Changing Our Communication with the Dying

[Music]

we’re dying wrong

dying is one of the most natural things

about living

and we’re doing it wrong we let barriers

get in the way of our communication

with our dying loved ones barriers

that can prevent us from having the type

of communication that will make our

relationship

stronger engage us with that dying loved

one

bring comfort to each other and

alleviate the distress that comes with

that time of life

we need to find a way of how to die

right but these barriers get in the way

is like fear fear of saying the wrong

thing

fear of not saying what we want to say

fear of diminishing hope or making

things

worse and we avoid awkward conversations

we stay clear of talking about taboo

topics

like illness death and dying

and we’re unaware of the

of the needs that the dying feel the

needs that the dying need

maintaining control independence

and dignity but we can get over these

obstacles

we can knock down these barriers because

improving our

communication creates a good dying

experience

so how do we get there where do we start

well the first thing we do

is we address those fears why are we

afraid of saying the wrong thing

i believe we place this here this

expectation on ourselves that is

just unrealistic we tell ourselves we

have to say what’s perfect

we look for the perfect words and the

perfect words don’t exist

so rather than wasting our time seeking

something

that doesn’t exist we should examine the

message that we want to give

and then ask ourselves if it’s

appropriate how do we know if our

message is appropriate

we look at the context we ask ourselves

is this the right place

is this the right time how well will the

person we want to speak

to receive the message when my

grandmother was dying

it was okay for me to talk about end of

life planning

when my mother was dying it was not

i had to look at the person i was

speaking to and the context of the

situation

next we need to start talking about

dying

we need to discuss death we don’t do it

because it reminds us that we’re mortal

it reminds us

that we’re only here for a short period

of time

and it reminds us that one day we

and our loved ones are going to depart

and that’s scary to us

we even try to convince ourselves that

if we don’t talk about it

it won’t arrive and we know that that’s

not true

so if we’re still dying even though

we’re not talking about it

why don’t we ask ourselves why aren’t we

talking about it

why are we going through this alone why

aren’t we speaking with our dying loved

ones

about our raw feelings why aren’t we

telling them

i’m scared too i’m angry

this isn’t good why don’t we go through

that together rather than walking alone

we can bring comfort to each other

through doing that

and lastly we need to start embracing

the needs of the dying

because embracing the needs of the dying

creates a good dying experience

when my mother was diagnosed with

pancreatic cancer

months down the road she was entering

hospice

and we gathered at the house and the

hospice nurse came to visit

it was myself and some family members

and as the nurse

asked my mother some questions every

time the nurse asked

a question one of my sister-in-laws

volunteered the answer

and although i know my sister-in-law’s

heart was in a really good place

she loved my mother she wanted to

demonstrate that

she wanted to help but as the

opportunities were missed

with my mother being able to respond for

herself

i also noticed that there was a change

in her demeanor

and frustration came upon her face and

finally she stood up

and she left the room a few minutes

later she returned

and she looked at everyone in the room

and my mom said

i’m still here i’m still here

this is my life i can answer my own

questions

her words were strong her voice was weak

but the message was loud and clear and

everyone in that room knew at that

moment

that my mother needed to have that

control

see the dying are not the dead

they’re still with us and when you have

a terminal illness

one of the things that you don’t have

much of is control

and it’s our jobs to use empathy and to

pay attention to that

and support our loved ones as much as we

can

so that they can maintain that control

and that dignity

even through something as simple a task

as

answering their own questions

years after my mother passed away my

siblings and i were cleaning out the

house

and my other sister-in-law came across a

handwritten journal that my mother had

started

when she first was diagnosed and she

gave it to me

and there was one entry in there that

still stands out in my mind

and that was there’s nothing harder

than talking to my kids about

this this was dying

and i wonder if my mother knew

that for me and for my siblings

that the only thing harder than talking

about my mom dying

was not talking about her dying i wonder

if that would have made a difference

in her dying experience and ours

i believe it did or i believe it would

i also know that it affected how we

grieve differently

some of us will not have the opportunity

to have these conversations

with our loved ones we won’t because

some of our loved ones will be taken

unexpectedly

so when you do have the opportunity when

those moments are there

use them communicate authentically

appropriately don’t leave

any unfinished business

tell them what’s on your heart go

through the walk together alleviate that

distress

and when the time comes release them

because that is how you die right

thank you

[Music]

[Applause]

[Music]

you

[音乐]

