{"id":659694,"date":"2013-05-22T11:30:18","date_gmt":"2013-05-22T15:30:18","guid":{"rendered":"http:\/\/blog.ted.com\/?p=76056"},"modified":"2013-05-22T12:04:42","modified_gmt":"2013-05-22T16:04:42","slug":"further-reading-on-what-makes-a-good-end-of-life","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/659694","title":{"rendered":"Further reading on what makes a good end of life"},"content":{"rendered":"<div id=\"attachment_76059\" class=\"wp-caption aligncenter\" style=\"width: 596px\"><img decoding=\"async\" class=\"size-full wp-image-76059\" alt=\"Judy-MacDonald-Johnston-at-TED\" src=\"http:\/\/tedconfblog.files.wordpress.com\/2013\/05\/judy-macdonald-johnston-at-ted.jpg?w=900\"   \/><\/p>\n<p class=\"wp-caption-text\">Judy Macdonald Johnston speaks at TED University, where audience members from TED2013 get the chance to speak.<\/p>\n<\/div>\n<p style=\"text-align:left;\">\u201cWhat would be a good end of life?\u201d <a href=\"http:\/\/www.goodendoflife.com\/\" >Judy Macdonald Johnston<\/a> asks in <a href=\"http:\/\/www.ted.com\/talks\/judy_macdonald_johnston_prepare_for_a_good_end_of_life.html\" >today\u2019s talk<\/a>, given at TED2013. Her answer &#8212; based on her own experience of helping two friends face death in a way that respected the incredible life they\u2019d built &#8212; involves five practices, all of which can help maintain a high quality of life even as independence and bodily function decline.<\/p>\n<p><a href=\"http:\/\/www.ted.com\/talks\/judy_macdonald_johnston_prepare_for_a_good_end_of_life.html\" class=\"video_teaser\" ><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/images.ted.com\/images\/ted\/48545da0486207f2d154d3699b5c5a0ba314245f_240x180.jpg\" alt=\"Judy MacDonald Johnston: Prepare for a good end of life\" width=\"132\" height=\"99\" \/>Judy MacDonald Johnston: Prepare for a good end of life<span class=\"play\"><\/span><\/a>First, make a plan, which means \u201canswering straightforward questions about the end you want.\u201d Second, recruit advocates who have \u201cthe time and proximity to do this job well\u201d and can thrive under the unique pressures of this task. Third, prepare important documents &#8212; like summaries of your medical history &#8212; for the hospital. Fourth, select caregivers who fit your needs and desires, which might take a few tries. And fifth, ponder and discuss last words: \u201cWhat do you want to hear at the very end and from whom would you like to hear it?\u201d<\/p>\n<p>We talk about how to live the good life all the time. And yet, though we all face death, we\u2019re less willing to talk about what would be a good conclusion to life. Here, some further reading, watching and listening on this hard but important topic.<\/p>\n<ol>\n<li><b>Read: <i>This Wild Darkness<\/i><\/b>. In the mid-\u201890s, Harold Brodkey wrote a series of essays, mostly for <i>The New Yorker<\/i>, about his experiences and emotions as he died of AIDS. In these essays &#8212; subsequently published in a single volume as <a href=\"http:\/\/www.amazon.com\/This-Wild-Darkness-Story-Death\/dp\/0805055118\"><i>This Wild Darkness: The Story of My Death<\/i><\/a> &#8212; Brodkey reckons with the realities of both his impending death and, through that lens, his life. His style can be self-aggrandizing, but ultimately, the book acts as a case study of how self-reflection through writing can make nearing death a little bit less terrifying. \u201cThe obsession with literary power games, with recognition and reputation, gradually subsides and gives way to something like acceptance,\u201d <a href=\"http:\/\/www.nytimes.com\/1996\/12\/24\/books\/going-to-die-but-first-there-s-a-lot-to-say.html\">Michiko Kakutani wrote in <i>The New York Times<\/i><\/a><i> <\/i>upon the book\u2019s publication.<br \/>\n<span style=\"color:#ffffff;\">.<\/span><\/li>\n<li><b>Watch: <i>A Will for the Woods<\/i><\/b>. The new documentary <a href=\"http:\/\/www.awillforthewoods.com\/\"><i>A Will for the Woods<\/i><\/a>, featured in our roundup <a href=\"http:\/\/blog.ted.com\/2013\/04\/10\/9-documentaries-that-you-need-to-see-this-year\/\">9 documentaries that you need to see in 2013<\/a>, follows psychiatrist Clark Wang as he battles lymphoma and arranges his own burial. His resolve for a burial that helps, rather than harms, the environment spawns the first natural burial ground in the state of North Carolina. The film\u2019s website notes that green burials were the norm \u201cbefore the contemporary funeral industry propagated expensive and elaborate funerals as traditional,\u201d and applauds the growing demand for them now.<br \/>\n<span style=\"color:#ffffff;\">.<\/span><\/li>\n<li><b>Bookmark: The Hospice Foundation<\/b>. The <a href=\"http:\/\/www.hospicefoundation.org\/\">Hospice Foundation of America<\/a> offers several quite lovely pages (and for-sale booklets) about approaching your own, or a loved one\u2019s, death. A page entitled <a href=\"http:\/\/www.hospicefoundation.org\/dyingsigns\">\u201cSigns of Approaching Death\u201d<\/a> explains what death looks like in a purely practical sense\u2014something we don\u2019t and can\u2019t know the first time we confront it. The unknown tends to frighten us most, so having a bit more advanced warning of what\u2019s to come might serve as a comfort. For example, the site explains that as you near death, fluid can build up in your lungs, casing a rattling as you breathe. \u201cThis breathing sound is often distressing to caregivers but it is not an indication of pain or suffering,\u201d the site assures us. (There are also practical sections, as on <a href=\"http:\/\/www.hospicefoundation.org\/advancecare\">advance care planning<\/a>.)