospice is like a doula service into death. They will help you make a smooth transition with as little pain and fear as they can and you have a right for it to be handled the way you want it. If you're lucky to have caregivers as compassionate and understanding as Telpner, you're in for a remarkable transition.