Name: 【TED】茱蒂麥克唐納強斯頓 (Judy MacDonald Johnston): 規劃美好臨終生活 (Judy MacDonald Johnston: Prepare for a good end of life)
Uploaded: 2013-06-21T14:00:14.000Z
Duration: 6 min 4 s

We all think a lot about how to live well.

I'd like to talk about increasing our chances of dying well.

但我想談的是如何增加善終的機會

I design reading programs for preschoolers.

comes from a qualitative study with a sample size of two.

In the last few years, I helped two friends

Jim and Shirley Modini spent their 68 years of marriage

吉姆和雪莉莫迪尼夫婦 (Jim and Shirley Modini) 結婚了 68 年

living off the grid on their 1,700-acre ranch

They kept just enough livestock to make ends meet

他們只飼養足以維生的少數牲畜

so that the majority of their ranch would remain a refuge

for the bears and lions and so many other things

我遇見吉姆和雪莉時他們大概是八十幾歲

They were both only children who chose not to have kids.

兩位都是獨生子，並選擇不生孩子

As we became friends, I became their trustee

我們成了朋友我成了他們的信託管理人

the person who managed their end-of-life experiences.

And we learned a few things about how to have a good end.

faced cancers, fractures, infections, neurological illness.

面臨癌症、骨折、感染、神經疾病

What we found is that, with a plan and the right people,

我們發現，有規劃和適當的人幫忙

by a mortality awareness event, and during this time,

Jim and Shirley chose ACR nature preserves

吉姆和雪莉選擇由 ACR 自然保育組織

to take their ranch over when they were gone.

This gave them the peace of mind to move forward.

It might be a diagnosis. It might be your intuition.

But one day, you're going to say, "This thing is going to get me."

有天你會說：「我過不了這關了」

letting friends know that their end was near

Dying from cancer and dying from neurological illness

In both cases, last days are about quiet reassurance.

Jim died first. He was conscious until the very end,

吉姆先過世，最後一刻他依然意識清醒

Through his eyes, we knew when he needed to hear again,

透過他的目光，我們知道他想再聽到

"It is all set, Jim. We're going to take care of Shirley

「都安排好了，我們會好好照顧雪莉，

and ACR's going to take care of your wildlife forever."

ACR 會永遠照顧牧場裡的動物。」

From this experience I'm going to share five practices.

so if you'd like, you can plan your own end.

你若願意，可規劃自己的臨終生活

Most people say, "I'd like to die at home."

多數人說，「我希望在家中過世」

Eighty percent of Americans die in a hospital

Saying we'd like to die at home is not a plan.

只用嘴說要在家中過世，並不是計畫

A lot of people say, "If I get like that, just shoot me."

有人說，「如果我變成那樣，乾脆一槍打死我」

This is not a plan either; this is illegal.

straightforward questions about the end you want.

Where do you want to be when you're no longer independent?

你無法自理生活時，要住哪裡？

What do you want in terms of medical intervention?

And who's going to make sure your plan is followed?

Having more than one increases your chance

Don't assume the natural choice is your spouse or child.

You want someone who has the time and proximity

to do this job well, and you want someone

who can work with people under the pressure

You are likely to be headed to the emergency room,

Prepare a one-page summary of your medical history,

with copies of your insurance cards, your power of attorney,

加上保險卡影本、授權委託書、

When you show up in the E.R. with this packet,

your admission is streamlined in a material way.

You'll need to assess your personality and financial situation

to determine whether an elder care community

We went through a number of not-quite-right caregivers

who won't let you win at bingo just because you're dying

她不會因你來日無多就在賓果遊戲中放水

but will go out and take videos of your ranch for you

and Caitlin, who won't let you skip your morning exercises

還有凱特琳 (Caitlin)她不會讓你蹺掉晨間運動

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【TED】茱蒂麥克唐納強斯頓 (Judy MacDonald Johnston): 規劃美好臨終生活 (Judy MacDonald Johnston: Prepare for a good end of life)

assume

conscious

critical

situation