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演讲简介：
当我们想到死亡的时候总是可怕的，但是提前准备是切实的，并且可以为临终前的安静留下足够的空间。在一个庄严并深思熟虑的演讲中，Judy MacDonald Johnston 分享了5个为美好的临终生活做计划的方法。
adj. 不合法的，非法的
n. 非法移民
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- What would be a good end of life?
- 什么是一个生活美好的结尾？
- And I'm talking about the very end.
- 我所说的是最终的结尾
- I'm talking about dying.
- 我所说的是死亡
- We all think a lot about how to live well.
- 我们都在想如何更好的生活
- I'd like to talk about increasing our chances of dying well.
- 而我想要谈的是，如何更美好地告别人生
- I'm not a geriatrician.
- 我并不是老年病学家
- I design reading programs for preschoolers.
- 我为学前班的孩子设计阅读课程
- What I know about this topic
- 我对这个话题的了解
- comes from a qualitative study with a sample size of two.
- 来源于一个定性的研究，其中有两个案例
- In the last few years, I helped two friends
- 在过去的几年，我帮助两个好朋友
- have the end of life they wanted.
- 以他们想要的方式，结束了他们的生命
- Jim and Shirley Modini spent their 68 years of marriage Jim
- 和 Shirley Modini度过了他们68年的婚姻生活
- living off the grid on their 1,700-acre ranch
- 生活在远离城镇的，1,700英亩的牧场里
- in the mountains of Sonoma County. Sonoma
- 县的山区
- They kept just enough livestock to make ends meet
- 他们喂养了仅仅是能养活他们自己的家禽
- so that the majority of their ranch would remain a refuge
- 所以这大部分的牧场变成了避难所
- for the bears and lions and so many other things
- 给熊，狮子和其他的动物
- that lived there.
- 生活在那里
- This was their dream.
- 这正是他们的梦想
- I met Jim and Shirley in their 80s.
- 我在两个老人年迈八十的时候遇见他们
- They were both only children who chose not to have kids.
- 他们只有一个子女，而他选择不要孩子
- As we became friends, I became their trustee
- 当我们成为朋友后，我变成了他们的托管人
- and their medical advocate,
- 与他们的医疗顾问
- but more importantly, I became
- 但是更重要的是
- the person who managed their end-of-life experiences.
- 我成为了帮助他们结束生活的那个人
- And we learned a few things about how to have a good end.
- 并且我们学到了，如何有个好的结局
- In their final years, Jim and Shirley
- 在最后的几年里， Jim和 Shirley
- faced cancers, fractures, infections, neurological illness.
- 他们面对着癌症，骨折，传染病和神经上上的疾病
- It's true.
- 这是真的
- At the end, our bodily functions
- 人到了最后，我们身体的功能
- and independence are declining to zero.
- 和独立性会降低到零
- What we found is that, with a plan and the right people,
- 我们发现，如果有正确的计划和人
- quality of life can remain high.
- 他们还是可以拥有高品质的生活
- The beginning of the end is triggered
- 结束的开始是被其他所引起的
- by a mortality awareness event, and during this time,
- 像对死亡的意识，并且在此期间
- Jim and Shirley chose ACR nature preserves Jim
- 和 Shirley选择了ACR自然保护区
- to take their ranch over when they were gone.
- 在他们去世后接手牧场
- This gave them the peace of mind to move forward.
- 这给了他们一片祥和，然后继续前行
- It might be a diagnosis. It might be your intuition.
- 这可能是个诊断，也可能是你的直觉
- But one day, you're going to say, "This thing is going to get me."
- 有一天，你会说，这样的事情会打垮我
- Jim and Shirley spent this time Jim
- 和Shirley用这些时间
- letting friends know that their end was near
- 让他们的朋友知道，离他们离开人世的时间不远了
- and that they were okay with that.
- 而他们对此没有埋怨
- Dying from cancer and dying from neurological illness
- 因为患癌症与神经疾病而死去
- are different.
- 是不一样的
- In both cases, last days are about quiet reassurance.
- 两种情况，最后的几天都非常安详
- Jim died first. He was conscious until the very end, Jim
- 先离去，到最后他都非常的清醒
- but on his last day he couldn't talk.
- 但是在他最后一天，他说不了话
- Through his eyes, we knew when he needed to hear again,
- 通过他的眼睛，我们知道当他想听我们说话
- "It is all set, Jim. We're going to take care of Shirley
- “什么都很好，Jim。我们会好好照顾 Shirley。
- right here at the ranch,
- 就在此时，在牧场
- and ACR's going to take care of your wildlife forever."
- ACR会永远帮你保护好这里的野生动植物
- From this experience I'm going to share five practices.
- 从这个经历中，我想和大家分享五个方案
- I've put worksheets online,
- 我已经把步骤公布在了网上
- so if you'd like, you can plan your own end.
- 所以如果你愿意，你可以计划你自己结束的方式
- It starts with a plan.
- 这个步骤以着手计划开始
- Most people say, "I'd like to die at home."
- 很多人会说”我愿意死在家里."
- Eighty percent of Americans die in a hospital
- 但是百分之八十的美国人，在医院里死去
- or a nursing home.
- 或者是养老院
- Saying we'd like to die at home is not a plan.
- 所以说想死在家里，并不是一个计划
- A lot of people say, "If I get like that, just shoot me."
- 很多人又会说“如果我像那样，一枪打死我”
- This is not a plan either; this is illegal.
- 这也不是，因为不合法
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