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Lessons from the Dying | Marie-Jo Cleghorn | TEDxQueensU


hi my name is Mary Jo and I guess this

hi my name is Mary Jo and I guess this is a bit of a confessional for me I’m a

is a bit of a confessional for me I’m a

is a bit of a confessional for me I’m a wife I’m a mom I’m a nurse and oh yeah

wife I’m a mom I’m a nurse and oh yeah

wife I’m a mom I’m a nurse and oh yeah I’m turning 50 this year if you were to

I’m turning 50 this year if you were to

I’m turning 50 this year if you were to ask me to describe my professional self

ask me to describe my professional self

ask me to describe my professional self I would tell you I’m a palliative care

I would tell you I’m a palliative care

I would tell you I’m a palliative care nurse this despite the fact that I’ve

nurse this despite the fact that I’ve

nurse this despite the fact that I’ve been away from the bedside for nearly

been away from the bedside for nearly

been away from the bedside for nearly two years I’ve worked both in the

two years I’ve worked both in the

two years I’ve worked both in the community and in the hospital setting

community and in the hospital setting

community and in the hospital setting palliative care is where my heart lies

palliative care is where my heart lies

palliative care is where my heart lies it’s where I feel most at home as a

it’s where I feel most at home as a

it’s where I feel most at home as a nurse and it’s probably where I’ve done

nurse and it’s probably where I’ve done

nurse and it’s probably where I’ve done my best work if you don’t know what

my best work if you don’t know what

my best work if you don’t know what palliative care means it means I chose

palliative care means it means I chose

palliative care means it means I chose to specialize with working with the

to specialize with working with the

to specialize with working with the dying the patients I’ve worked with what

dying the patients I’ve worked with what

dying the patients I’ve worked with what they’ve taught me more than any textbook

