評(píng)論
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A plan involves answering
這個(gè)計(jì)劃是能包含了回應(yīng)的
straightforward questions about the end you want.
直接了當(dāng)關(guān)于你想如何結(jié)束的問(wèn)題
Where do you want to be when you're no longer independent?
如果你不能再獨(dú)立，你希望自己在哪里？
What do you want in terms of medical intervention?
你希望醫(yī)療保護(hù)的干預(yù)么？
And who's going to make sure your plan is followed?
誰(shuí)能讓你的計(jì)劃繼續(xù)緊接著進(jìn)行
You will need advocates.
你需要顧問(wèn)
Having more than one increases your chance
擁有多個(gè)顧問(wèn)增加了
of getting the end you want.
你獲得想要的結(jié)果的可能性
Don't assume the natural choice is your spouse or child.
不要斷然的說(shuō)你的配偶和孩子是你最合適的選擇
You want someone who has the time and proximity
你需要的是一個(gè)有時(shí)間和親近感的人
to do this job well, and you want someone
如果你需要順利的進(jìn)行，你需要這樣的人
who can work with people under the pressure
那些可以與有壓力的人一起工作的人
of an ever-changing situation.
有著變化莫測(cè)的可能性
Hospital readiness is critical.
醫(yī)院隨時(shí)準(zhǔn)備就緒很重要
You are likely to be headed to the emergency room,
你可能隨時(shí)被帶入急救室
and you want to get this right.
而你也希望準(zhǔn)確無(wú)誤的做到這一點(diǎn)
Prepare a one-page summary of your medical history,
所以，準(zhǔn)備一頁(yè)你的醫(yī)療病史
medications and physician information.
藥物治療，和醫(yī)生信息
Put this in a really bright envelope
把這些放在一個(gè)很明顯的信封里
with copies of your insurance cards, your power of attorney,
并一同放入你的保險(xiǎn)卡，和委托書(shū)
and your do-not-resuscitate order.
與你不想要恢復(fù)的命令
Have advocates keep a set in their car.
把這些留一份給你的顧問(wèn)
Tape a set to your refrigerator.
并把錄像放入冰箱里
When you show up in the E.R. with this packet,
當(dāng)你出現(xiàn)在急診室，帶著這樣的包裹
your admission is streamlined in a material way.
你把許可用合法的文件合理化
You're going to need caregivers.
你將需要看護(hù)人
You'll need to assess your personality and financial situation
你需要評(píng)估你的人格和財(cái)政狀況
to determine whether an elder care community
去決定你是否需要養(yǎng)老社區(qū)
or staying at home is your best choice.
或者呆在家里，是你最好的選擇
In either case, do not settle.
不管哪種情況，都不要定下來(lái)
We went through a number of not-quite-right caregivers
我們看到過(guò)一些不太稱職的看護(hù)
before we found the perfect team
在我們找到最好的團(tuán)隊(duì)之前
led by Marsha,
以Marcia領(lǐng)導(dǎo)的團(tuán)隊(duì)
who won't let you win at bingo just because you're dying
我們不會(huì)因?yàn)槟銓⑺廊ゾ头笱芰耸?/div>
but will go out and take videos of your ranch for you
我們會(huì)將你所擁有的錄成視頻
when you can't get out there,
當(dāng)你如果不能離開(kāi)療養(yǎng)院
and Caitlin, who won't let you skip your morning exercises
而Caitlin不過(guò)讓你省略每天的晨練
but knows when you need to hear
但是知道什么時(shí)候你想聽(tīng)到
that your wife is in good hands.
你的妻子被照顧得很好
Finally, last words.
最后，遺言
What do you want to hear at the very end,
在生命的最后，你想聽(tīng)到什么
and from whom would you like to hear it?
想聽(tīng)誰(shuí)說(shuō)這些
In my experience, you'll want to hear
從我的經(jīng)驗(yàn)來(lái)說(shuō)，你想聽(tīng)到的
that whatever you're worried about is going to be fine.
是那些你擔(dān)心的事情，都會(huì)好起來(lái)
When you believe it's okay to let go, you will.
當(dāng)你真正的相信了，你就放下了，你會(huì)的
So, this is a topic that normally inspires fear and denial.
所以，這是一個(gè)關(guān)于鼓勵(lì)恐懼與否定的話題
What I've learned
我學(xué)到的是
is if we put some time into planning our end of life,
如果我們有計(jì)劃的規(guī)劃人生的最后
we have the best chance of maintaining our quality of life.
我們會(huì)有最大的可能去維護(hù)我們生活的質(zhì)量
Here are Jim and Shirley just after deciding
這是Jim和 Shirley，當(dāng)他們決定了之后
who would take care of their ranch.
誰(shuí)會(huì)照看他們的牧場(chǎng)
Here's Jim just a few weeks before he died,
這是Jim死之前的幾個(gè)星期
celebrating a birthday he didn't expect to see.
意外的收獲到了一個(gè)慶生會(huì)
And here's Shirley just a few days before she died
這是Shirley，她離去前的幾天
being read an article in that day's paper
看到自己上了報(bào)紙
about the significance of the wildlife refuge
關(guān)于野生動(dòng)植物避難所的重要性
at the Modini ranch.
在Modini牧場(chǎng)
Jim and Shirley had a good end of life, Jim
和 Shirley有了很好的結(jié)束
and by sharing their story with you,
在這里分享著他們的故事
I hope to increase our chances of doing the same.
我希望能大家也能有同樣美滿的結(jié)點(diǎn)
Thank you.
謝謝
