Microsoft Word Elisabeth Kubler-Ross On Death And Dying doc



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PATIENT: I remember D.F., who was driven frantic by the bare walls he looked at in his room
which were very unattractive. And this same nurse who doesn't want to give you medication 
brought him some beautiful pictures of Switzerland. And we pasted them on his walls. When he 
died, before he died he asked her to give them to me. I had come in to see him a few times and I 
made them into pictures because I realized how much they had meant to him. And so in every room, 
I mean eve, this nineteen-year-old girl's mother who stayed with her day after day, she brought me 
the cardboard and we made them and we put them on. We didn't ask the supervisor's permission but 
we used this kind of tape that doesn't ruin walls, you know. And I think she resented it. I think there 
is very much red tape in this place. I know that beautiful scenery can remind, must remind other 
people of life and living, if not of God. I can actually see God in nature very much. This is what 1 
mean, you wouldn't be that much alone if you had something that would make you a part of life. 
This meant that much to D.F. To S., she was surrounded by flowers and the phone calls, and the 
visitors that were allowed to see her, the girl friends that came, and I think that if they had all been 
sent out because she was so critically ill, it would have bothered her very 
 
(P60) 
 
much. She seemed to be alive when a visitor was with her, even when she was in intense pain. She 
couldn't talk to them either, you know. I think of her, you see. My Sisters only come once a week 
and sometimes they don't come at all. And so I have received most of my company from the 
visitors or the patients I have visited and this has helped me a lot. When I am in tears or depressed I 
know I have to do something to stop thinking about myself and whether I am in pain or not I have 
to drag myself to somebody else, to concentrate on them. And then I can forget my problems... 
 
DOCTOR: What happens to you when you can't do this anymore? 
 
PATIENT: Then I am-then I need people and then they don't come. 
 
DOCTOR: Well, that's something, you know, where we can help. 
 
PATIENT: Yes. But it hasn't ever happened. (Crying) '°i 
 
DOCTOR: But it's going to happen. That's one of the purposes. 
 
CHAPLAIN: You mean it hasn't ever happened that they have come? When you needed them? 
 
PATIENT: Only a tiny bit. Like when I said, when people are sick they stay away from you. You 
know, they think you don't want to talk, even though you can't respond, even if they just sit there
you'd know you wouldn't be alone. I mean, this would be ordinary visitors. If people would have to 
see this, and if it's someone who isn't screechy about praying, if they could just gently say the 
Lord's Prayer with you, which you haven't been able to say for days yourself because you say "Our 
Father" and then the rest is all confused, you know. You are again reminded of something that has a 
meaning. You see, if I haven't anything to give to people, they leave me. You know, if I can give to 
people, but there's plenty of people who don't realize how much I need. 
 
DOCTOR: True. (Mixed conversation.) 
 


PATIENT: And I do receive from them when I'm not critically ill. 
 
I do receive a lot but my need isn't as great then. 
 
DOCTOR: Your need is much greater when you stop being able to give. 
 
PATIENT: Yes, and each time I get ill, I'll worry a lot about the finances, how much it costs and 
another time I'll worry about if I'll have my job when I get back. And another time I'll worry 
 
if this is, you know, I'm going to be chronically ill and be always depending. Each time something 
different, you know, comes up so I always have some need. 
 
DOCTOR: What happens in your outside life? I know nothing about your background or really 
how you live. What happens to you when you are not able to work? Then does the church support 
you or the place where you work now or your family? Who does? 
 
PATIENT: Oh, sure they do. I've been hospitalized in our own hospital three times. Once during 
the night I had so much pain I couldn't breathe. I went down the hall and knocked on one of the 
nurse's door and she brought me over and gave me a hypo and then they just decided to leave me in 
the infirmary. This is the Sisters' infirmary. Only the Sisters can go there and it's so darn lonely in 
that place. You see, there's no television or radio, this isn't part of our life. Except on an educational 
basis at times and if people don't come in I need these things. And none of these things are 
presented to you and I have talked this over with my doctor so as soon as the pain has left and I can 
bear it, then he discharges me, knowing that psychologically I need people. And if I can go to my 
own room and lay down and dress four or five times a day completely and come down to meals, at 
least I feel a part of life. I don't feel that lonely. Even though I often have to sit in church, not being 
able to pray because I don't feel well, but I'm with the others. See what I mean? 
 
DOCTOR: Yes. Why do you think loneliness is so dreadful to you? 
 
PATIENT: I think, no, I don't think I dread loneliness because there are times when I need to be 
alone. I don't mean this. But unless I connect it with being abandoned in this situation, I'm not 
going to be able to help myself. It would be okay if I felt adequate enough, not to need people. But 
I, it isn't dying alone, it's the torture that pain can give you, like you just want to tear your hair out. 
You don't care if you don't bathe for days because it's just so much effort, like you're becoming less 
a human being. 
 
CHAPLAIN: A certain sense of dignity she'd want to maintain as long as she could. 
 
PATIENT: Yes, and I can't do this alone at times. 
 
DOCTOR: You know, you put this so much in words what we have been doing here for this whole 
year and what, we have attempted to do in many ways. I think you really put it in words. 
 
PATIENT: You still want to be a person. (Doctor: A human being.) 
 


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