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12 min 39 sec
Available in:English

What Matters Most: Lessons the Dying Teach Us About Living

A death doula's stories about a lonely widower, a guarded rancher and a six-year-old who loved pink glitter show what really matters in life. Two short exercises help you act on it now.

Table of Content

Most of us leave the biggest question, what really matters, until illness forces it, and by then there is little time left to act on the answer. In What Matters Most, end-of-life doula Diane Button argues that the clarity people find in their final weeks does not have to wait. At the bedside, she has watched the dying let go of everything that wastes time and reach instead for love, meaning and forgiveness.

Her case is that to die well, you have to live well, and the preparation can start today. She builds it from the people she has accompanied. A lonely widower showed her what it means to be truly seen. A rancher who always said he was fine discovered the relief of honesty. A six-year-old girl and a jar of homemade paint made the case for celebrating now. Button then turns those lessons into two short exercises, a pen-and-paper reflection and a six-question checklist, that anyone can try this week.

A dying man cracked a joke about mint jelly at his last family dinner and left the world smiling. His granddaughter set out to understand what had made that peace possible, and that question started her journey.

A dying man walked into a doctor’s office smiling and met three people in a row. Only one of them looked him in the eye, and that small difference turned out to matter far more than anyone guessed.

A family was sure their dying father was hiding something, and they were right. But his reasons for keeping quiet were kinder than they thought, and the silence was hurting everyone in ways he never intended.

A six-year-old’s favorite color lived in a jug on a high shelf, kept back for special occasions. What happened when it came down says a lot about the good things most of us leave unused.

All you need is a pen, some paper and an imagined meal with the people you love most. The hard part comes when you picture it as the final one, and notice who sits at your table.

Button runs the same short checklist with clients near death, and once a month on herself. It sounds grim, but the questions are gentle, and the answers tend to point straight at a phone call you have been avoiding.

Button’s work looks like it is about dying, yet every story she tells is really about the weeks and years before. A doctor’s eye contact made Floyd’s week. One honest family meeting lifted a lifetime of bottled-up feeling from Roger. A jug of paint gave Rosie a whole day of joy and left pink handprints on her family’s wall. None of it was complicated. It only required noticing what mattered while there was still room to act.

That is why Button finds her work uplifting, even joyful. The bedside shows, in its plainest form, what a good life is made of, and her fulfilled elderly subjects named the same things: love, relationships, kindness, honesty and, for some, faith.

The practices that follow are small. Give the next person who serves you your full attention. Answer the next how are you with the truth. Open the thing you have been saving. And once a month, sit with the six questions and act on whatever is still unsaid.

Her grandfather left smiling about mint jelly. That kind of ending gets prepared at ordinary dinners, long before the last one.

About this book

What is this book about?

Most people wait for a diagnosis before they ask what really matters, and by then there is little time to act on the answer. Diane Button, an end-of-life doula who sits with people in their final weeks, argues that the clarity of the deathbed does not have to wait. Her rule is simple: to die well, you have to live well, and the preparation starts now. Button began with a question about her grandfather, who died smiling. Her master's research on fulfilled people aged 75 and over found the same threads again and again: love, relationships and kindness, sometimes supported by faith. Her clients made those findings personal. Floyd showed her the value of truly seeing someone, Roger the relief of honest talk, and young Rosie the case for celebrating now. The book turns these lessons into two practices you can try right now: a reflection built around an imagined last dinner, and a six-question final checklist Button uses on herself about once a month.

Book Information

Rating:

Genre:

Personal Development

Topics:

Purpose, Values, Vulnerability

Publisher:

Penguin Random House

Language:

English

Narrator:

Jenna

First published:

September 16, 2025

Pages:

256

Length:

12 min 39 sec

Get the book:

Amazon

Who it's for

  • Caring for someone dying

    Adults caring for a dying parent or friend who want to understand what brings peace at the end.

  • Professionals short on time

    Busy professionals who sense they keep postponing the people and pleasures that matter most.

  • Facing your own illness

    Anyone facing their own illness who wants simple, gentle ways to reflect and make amends.

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About the Author

Diane Button

Diane Button is an end-of-life doula and former hospice volunteer who helped found the Bay Area End-of-Life Doula Alliance and served on the board of the National End-of-Life Doula Alliance. She teaches in the University of Vermont's End-of-Life Doula Certificate Program. Her master's thesis in counseling psychology at Goddard College, The Components of a Meaningful Life, launched her work. She also wrote Dear Death and co-wrote The Doula Tool Kit. After a breast cancer diagnosis at 48, she and her children founded the nonprofit Dream of a Better World.

Ratings & Reviews

Ratings at a glance

4.4

Overall score based on 60 ratings.

What people think

Listeners find this work to be both touching and empathetic, containing lovely narratives regarding individuals in end-of-life circumstances. Beyond that, the book encourages deep reflection, with one listener observing that it softly draws people into the process of meaning-making. Listeners also value its accessible nature, as one listener describes it as a marvelous piece for everyone to enjoy together, and admire its profound humanity, with one listener specifically praising its look at personal relationships.

Top reviews

Prae

Rarely does a book about dying feel so vibrantly alive. Diane Button has managed to distill years of bedside wisdom into a narrative that is both heartbreaking and incredibly hopeful. I was particularly struck by the story of little Rosie and her pink glitter paint; it serves as a stunning reminder to stop saving the 'best' things for a future that isn't guaranteed. The writing is compassionate without being overly sentimental, which I really appreciated. Personally, I think every person—regardless of their age or health status—needs to sit with these pages for a while. It challenges you to look at your current relationships and ask if you're actually showing up for people in the ways that count.

