The Good Enough Death

Amy Rothenberg ND
5 min readFeb 11, 2022

As a licensed naturopathic doctor, my job is to help patients feel better, to understand and address root causes of illness, and to offer lifestyle and natural medicine approaches for acute and chronic ailments. My focus is supporting my patients so they can live a life as healthy as possible. And still, patients die.

Photo by Randy Tarampi on Unsplash

As I round the corner of 36 years in practice, many of the patients I met 30 years ago when they were middle-aged or older, are now well into their 80s and 90s. And even the healthiest among them will eventually pass. During these pandemic years, while I have not personally lost a patient to COVID, the sheer number of deaths, and the specter of medicalized, difficult, and lonely deaths, raises the question, what does it mean to have a good death?

In a recent, comprehensive review article from the Lancet, 11 component elements of a good death are outlined:

§ “Relief from physical pain and other physical symptoms

§ Effective communication and relationship with healthcare providers

§ Performance of cultural, religious, or other spiritual rituals

§ Relief from emotional distress or other forms of psychological stress

§ Autonomy with regards to treatment-related decision making

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Amy Rothenberg ND

American Association of Naturopathic Physician’s 2017 Physician of the Year. Teacher, writer and advocate for healthy living. www.nhcmed.com