Quotes from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“Pay attention to everything the dying person says. You might want to keep pens and a spiral notebook beside the bed so that anyone can jot down notes about gestures, conversations, or anything out of the ordinary said by the dying person. Talk with one another about these comments and gestures. • Remember that there may be important messages in any communication, however vague or garbled. Not every statement made by a dying person has significance, but heed them all so as not to miss the ones that do. • Watch for key signs: a glassy-eyed look; the appearance of staring through you; distractedness or secretiveness; seemingly inappropriate smiles or gestures, such as pointing, reaching toward someone or something unseen, or waving when no one is there; efforts to pick at the covers or get out of bed for no apparent reason; agitation or distress at your inability to comprehend something the dying person has tried to say. • Respond to anything you don’t understand with gentle inquiries. “Can you tell me what’s happening?” is sometimes a helpful way to initiate this kind of conversation. You might also try saying, “You seem different today. Can you tell me why?” • Pose questions in open-ended, encouraging terms. For example, if a dying person whose mother is long dead says, “My mother’s waiting for me,” turn that comment into a question: “Mother’s waiting for you?” or “I’m so glad she’s close to you. Can you tell me about it?” • Accept and validate what the dying person tells you. If he says, “I see a beautiful place!” say, “That’s wonderful! Can you tell me more about it?” or “I’m so pleased. I can see that it makes you happy,” or “I’m so glad you’re telling me this. I really want to understand what’s happening to you. Can you tell me more?” • Don’t argue or challenge. By saying something like “You couldn’t possibly have seen Mother, she’s been dead for ten years,” you could increase the dying person’s frustration and isolation, and run the risk of putting an end to further attempts at communicating. • Remember that a dying person may employ images from life experiences like work or hobbies. A pilot may talk about getting ready to go for a flight; carry the metaphor forward: “Do you know when it leaves?” or “Is there anyone on the plane you know?” or “Is there anything I can do to help you get ready for takeoff?” • Be honest about having trouble understanding. One way is to say, “I think you’re trying to tell me something important and I’m trying very hard, but I’m just not getting it. I’ll keep on trying. Please don’t give up on me.” • Don’t push. Let the dying control the breadth and depth of the conversation—they may not be able to put their experiences into words; insisting on more talk may frustrate or overwhelm them. • Avoid instilling a sense of failure in the dying person. If the information is garbled or the delivery impossibly vague, show that you appreciate the effort by saying, “I can see that this is hard for you; I appreciate your trying to share it with me,” or “I can see you’re getting tired/angry/frustrated. Would it be easier if we talked about this later?” or “Don’t worry. We’ll keep trying and maybe it will come.” • If you don’t know what to say, don’t say anything. Sometimes the best response is simply to touch the dying person’s hand, or smile and stroke his or her forehead. Touching gives the very important message “I’m with you.” Or you could say, “That’s interesting, let me think about it.” • Remember that sometimes the one dying picks an unlikely confidant. Dying people often try to communicate important information to someone who makes them feel safe—who won’t get upset or be taken aback by such confidences. If you’re an outsider chosen for this role, share the information as gently and completely as possible with the appropriate family members or friends. They may be more familiar with innuendos in a message because they know the person well.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“But even when people are too weak to speak, or have lost consciousness, they can hear; hearing is the last sense to fade.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“The cancer had already spread to Laura’s liver and, considering her age, aggressive treatment wasn’t recommended; the doctors said she had about six months to live.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“hiring a home health aide, who wound up spending nearly as much time and energy helping Joe as she did Laura.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“A terminal illness doesn’t belong only to the one who is sick—it affects family members, friends, neighbors, coworkers. Not unlike a still pond disturbed by a falling stone, an impending death sends ripples through all the relationships in the life of the dying. Each person involved has his or her own set of issues, fears, and questions.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“Many people assume that terminal patients, especially those with cancer, will have pain. That’s not always so; some have no pain, others have mild to moderate pain that can be controlled with ease. A few people have pain so severe that expert assessment and care are needed to bring it under control.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“The resulting dehydration usually isn’t troublesome, and actually can increase a dying person’s comfort, by reducing the incidence of some uncomfortable symptoms such as vomiting, pain, or difficulty in breathing.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“Life is eternal; and love is immortal; and death is only a horizon; and a horizon is nothing save the limit of our sight. ROSSITER WORTHINGTON RAYMOND”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“Dr. Kübler-Ross expanded on this theme in her 1961 book, On Death and Dying,”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“Unlike earlier generations, they don’t learn how to be at ease with someone whose life is coming to an end. Illness and death have been moved out of the house and into the hospital or nursing home. Professionals provide the care; relatives and friends become spectators watching something occur—not in a continuous stream of emotions and experiences from which to learn, but in awkward chunks of time, determined by official visiting hours that leave them uncomfortable and unsatisfied.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