<br \/>\n<span style=\"color:#ffffff;\">.<\/span><\/li>\n<li><b>Bookmark: New Old Age<\/b>. The <i>New York Times<\/i>\u2019 <a href=\"http:\/\/newoldage.blogs.nytimes.com\/\">\u201cNew Old Age\u201d blog<\/a>, which Johnston <a href=\"http:\/\/www.goodendoflife.com\/links.htm\">links to<\/a> on her own website, explores what it\u2019s like to care for adults over age 80.\u00a0 Recent posts are on Vermont\u2019s <a href=\"http:\/\/newoldage.blogs.nytimes.com\/2013\/05\/14\/vermont-passes-aid-in-dying-measure\/\">passage of the \u2018Aid in Dying\u2019<\/a> measure, a look at a <a href=\"http:\/\/newoldage.blogs.nytimes.com\/2013\/05\/10\/dementia-care-units-may-improve-care-studies-suggest\/\">recent study on dementia units<\/a>, and <a href=\"http:\/\/newoldage.blogs.nytimes.com\/2013\/04\/25\/what-millennials-need-to-ask-their-parents\/\">what millennials need to ask<\/a> their parents while they can.<br \/>\n<span style=\"color:#ffffff;\">.<\/span><\/li>\n<li><b>Listen: \u201cWhen Prolonging Death Seems Worse Than Death.\u201d<\/b> Last year, <i>Fresh Air\u2019s <\/i><a href=\"http:\/\/www.npr.org\/2012\/10\/09\/162570013\/when-prolonging-death-seems-worse-than-death\">Terry Gross interviewed Judith Schwarz<\/a>, of the nonprofit Compassion &amp; Choices, about end-of-life decisions for the terminally ill. In the interview, Schwarz argues that terminally ill patients should have the right to choose to die sooner. Beyond dealing with the realities of what terminal illness means, the interview offers a thoughtful, compassionate way of looking at the multiple and varied desires of the dying. That is: it\u2019s a lesson in empathy and a reminder that though some ideas may frighten us, it behooves us to look at them in depth. In the story, Schwarz also prods us to consider what it really is like to live through a painful end-of-life, and suggests that in some cases, death is not the worst option on the table. And that\u2019s okay.<br \/>\n<span style=\"color:#ffffff;\">.<\/span><\/li>\n<li><b>Bookmark: Seven Ponds<\/b>. The website <a href=\"http:\/\/www.sevenponds.com\/\">Seven Ponds<\/a> aims to \u201cpromote a healthy attitude towards the process of death by encouraging a meaningful experience that is in harmony with the environment.\u201d Their recommendations: cremation and natural burials (see #2, above!). \u201cWe see a world where everyone can experience death in their own personal way and feel it&#8217;s all okay,\u201d writes Suzette Sherman, Seven Ponds\u2019 founder. For her blog, go <a href=\"http:\/\/blog.sevenponds.com\/\">here<\/a>.<br \/>\n<span style=\"color:#ffffff;\">.<\/span><\/li>\n<li><b>Watch: &#8220;Older, and Unafraid to Talk about It<\/b>.&#8221; This <i><a href=\"http:\/\/www.nytimes.com\/interactive\/2013\/04\/22\/health\/20130422_therapy.html\">New York Times interactive video gallery<\/a><\/i> presents the stories of three seniors who have recently started therapy to work through the changes they\u2019re facing as they near the ends of their lives. \u201cI&#8217;m surrounded by people who are old, and I had to come to grips with that,\u201d an 87-year-old woman says. And, from an 86-year-old man: \u201cYou can&#8217;t do the things you used to do. You can&#8217;t go where you wanted. People look at you differently. What psychiatry does is help you go through the problems and adjust your thinking.\u201d<\/li>\n<\/ol>\n<p>  <a rel=\"nofollow\" href=\"http:\/\/feeds.wordpress.com\/1.0\/gocomments\/tedconfblog.wordpress.com\/76056\/\"><img decoding=\"async\" alt=\"\" border=\"0\" src=\"http:\/\/feeds.wordpress.com\/1.0\/comments\/tedconfblog.wordpress.com\/76056\/\" \/><\/a> <img loading=\"lazy\" decoding=\"async\" alt=\"\" border=\"0\" src=\"http:\/\/stats.wordpress.com\/b.gif?host=blog.ted.com&#038;blog=14795620&#038;%23038;post=76056&#038;%23038;subd=tedconfblog&#038;%23038;ref=&#038;%23038;feed=1\" width=\"1\" height=\"1\" \/><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~r\/TEDBlog\/~4\/cLnsLu_aJiE\" height=\"1\" width=\"1\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Judy Macdonald Johnston speaks at TED University, where audience members from TED2013 get the chance to speak. \u201cWhat would be a good end of life?\u201d Judy Macdonald Johnston asks in today\u2019s talk, given at TED2013. Her answer &#8212; based on her own experience of helping two friends face death in a way that respected the [&hellip;]<\/p>\n","protected":false},"author":7342,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-659694","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/659694","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/7342"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=659694"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/659694\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=659694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=659694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=659694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}