they’ve taught me more than any textbook

they’ve taught me more than any textbook could ever impart these patients they

could ever impart these patients they

could ever impart these patients they raised me as a nurse three years after I

raised me as a nurse three years after I

raised me as a nurse three years after I graduated someone I thought I knew

graduated someone I thought I knew

graduated someone I thought I knew someone I’d gone to high school with

someone I’d gone to high school with

someone I’d gone to high school with someone I found myself working alongside

someone I found myself working alongside

someone I found myself working alongside of died Carolyn died suddenly and she

of died Carolyn died suddenly and she

of died Carolyn died suddenly and she died tragically she wasn’t a palliative

died tragically she wasn’t a palliative

died tragically she wasn’t a palliative care patient

care patient

care patient Carolyn died at the hands of a drunk

Carolyn died at the hands of a drunk

Carolyn died at the hands of a drunk driver her death was a seminal moment in

driver her death was a seminal moment in

driver her death was a seminal moment in my life so I decided to call this

my life so I decided to call this

my life so I decided to call this presentation lessons from the dying so

presentation lessons from the dying so

presentation lessons from the dying so why did Carolyn’s death have such an

why did Carolyn’s death have such an

why did Carolyn’s death have such an impact on me why do I still think about

impact on me why do I still think about

impact on me why do I still think about her after all these years I guess I took

her after all these years I guess I took

her after all these years I guess I took a snapshot of her I compared her to

a snapshot of her I compared her to

a snapshot of her I compared her to myself and I judged her to be lacking

Carolyn was quiet I’m loud Carolyn was

Carolyn was quiet I’m loud Carolyn was shy I am NOT Carolyn appeared to settle

shy I am NOT Carolyn appeared to settle

shy I am NOT Carolyn appeared to settle I have always pushed myself someone call

I have always pushed myself someone call

I have always pushed myself someone call me driven

me driven

me driven I probably still AM I wondered how

I probably still AM I wondered how

I probably still AM I wondered how Caroline could be satisfied with her

Caroline could be satisfied with her

Caroline could be satisfied with her life I was arrogant I was later to find

life I was arrogant I was later to find

life I was arrogant I was later to find out that she was humble when Carolyn

out that she was humble when Carolyn

out that she was humble when Carolyn died she was newly engaged she and her

died she was newly engaged she and her

died she was newly engaged she and her fiance were celebrating and they were

fiance were celebrating and they were

fiance were celebrating and they were riding on his motorcycle when they were

riding on his motorcycle when they were

riding on his motorcycle when they were struck he died at the scene she died on

struck he died at the scene she died on

struck he died at the scene she died on the ferry on the way back to Kingston

the ferry on the way back to Kingston

the ferry on the way back to Kingston all of us who worked with her we were

all of us who worked with her we were

all of us who worked with her we were devastated I think we all went to her

devastated I think we all went to her

devastated I think we all went to her funeral Carolyn was 24 years old I

funeral Carolyn was 24 years old I

funeral Carolyn was 24 years old I thought I knew her I didn’t I learned

thought I knew her I didn’t I learned

thought I knew her I didn’t I learned during the church service that she

during the church service that she

during the church service that she volunteered with the homeless and the

volunteered with the homeless and the

volunteered with the homeless and the disenfranchised

disenfranchised

disenfranchised she’s been on missions trips she was a

she’s been on missions trips she was a

she’s been on missions trips she was a prolific poet she advocated for the

prolific poet she advocated for the

prolific poet she advocated for the broken and people who had less in this

broken and people who had less in this

broken and people who had less in this world than herself Carolyn had added to

world than herself Carolyn had added to

world than herself Carolyn had added to her community she’d made a difference to

her community she’d made a difference to

her community she’d made a difference to friends and strangers if I were honest I

friends and strangers if I were honest I

friends and strangers if I were honest I don’t know what if anything had added to