我们正在错误地

死去 死亡是生活中最自然的事情之一

,我们做错了我们让

障碍阻碍了

我们与垂死的亲人

的交流 沟通将使我们的

关系

更加牢固,让我们与垂死的亲人互动,

为彼此带来安慰,

减轻生命中的痛苦,

我们需要找到一种正确死去的方法,

但这些障碍

阻碍了我们 害怕说错话

害怕不说我们想说的话

害怕减少希望或让

事情

变得更糟 我们避免尴尬的对话

我们避免谈论

诸如疾病 死亡和临终之类的禁忌话题

我们不

知道 临终者感受到的

需要 临终者需要

保持控制 独立性

和尊严 但我们可以克服这些

障碍

我们可以消除这些障碍 因为

改善我们的

沟通 n 创造了一个很好的临终

体验

那么我们如何到达那里 我们从哪里开始

好 我们要做的第一件事

就是解决这些恐惧 为什么我们

害怕说错话 我们告诉自己,我们

必须说什么是完美的

我们寻找完美的词,而

完美的词不存在,

所以与其浪费时间寻找

不存在的东西,我们应该

检查我们想要传递的信息

,然后问自己 如果

合适 我们如何知道我们的

信息是否合适

我们查看上下文 我们问

自己这是正确的地点

是不是正确的时间

当我祖母快要死的时候,我们想要说话的人接收信息的能力如何?

好吧,我可以

在我母亲临终时谈论临终计划这不是

我必须看看我正在与之

交谈的人以及情况的背景

接下来我们需要开始谈论

死亡

我们需要讨论死亡 我们不这样做是

因为它提醒我们我们是凡人

提醒我们我们只在这里短暂的一段

时间 它提醒我们有一天我们

和我们所爱的人将会 离开

,这对我们来说很可怕,

我们甚至试图说服自己,

如果我们不谈论它,

它就不会到来,我们知道那

不是真的,

所以如果我们仍然在死去,即使

我们不谈论它,

为什么 我们不问自己为什么不

谈论它

为什么我们独自经历这为什么

我们不与垂死的亲人

谈论我们的原始感受为什么我们不

告诉他们

我也很害怕 我很生气

这不好 为什么我们不一起经历

而不是独自行走

我们可以通过这样做给彼此带来安慰

最后我们需要开始拥抱

垂死者

的需要 因为拥抱垂死者的需要

会创造

当我母亲被诊断出患有

胰腺癌

几个月后,这是一次很好的临终经历 她正在进入

临终关怀中心

,我们聚集在房子里,

临终关怀护士来探望的

是我和一些家庭成员

,因为

每次护士问我的一个嫂子的问题时,护士都会问我母亲一些问题

自愿回答

,虽然我知道我嫂子的

心在一个非常好的地方,

但她爱我的母亲,她想

表明

她想提供帮助,但由于

错过

了机会,我的母亲能够自己做出回应,

我也 注意到

她的举止发生了变化,她的

脸上出现了沮丧,

最后她站

起来离开了房间,几分钟

后她回来了

,她看着房间里的每个人

,我妈妈说

我还在这里

还在

这里,这就是我

的生活 临终者不是死者,

他们仍然和我们在一起,当

你患上

绝症时,你没有

太多控制权

,我们的工作就是使用同理心并

关注这一点

并支持我们的 尽我们

所能,

这样他们就可以保持这种控制

和尊严,

即使是

在我母亲去世多年后回答他们自己的问题这样简单的任务

,我正在清理房子

和我的另一个妹妹 -law 偶然发现了一

本我母亲在

第一次被诊断出时就开始写的手写日记,她

把它给了我

,里面有一个条目

在我脑海中仍然很突出

,那就是没有什么

比和我的孩子谈论

这件事更难的了 这快要死了

,我想知道我妈妈是否知道

,对我和我的兄弟姐妹

来说,唯一比

谈论我妈妈死去更难的

是不谈论她的死,我想

知道这是否

会对她的死产生影响 经验和我们的

我相信它确实发生了,或者我相信它会

我也知道它影响了我们的

悲伤方式

出乎意料,

所以当你有机会的

时候,

利用它们进行真实的

适当沟通,不要留下

任何未完成的事情,

告诉他们你的心意,

一起走过,减轻

痛苦

,到时候释放他们,

因为那是 你怎么死对了

谢谢

[音乐]

[鼓掌]

[音乐]