“Instead of a last-gasp sprint, death can be a marathon.”
― quote from Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying

Popular quotes

“money came from human misery and death and despair, as always it does.”
― Taylor Caldwell, quote from Captains and the Kings

“Yew berries?” “Berries or leaves. Highly poisonous. Taxine, of course, is the alkaloid.”
― Agatha Christie, quote from A Pocket Full of Rye

“Their [girls] sexual energy, their evaluation of adolescent boys and other girls goes thwarted, deflected back upon the girls, unspoken, and their searching hungry gazed returned to their own bodies. The questions, Whom do I desire? Why? What will I do about it? are turned around: Would I desire myself? Why?...Why not? What can I do about it?

The books and films they see survey from the young boy's point of view his first touch of a girl's thighs, his first glimpse of her breasts. The girls sit listening, absorbing, their familiar breasts estranged as if they were not part of their bodies, their thighs crossed self-consciously, learning how to leave their bodies and watch them from the outside. Since their bodies are seen from the point of view of strangeness and desire, it is no wonder that what should be familiar, felt to be whole, become estranged and divided into parts. What little girls learn is not the desire for the other, but the desire to be desired. Girls learn to watch their sex along with the boys; that takes up the space that should be devoted to finding out about what they are wanting, and reading and writing about it, seeking it and getting it. Sex is held hostage by beauty and its ransom terms are engraved in girls' minds early and deeply with instruments more beautiful that those which advertisers or pornographers know how to use: literature, poetry, painting, and film.

This outside-in perspective on their own sexuality leads to the confusion that is at the heart of the myth. Women come to confuse sexual looking with being looked at sexually ("Clairol...it's the look you want"); many confuse sexually feeling with being sexually felt ("Gillete razors...the way a woman wants to feel"); many confuse desiring with being desirable. "My first sexual memory," a woman tells me, "was when I first shaved my legs, and when I ran my hand down the smooth skin I felt how it would feel to someone else's hand." Women say that when they lost weight they "feel sexier" but the nerve endings in the clitoris and nipples don't multiply with weight loss. Women tell me they're jealous of the men who get so much pleasure out of the female body that they imagine being inside the male body that is inside their own so that they can vicariously experience desire.

Could it be then that women's famous slowness of arousal to men's, complex fantasy life, the lack of pleasure many experience in intercourse, is related to this cultural negation of sexual imagery that affirms the female point of view, the culture prohibition against seeing men's bodies as instruments of pleasure? Could it be related to the taboo against representing intercourse as an opportunity for a straight woman actively to pursue, grasp, savor, and consume the male body for her satisfaction, as much as she is pursued, grasped, savored, and consumed for his?”
― Naomi Wolf, quote from The Beauty Myth

“Mrs Weaver nosed among the books, too dim-witted to grasp that they were in alphabetical order.”
― George Orwell, quote from Keep the Aspidistra Flying

“Don’t be mad” was the first thing he said. He really was terrified, as if the most frightening reaper on the planet was no scarier than a mouse, and yet put him in a tux and it was the Apocalypse.”
― Courtney Allison Moulton, quote from Wings of the Wicked

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