don’t know what if anything had added to

don’t know what if anything had added to my community other than my excellent

my community other than my excellent

my community other than my excellent sense of humor lesson number one do you

sense of humor lesson number one do you

sense of humor lesson number one do you know yourself Carolyn and the death of

know yourself Carolyn and the death of

know yourself Carolyn and the death of many of my patients taught me the value

many of my patients taught me the value

many of my patients taught me the value of self-reflection you have to be honest

of self-reflection you have to be honest

of self-reflection you have to be honest with yourself before you can be honest

with yourself before you can be honest

with yourself before you can be honest with others I took a look into my

with others I took a look into my

with others I took a look into my cerebral mirror and I didn’t like who

cerebral mirror and I didn’t like who

cerebral mirror and I didn’t like who was looking back now before you think

was looking back now before you think

was looking back now before you think I’m telling you I was a terrible person

I’m telling you I was a terrible person

I’m telling you I was a terrible person I don’t think I was a terrible person

I don’t think I was a terrible person

I don’t think I was a terrible person yes I was selfish and I was

yes I was selfish and I was

yes I was selfish and I was self-absorbed but I think a lot of 24

self-absorbed but I think a lot of 24

self-absorbed but I think a lot of 24 year-olds a lot of people in their 20s

year-olds a lot of people in their 20s

year-olds a lot of people in their 20s are selfish and self-absorbed my

are selfish and self-absorbed my

are selfish and self-absorbed my self-reflection started with me looking

self-reflection started with me looking

self-reflection started with me looking at my strengths and my weaknesses I had

at my strengths and my weaknesses I had

at my strengths and my weaknesses I had to accept where I was but it Shawn the

to accept where I was but it Shawn the

to accept where I was but it Shawn the light for where I wanted to go I learned

light for where I wanted to go I learned

light for where I wanted to go I learned I can and should learn from others

I can and should learn from others

I can and should learn from others rather than try and beat or be better

rather than try and beat or be better

rather than try and beat or be better than everybody else

than everybody else

than everybody else I needed to take stock of my life and

I needed to take stock of my life and

I needed to take stock of my life and then determine what I wanted to make up

then determine what I wanted to make up

then determine what I wanted to make up I’ve learned to surround myself with

I’ve learned to surround myself with

I’ve learned to surround myself with people who have the skills that I lack

people who have the skills that I lack

people who have the skills that I lack and hopefully I’ll learn from them life

and hopefully I’ll learn from them life

and hopefully I’ll learn from them life is not a competition life is not trying

is not a competition life is not trying

is not a competition life is not trying to hide your flaws and your faults and

to hide your flaws and your faults and

to hide your flaws and your faults and pretending to be something that you’re

pretending to be something that you’re

pretending to be something that you’re not so that you look better compared to

not so that you look better compared to

not so that you look better compared to somebody else

somebody else

somebody else life is about striving to be better not

life is about striving to be better not

life is about striving to be better not materialistically but in ways that add

materialistically but in ways that add

materialistically but in ways that add to and don’t take away from our time

to and don’t take away from our time

to and don’t take away from our time here it is because of Carolyn that I do

here it is because of Carolyn that I do

here it is because of Carolyn that I do a self-check from time to time

a self-check from time to time

a self-check from time to time self-reflection is an ongoing process

I’m not yet the person I strive to be I

I’m not yet the person I strive to be I probably never will be but I hope I’m a

probably never will be but I hope I’m a

probably never will be but I hope I’m a better person than when Carolyn knew me

better person than when Carolyn knew me

better person than when Carolyn knew me I have a question for you

I have a question for you

I have a question for you if you died tomorrow did you make a

if you died tomorrow did you make a

if you died tomorrow did you make a difference Gary was one of my first

difference Gary was one of my first

difference Gary was one of my first patients his wife and him welcomed me

patients his wife and him welcomed me

patients his wife and him welcomed me into their home they enjoyed my energy

into their home they enjoyed my energy

into their home they enjoyed my energy my youth my quick wit I had the

my youth my quick wit I had the

my youth my quick wit I had the privilege of witnessing his spiritual

privilege of witnessing his spiritual

privilege of witnessing his spiritual emotional and physical struggles they

emotional and physical struggles they

emotional and physical struggles they had nothing from me they were bare

had nothing from me they were bare

had nothing from me they were bare before me Gary would tell me about his

before me Gary would tell me about his

before me Gary would tell me about his wife’s accomplishments he was proud of

wife’s accomplishments he was proud of

wife’s accomplishments he was proud of her his wife would tell me about his

her his wife would tell me about his

her his wife would tell me about his skill as a lecturer and his secret

skill as a lecturer and his secret

skill as a lecturer and his secret passion for art their walls were covered

passion for art their walls were covered

passion for art their walls were covered with his drawings and paintings their

with his drawings and paintings their

with his drawings and paintings their rooms were bright and vibrant long

rooms were bright and vibrant long

rooms were bright and vibrant long before those impact and feature walls

before those impact and feature walls

before those impact and feature walls they would sometimes get frustrated with

they would sometimes get frustrated with

they would sometimes get frustrated with each other but who doesn’t they always

each other but who doesn’t they always

each other but who doesn’t they always found a way to show or tell that they

found a way to show or tell that they

found a way to show or tell that they forgave their house was filled with love

forgave their house was filled with love

forgave their house was filled with love I don’t remember when there wasn’t a

I don’t remember when there wasn’t a

I don’t remember when there wasn’t a gentle touch a word a glance that showed

gentle touch a word a glance that showed

gentle touch a word a glance that showed what they meant to each other on the day

what they meant to each other on the day

what they meant to each other on the day that Gary died his wife owned me I was

that Gary died his wife owned me I was

that Gary died his wife owned me I was off she asked me to come

off she asked me to come

off she asked me to come so I went it was grade a URI had not

so I went it was grade a URI had not

so I went it was grade a URI had not been responsive for many days we were

been responsive for many days we were

been responsive for many days we were truly into comfort care I was bathing

truly into comfort care I was bathing

truly into comfort care I was bathing him when he stopped breathing I expect

him when he stopped breathing I expect

him when he stopped breathing I expect him to come back I said we all needed to

him to come back I said we all needed to

him to come back I said we all needed to say goodbye he took in at breath his

say goodbye he took in at breath his

say goodbye he took in at breath his wife his son’s priest me we were all in

wife his son’s priest me we were all in

wife his son’s priest me we were all in the room he opened his eyes he looked at

the room he opened his eyes he looked at

the room he opened his eyes he looked at each one of us and then he turned and he