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Akira

Wow. This was a lot more profound than I expected. I’ve read other books on mortality, but Button’s voice is so inviting that it never feels morbid or scary. Not gonna lie, I cried through several chapters, but it was that good kind of cathartic cry that makes you want to call your parents immediately. The 'final meal' exercise is such a simple but brilliant way to figure out what actually matters in your life. It is less about the food and all about the atmosphere and the people you choose to surround yourself with. High readability and deep humanity throughout every single page.

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Manop

The six-question checklist at the end of this book is worth the price of admission alone. I’ve spent a lot of time thinking about my 'bucket list,' but Button shifts the focus toward internal resolution rather than external achievements. Look, we all know we’re going to die eventually, but very few of us are actually preparing for the emotional side of that journey. This book bridges that gap perfectly. It is compassionate, clear-eyed, and surprisingly practical for a book about such a spiritual transition. I loved the emphasis on small, daily joys rather than grand gestures. It really helps you re-evaluate your daily priorities.

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Mattanee

As someone who works in healthcare, I found 'What Matters Most' to be an essential reflection on the human side of medicine. We often get so caught up in the 'doing' that we forget the 'being.' Button reminds us that sometimes the most important thing we can do for someone is just listen. The story of her grandfather’s peaceful passing was a lovely way to frame the rest of the book's lessons. It is a beautifully written testament to the power of presence. Even though some parts are incredibly sad, the overall tone remains one of peace and acceptance. It gently invites readers into the process of meaning-making.

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Woravit

Ever wonder what you’d say during your last meal? That’s just one of the thought-provoking exercises Button uses to help readers align their lives with their deepest values. I found the balance between storytelling and practical reflection to be just right for this subject. The focus on children like Rosie was particularly moving, showing that wisdom isn't just for the elderly or the experienced. Personally, I think this is a must-read for anyone who feels like they’re just 'going through the motions' lately. It’s a great invitation to stop and consider if you’re actually finding joy in your everyday life.

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Isabella

Finally got around to reading this, and it’s one of the most beautiful books I’ve picked up this year. It captures that poetic idea that we are all just walking each other home. The focus on relationships and letting go of superficial entrapments is exactly what I needed to hear right now. Button’s tone is so soothing, like a long conversation with a wise, trusted friend. While the topics are heavy—death, loss, and regret—the book somehow leaves you feeling lighter and more focused. It is a sacred conversation about what it means to be human and how to die without fear.

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Rome

Button’s perspective as a death doula offers a unique, grounded look at what it means to live well. While the book is structured as a series of anecdotes, the underlying message about emotional honesty really resonated with me, especially the chapter on Roger. It’s a bit of a wake-up call regarding the damage we do when we suppress our feelings just to protect others from our pain. To be fair, a few of the stories felt a little brief, and I wanted to dive deeper into the psychological research mentioned in the introduction. However, the overall impact is undeniable. It is a gentle, thoughtful guide to making meaning in the here and now.

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Bun

Picked this up because I was curious about what an end-of-life doula actually does. What I found was a manual for living with fewer regrets. The story of Floyd and his visit to the doctor really stayed with me; it’s a powerful illustration of how much a simple gesture of 'seeing' someone can change their entire week. Frankly, the book is a bit heavy at times, so you might need to take breaks between chapters to process the emotions. Still, the lessons on forgiveness and kindness are universal. It is a poignant collection that stays with you long after you close the cover and return to your busy life.

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Pia

This book is a quiet reminder that our time here is limited and precious. Diane Button doesn’t preach; she simply shares what she’s seen at the bedsides of hundreds of people during their final moments. The focus on 'meaning-making' is really well-handled and felt very authentic to the experience of grief and transition. I did find some of the transitions between stories to be a little abrupt, but that’s a minor quibble in an otherwise stellar book. The insights on kindness and human acknowledgment are things I’ll be thinking about for a long time. It is a very readable, compassionate piece of work for everyone.

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Som

Truth is, I found the pacing a bit repetitive after the first few chapters. While the individual stories are touching, they often hit the same thematic beats about love and forgiveness over and over again. I was hoping for a bit more of the clinical or academic side of her research mentioned in the opening. That said, Button’s writing is very accessible and her empathy for her clients is beautiful to see. It is a decent read for someone looking for emotional inspiration, even if it feels a bit light on new insights for those who already read a lot in this genre. It’s still quite a moving experience.

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Questions about this book

Button, who works as an end-of-life doula, holds that a good death depends on a good life, and that we can begin getting ready today. From her research on fulfilled people aged 75 and over and from her clients’ final weeks, she finds the same essentials again and again: love, relationships, kindness and honesty, sometimes supported by faith. Her stories show how to practice these long before the end.

An end-of-life doula, sometimes called a death doula, supports people during their final weeks or days. Button came to the work after volunteering in hospice. She listens, helps families talk openly, and guides people through reflective exercises. Many assume the work is sad, yet Button calls it uplifting and even joyful, and considers being asked to someone’s bedside a privilege.

The last checklist has six questions that Button asks clients, and herself roughly monthly: who matters most, what matters most, what worries you at night, what gives you joy by day, what you have not said and what you have not done. The answers often prompt an apology, a thank you or an overdue declaration of love.

Start small. Give the people you meet your full attention, as Floyd’s doctor did. When someone asks how you are, answer truthfully instead of saying fine. Use the things you are saving for a special occasion, the way Rosie finally got her pink glitter paint. Then try Button’s imagined last dinner and her six-question checklist to find what still needs saying.

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What Matters Most

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