Encore: Like Kit's planning for the end of a life

Encore: Like Kit¹'s planning for the end of a life

Transcript²

Talking about death makes many of us uncomfortable. NPR's Life Kit offers tips for starting an advance directive to prepare for a good death. (Story aired on All Things Considered on July, 12, 2020.)

A MARTINEZ, HOST:

Thinking about death makes most people uncomfortable, which means many of us end up not planning. NPR's Life Kit looked into preparing for the end. Reporter Kavitha Cardoza explains a simple document called an advance directive.

KAVITHA CARDOZA, BYLINE³: You don't need to have a medical background or a lawyer to fill out an advance directive. You don't even need a lot of time. And I promise it's not too morbid⁴. You can easily find an advance directive form online. There are different versions, but basically, it has two sections. The first is the most important - the medical power of attorney⁵. Choose a person who can legally make health care decisions for you if you can't.

PALLAVI KUMAR: Think about the person in your life who understands you, your goals, your values, your priorities⁶ and then is able to set aside their own wishes for you and to be a voice for you.

CARDOZA: That's Dr. Pallavi Kumar, a medical oncologist and palliative care physician at the University of Pennsylvania. She says your medical proxy⁷ should be someone you trust who can handle stress because your loved ones will disagree on what to do, and it can be emotional. So you want to name someone who will carry out your wishes. Kumar says research shows when a caregiver sees a loved one die in the hospital under circumstances they believe that person never would have wanted, they're in emotional pain for a long time.

KUMAR: And at six months and a year after death, these bereaved⁸ caregivers are still suffering from pretty severe depression and anxiety. There's even some data to show that the survival⁹ for those caregivers is shortened¹⁰.

CARDOZA: So think of an advance directive as a gift you're giving your loved ones. The second section of the advance directive document is called a living will. This part walks you through the general approach of how you want to die and what kind of care you want. Do you want to be resuscitated¹¹? Are you OK being hooked¹² up to a ventilator? How do you feel about a feeding tube? Dr. Jessica Zitter is an ICU and palliative care physician in California. She says there's no right or wrong decision. It's personal.

JESSICA ZITTER: Someone once told me her father was - she says, he's an old, crusty Italian man, and he said if someone else has to wipe my behind, I do not want to live. But there's many, many others of us - if I was quadriplegic and still have an intellectual and emotional relationship with people, I don't think I'd want to die.

CARDOZA: Even among patients who are very, very sick with cancer, less than half have had conversations about how they want to die. So it's critical to share your wishes with your medical proxy and your loved ones as well as your doctor. Share a copy of the form with them.

Dr. Pallavi Kumar says the end of life is about more than just the medical aspect. When she knows a person's priorities, that helps inform her treatment plan. For some patients, it might mean spending time at home with family. For others, it means trying every treatment possible for as long as possible.

KUMAR: They would say, if you're telling me that a chemotherapy could give me another month, I want that month because that's another month I have with my 6-year-old.

CARDOZA: While no one can predict when they'll die, an advance directive can help you plan for how. It's not a guarantee but a safety net for having what Dr. Zitter thinks of as a good death.

ZITTER: In order to figure out what a good death is, you have to figure out what a good life is and what living well means to you. That's the only way to know how to die well because, actually, they're kind of reflections of each other.

CARDOZA: For NPR News, I'm Kavitha Cardoza.

(SOUNDBITE OF MUSIC)

MARTINEZ: For more practical tips from NPR's Life Kit, go to npr.org/lifekit.

1 kit   

n.用具包，成套工具；随身携带物

参考例句：

• The kit consisted of about twenty cosmetic items.整套工具包括大约20种化妆用品。
• The captain wants to inspect your kit.船长想检查你的行装。

2 transcript   

n.抄本，誊本，副本，肄业证书

参考例句：

• A transcript of the tapes was presented as evidence in court.一份录音带的文字本作为证据被呈交法庭。
• They wouldn't let me have a transcript of the interview.他们拒绝给我一份采访的文字整理稿。

3 byline   

n.署名；v.署名

参考例句：

• His byline was absent as well.他的署名也不见了。
• We wish to thank the author of this article which carries no byline.我们要感谢这篇文章的那位没有署名的作者。

4 morbid   

adj.病的；致病的；病态的；可怕的

参考例句：

• Some people have a morbid fascination with crime.一些人对犯罪有一种病态的痴迷。
• It's morbid to dwell on cemeteries and such like.不厌其烦地谈论墓地以及诸如此类的事是一种病态。

5 attorney   

n.（业务或法律事务上的）代理人，辩护律师

参考例句：

• He acted as attorney for me.他充当我的律师。
• The attorney for the union accused the Mayor of playing politics.工会的律师谴责市长在这次罢工中耍阴谋。

6 priorities   

n.先( priority的名词复数 )；优先；优先权；优先考虑的事

参考例句：

• The document provided a revealing insight into the government's priorities. 这份文件使人看出政府的轻重缓急是怎样安排的。
• We must work together to fund only our most important priorities. 我们必须共同努力，只为最重要的项目提供资金。 来自英汉非文学 - 政府文件

7 proxy   

n.代理权，代表权；（对代理人的）委托书；代理人

参考例句：

• You may appoint a proxy to vote for you.你可以委托他人代你投票。
• We enclose a form of proxy for use at the Annual General Meeting.我们附上委任年度大会代表的表格。

8 bereaved   

adj.刚刚丧失亲人的v.使失去（希望、生命等）( bereave的过去式和过去分词)；（尤指死亡）使丧失（亲人、朋友等）；使孤寂；抢走（财物）

参考例句：

• The ceremony was an ordeal for those who had been recently bereaved. 这个仪式对于那些新近丧失亲友的人来说是一种折磨。
• an organization offering counselling for the bereaved 为死者亲友提供辅导的组织

9 survival   

n.留住生命，生存，残存，幸存者

参考例句：

• The doctor told my wife I had a fifty-fifty chance of survival.医生告诉我的妻子，说我活下去的可能性只有50%。
• The old man was a survival of a past age.这位老人是上一代的遗老。

10 shortened   

v.弄短，缩短( shorten的过去式和过去分词 )

参考例句：

• She shortened the skirt by an inch. 她把裙子缩短了一英寸。 来自《简明英汉词典》
• Vacations have lengthened and the work week has shortened. 假期延长，工作周就缩短了。 来自辞典例句

11 resuscitated   

v.使（某人或某物）恢复知觉，苏醒( resuscitate的过去式和过去分词 )

参考例句：

• The doctor resuscitated the man who was overcome by gas. 医生救活了那个煤气中毒的人。 来自《现代英汉综合大词典》
• She had been literally rejuvenated, resuscitated, brought back from the lip of the grave. 她确确实实返老还童了，恢复了精力，被从坟墓的进口处拉了回来。 来自辞典例句

12 hooked   

adj.钩状的，弯曲的

参考例句：

• I first got hooked on scuba diving when I was twelve. 12 岁时我开始迷上了带水肺潜水。
• He hooked his arm round her neck and pulled her head down. 他一只胳膊钩在她的脖子上，把她的头拉低。