each one of us and then he turned and he

each one of us and then he turned and he looked at across he had designed the Sun

looked at across he had designed the Sun

looked at across he had designed the Sun broke through the clouds she smiled and

broke through the clouds she smiled and

broke through the clouds she smiled and then he was gone I was forever changed

then he was gone I was forever changed

then he was gone I was forever changed in that moment I knew I chosen the right

in that moment I knew I chosen the right

in that moment I knew I chosen the right career as doing the right thing and that

career as doing the right thing and that

career as doing the right thing and that I could make a difference Gary’s death

I could make a difference Gary’s death

I could make a difference Gary’s death was the seminal moment of my nursing

was the seminal moment of my nursing

was the seminal moment of my nursing life

life

life Gary’s gift to me was his legacy of love

Gary’s gift to me was his legacy of love

Gary’s gift to me was his legacy of love he taught me the love is real and it is

he taught me the love is real and it is

he taught me the love is real and it is tangible he also taught me about the

tangible he also taught me about the

tangible he also taught me about the power of forgiveness when we forgive it

power of forgiveness when we forgive it

power of forgiveness when we forgive it releases us it’s a lesson number two

releases us it’s a lesson number two

releases us it’s a lesson number two your words and actions matter saying I

your words and actions matter saying I

your words and actions matter saying I love you is important showing I love you

love you is important showing I love you

love you is important showing I love you and I care is just as important it

and I care is just as important it

and I care is just as important it sounds corny but there isn’t a day that

sounds corny but there isn’t a day that

sounds corny but there isn’t a day that goes by that I don’t try and show and

goes by that I don’t try and show and

goes by that I don’t try and show and tell my family what they mean to me and

tell my family what they mean to me and

tell my family what they mean to me and I haven’t kept it to just my family

I haven’t kept it to just my family

I haven’t kept it to just my family either strangers friends I try and say

either strangers friends I try and say

either strangers friends I try and say words like thank you

words like thank you

words like thank you I try and acknowledge people show that

I try and acknowledge people show that

I try and acknowledge people show that they mean something to me that they have

they mean something to me that they have

they mean something to me that they have value I appreciate them we are so

value I appreciate them we are so

value I appreciate them we are so dismissive Curt it takes very little

dismissive Curt it takes very little

dismissive Curt it takes very little energy to be kind but for the recipient

energy to be kind but for the recipient

energy to be kind but for the recipient it means every

it means every

it means every on the flip side are the harsh and angry

on the flip side are the harsh and angry

on the flip side are the harsh and angry words that we share they can bring pain

words that we share they can bring pain

words that we share they can bring pain and great division gary taught me that

and great division gary taught me that

and great division gary taught me that when we forgive we allow both parties to

when we forgive we allow both parties to

when we forgive we allow both parties to move forward as hard as it feels

move forward as hard as it feels

move forward as hard as it feels forgiveness it will bring you freedom

there’s a hashtag there Becca Scofield

there’s a hashtag there Becca Scofield is a teenager who lives in New Brunswick

is a teenager who lives in New Brunswick

is a teenager who lives in New Brunswick you may have heard her she’d look her up

you may have heard her she’d look her up

you may have heard her she’d look her up she’s dying from some form of brain

she’s dying from some form of brain

she’s dying from some form of brain cancer when she found out she was no

cancer when she found out she was no

cancer when she found out she was no longer responding to treatment she

longer responding to treatment she

longer responding to treatment she turned to social media and she asked

turned to social media and she asked

turned to social media and she asked that people would do a random act of

that people would do a random act of

that people would do a random act of kindness and posted on that hashtag

kindness and posted on that hashtag

kindness and posted on that hashtag well those acts of kindness have

well those acts of kindness have

well those acts of kindness have continued from Australia to Uruguay her

continued from Australia to Uruguay her

continued from Australia to Uruguay her parents say it brings them comfort to

parents say it brings them comfort to

parents say it brings them comfort to see these messages they’re preparing to

see these messages they’re preparing to

see these messages they’re preparing to lose a child Becca has made a difference

lose a child Becca has made a difference

lose a child Becca has made a difference she has a legacy question for you what

she has a legacy question for you what

she has a legacy question for you what do your words and actions say about you

do your words and actions say about you

do your words and actions say about you as a person Lorna was a beautiful lady

as a person Lorna was a beautiful lady

as a person Lorna was a beautiful lady she came from a large family she had

she came from a large family she had

she came from a large family she had many many friends she worked hard her

many many friends she worked hard her

many many friends she worked hard her whole life so that when she retired she

whole life so that when she retired she

whole life so that when she retired she could enjoy the fruits of her labor she

could enjoy the fruits of her labor she

could enjoy the fruits of her labor she was hopeful when she was diagnosed she

was hopeful when she was diagnosed she

was hopeful when she was diagnosed she was in her 60s and she was fit together

was in her 60s and she was fit together

was in her 60s and she was fit together she and her husband planned the trip of

she and her husband planned the trip of

she and her husband planned the trip of a lifetime

a lifetime

a lifetime I met Lorna when she was admitted for

I met Lorna when she was admitted for

I met Lorna when she was admitted for symptom control she was no longer

symptom control she was no longer

symptom control she was no longer responding to treatments she was weak

responding to treatments she was weak

responding to treatments she was weak and emaciated the trip had to be

and emaciated the trip had to be

and emaciated the trip had to be canceled there was grief it was anger

canceled there was grief it was anger

canceled there was grief it was anger there was denial over the next six

there was denial over the next six

there was denial over the next six months I watched as Lauren is slowly

months I watched as Lauren is slowly

months I watched as Lauren is slowly declined

declined

declined at first she tried to cram in every

at first she tried to cram in every

at first she tried to cram in every friend every acquaintance she touched so

friend every acquaintance she touched so

friend every acquaintance she touched so many people they wanted to spend time

many people they wanted to spend time

many people they wanted to spend time with her her quiet time was at night or

with her her quiet time was at night or

with her her quiet time was at night or when the nurses came in to provide care

when the nurses came in to provide care

when the nurses came in to provide care she had asked me to slow down she said

she had asked me to slow down she said

she had asked me to slow down she said she needed a break from the frenetic

she needed a break from the frenetic

she needed a break from the frenetic pace that she found so exhausting she

pace that she found so exhausting she

pace that she found so exhausting she didn’t want to hurt anybody’s feelings

didn’t want to hurt anybody’s feelings

didn’t want to hurt anybody’s feelings her family finally had to intervene

her family finally had to intervene

her family finally had to intervene during the last month of her life she

during the last month of her life she

during the last month of her life she spent the time with the people that she

spent the time with the people that she

spent the time with the people that she loved the most in the world there were

loved the most in the world there were

loved the most in the world there were mass bed cuddles and I admit I joined in

mass bed cuddles and I admit I joined in

mass bed cuddles and I admit I joined in more than one of them there were

more than one of them there were

more than one of them there were sleepovers there were movie nights there

sleepovers there were movie nights there

sleepovers there were movie nights there was storytelling there was reminiscing

was storytelling there was reminiscing

was storytelling there was reminiscing there was a lot of laughter her

there was a lot of laughter her

there was a lot of laughter her daughters made sure her hair was perfect

daughters made sure her hair was perfect

daughters made sure her hair was perfect and her makeup was immaculate on the day

and her makeup was immaculate on the day

and her makeup was immaculate on the day that lorna died she was meticulous lorna

that lorna died she was meticulous lorna

that lorna died she was meticulous lorna taught me that despite our best plans

taught me that despite our best plans

taught me that despite our best plans and intentions we need to make sure that

and intentions we need to make sure that

and intentions we need to make sure that our time counts

lesson number three sometimes there are

lesson number three sometimes there are no leaders as a society we speed-date

no leaders as a society we speed-date

no leaders as a society we speed-date our friends we speed date our family we

our friends we speed date our family we

our friends we speed date our family we push things off until later we text we

push things off until later we text we

push things off until later we text we have quick chats we focus on quantity

have quick chats we focus on quantity

have quick chats we focus on quantity and we forget all about the quality we

and we forget all about the quality we

and we forget all about the quality we need to slow down this last lesson it

need to slow down this last lesson it

need to slow down this last lesson it encompasses the other two when there are

encompasses the other two when there are

encompasses the other two when there are no leaders on the horizons we need to do

no leaders on the horizons we need to do

no leaders on the horizons we need to do more than just exist we need to take the

more than just exist we need to take the

more than just exist we need to take the opportunities to be kind to each other

opportunities to be kind to each other

opportunities to be kind to each other we need to make sure that we’re

we need to make sure that we’re

we need to make sure that we’re observing what’s going on around it’s

observing what’s going on around it’s

observing what’s going on around it’s not just focusing on our screens and on

not just focusing on our screens and on

not just focusing on our screens and on ourselves I don’t know if I’m going to

ourselves I don’t know if I’m going to

ourselves I don’t know if I’m going to be the person I want to be and I don’t

be the person I want to be and I don’t

be the person I want to be and I don’t know if I’m gonna have the time to say

know if I’m gonna have the time to say

know if I’m gonna have the time to say or do the things I want or should do I

or do the things I want or should do I

or do the things I want or should do I need to plan but I don’t know what my

need to plan but I don’t know what my

need to plan but I don’t know what my future is I need to think about my

future is I need to think about my

future is I need to think about my future but I need to make sure I’m

future but I need to make sure I’m

future but I need to make sure I’m living well now so I have to ask you do

living well now so I have to ask you do

living well now so I have to ask you do you have any laters that if you could do

you have any laters that if you could do

you have any laters that if you could do them again they would be nows do you

them again they would be nows do you

them again they would be nows do you have any laters that have turned into

have any laters that have turned into

have any laters that have turned into Nevers because I do my introduction to

Nevers because I do my introduction to

Nevers because I do my introduction to palliative care was by serendipity I was

palliative care was by serendipity I was

palliative care was by serendipity I was looking for job security I had no

looking for job security I had no

looking for job security I had no knowledge of the field no training

knowledge of the field no training

knowledge of the field no training whatsoever I needed a job I needed money

whatsoever I needed a job I needed money

whatsoever I needed a job I needed money palliative care forever changed me it’s

palliative care forever changed me it’s

palliative care forever changed me it’s changed how I interact with my family

changed how I interact with my family

changed how I interact with my family and my friends it’s made me question my

and my friends it’s made me question my

and my friends it’s made me question my values and my beliefs there isn’t a day

values and my beliefs there isn’t a day

values and my beliefs there isn’t a day that goes by that I don’t try and apply

that goes by that I don’t try and apply

that goes by that I don’t try and apply one of these lessons so I want to finish

one of these lessons so I want to finish

one of these lessons so I want to finish where I started I don’t think you have

where I started I don’t think you have

where I started I don’t think you have to work in palliative care to apply the

to work in palliative care to apply the

to work in palliative care to apply the lessons I’ve learned palliative care

lessons I’ve learned palliative care

lessons I’ve learned palliative care always ends in death the death is

always ends in death the death is

always ends in death the death is individual every patient has changed and

individual every patient has changed and

individual every patient has changed and informed me in a different way hopefully

informed me in a different way hopefully

informed me in a different way hopefully for the better so I want to leave you

for the better so I want to leave you

for the better so I want to leave you with this last thought I want to ask you

with this last thought I want to ask you

with this last thought I want to ask you reflect on your life and ask yourself

reflect on your life and ask yourself

reflect on your life and ask yourself how am i living thank you

how am i living thank you

how am i living thank you [Applause]

”

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