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About this episode
In this heartfelt episode of Don't Be Caught Dead, I sit down with the remarkable Judith Leeson AM, a passionate advocate for those living with disadvantage and a champion for end-of-life planning. At 90 years young, Judith shares her incredible journey, from her early memories during the Great Depression to her extensive career in early childhood, disability, and career development. We dive deep into the importance of having open conversations about death and dying, and how these discussions can empower us to take control of our futures.
Judith's insights are both profound and practical. She reflects on her own experiences with advance care planning, including the challenges she faced when navigating her husband Brian's recent Alzheimer's diagnosis. Judith emphasises the need for deeper literacy around death and dying, advocating for a shift in how we approach these conversations in our families and communities. With her unique blend of wisdom and warmth, Judith inspires us to embrace our mortality and plan for a dignified end of life that reflects our values and wishes.
Remember; You may not be ready to die, but at least you can be prepared.
Take care,
Catherine
Show notes
Guest Bio

Judith has been a passionate advocate for people living with disadvantage throughout her career and has enjoyed leadership roles in Early Childhood, Disability, and Career Development for nearly seven decades, delivering services in the not-for profit sector, and through her family business, Vector Consultants, building individual and community independence and capacity through innovative evidence-based programs. Appointed as a Member of the Order of Australia in 2005 for significant services to the community, particularly through support for people seeking opportunity for life-long learning and career development. She has been given the unique honour of a Lifetime Achievement Award by the Career Development Association of Australia and is a Fellow and Life Member.
Judith is a former Flinders Graduate, a senior visiting lecturer in Disability, and was Director of an on-campus early intervention program for children with Down syndrome in the 80s, initiating a radical parent-professional partnership approach. Experienced as voluntary Board Member and Chair of many national and state-based not-for-profit associations, working to enrich the lives of people who are experiencing disadvantage and focussing on self-directed solutions, informed decision-making, and respect for their unique lives, depth of experience, strongly held values, and courage. Former National President of the Career Development Association of Australia for five terms and founding member/inaugural President of the Career Industry Council of Australia. Former Adjunct Lecturer in Career Development policy and practice, and member of a strategic planning team for post graduate studies at Edith Cowan University.
More recent voluntary work includes advocating for older citizens to self-direct and manage their lives, interest and services in their chosen communities;
- Building community capacity in rural and regional areas;
- Former Chair of Hills Community Options, providing accommodation in the community for people living with an intellectual disability;
- Former Board Member of the Horse Federation of SA, with a special interest in equine welfare influencing the Social Licence to Operate;
- Founding Board Member of Adelaide Hills Chamber Players, bringing music to inspire and transform lives, provide access to live performances of classical music which are accessible and affordable, and develop a career pathway and income for talented post-graduate musicians and singers.
- Ambassador for the Caring Futures Institute, non-executive director of Aged Care Research and industry Innovation Australia, member of several ARIIA research advisory panels, and board member of Flinders University’s research Centre for Palliative Care, Death and Dying.
Photos of Judith and Brian outside their beautiful home and garden.
Summary
Key points from our discussion:
- Advance Care planning is an investment in your future and should be a living document that evolves over time.
- Open conversations about death can foster understanding and connection within families.
- It's essential to choose a substitute decision-maker who truly understands your values and wishes.
- Death literacy should be integrated into the national educational curriculum to normalise discussions around dying.
Transcript
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We are often desensitized to death instead
of being sensitized to the whole process.
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We don't see that leader where advanced
care planning could be extraordinarily
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helpful, particularly if people are
unable to articulate what they would like.
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I mean, my husband and I have
got very different ideas about
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00:00:23,609 --> 00:00:25 ... Read More
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00:00:02,330 --> 00:00:08,020
We are often desensitized to death instead
of being sensitized to the whole process.
2
00:00:08,410 --> 00:00:13,790
We don't see that leader where advanced
care planning could be extraordinarily
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helpful, particularly if people are
unable to articulate what they would like.
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I mean, my husband and I have
got very different ideas about
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how we want our funerals to be.
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He doesn't want one.
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And I want to party.
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Welcome to Don't Be Caught Dead, a
podcast encouraging open conversations
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about dying and the death of a loved one.
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I'm your host, Catherine Ashton, founder
of Critical Info, and I'm helping to
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bring your stories of death back to life
because while you may not be ready to die.
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At least you can be prepared.
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Don't Be Caught Dead acknowledges
the lands of the Kulin Nations
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and recognises their connection
to land, sea and community.
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We pay our respects to their Elders,
past, present and emerging and extend
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that respect to all Aboriginal and
Torres Strait Islander and First
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Nation peoples around the globe.
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Today I have with me Judith Leeson.
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Judith has been a passionate advocate
for people living with disadvantage
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throughout her career and has enjoyed
leadership roles in early childhood,
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disability and career development for
nearly seven decades, delivering services
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in the not for profit sector and through
her family business Vector Consult.
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Building individual and community
independence and capacity through
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innovative evidence-based programs
Appointed as a member of the Order of
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Australia in 2005 for significant services
to the community, particularly through
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support for people seeking opportunity for
lifelong learning and career development.
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She has been given the unique.
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of a lifetime achievement
award by the Career Development
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Association of Australia, and
is a fellow and life member.
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Thank you so much for
joining us today, Judith.
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Thank you for
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having
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me, Catherine.
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Now, Judith, I had the pleasure of
sitting next to you on a table at a recent
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symposium that Advanced Care Planning put
on in Adelaide in November of last year.
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And I was really blown away.
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I think it was quite a challenging
or brave decision that Advanced Care
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Planning did in planning that symposium.
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Because the lineup and the way
in which they started was having
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yourself on a panel with a series
of older Australians talking about
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your own personal experiences in
relation to advanced care planning
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and it wasn't all positive, was it?
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Awesome.
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And I have to say that there was
a few things that I noted that
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really struck me about you, Judith.
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And my first, you know, notes
that I wrote in my book here
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was, worked until the age of 83.
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And you're now 90, you're still living
in your home, but the thing that I
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just thought was the most beautiful
thing and one of my takeaways that I
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just thought was gorgeous was when you
talked about your husband, Brian, and
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you referred to him and I've noted this
quote down, we are one, my husband.
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And I thought that was just such a
beautiful way to actually, you know, refer
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to your husband and your relationship.
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Now you have had quite an amazing
career and not only with your working
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life but then also your volunteering
roles since you retired at the,
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I think you worked part time up
until the age of 85, is that right?
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That's right.
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Yes,
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I've just seen my last client.
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Oh really?
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Yes, they linger on sometimes.
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I think it's affection
rather than dependency.
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Oh,
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that's so lovely and I'm not
surprised whatsoever Judith.
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So Tell me Judith, I'm sure we can
learn more about your career as we go
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through the conversation, but going back
to that time where we first met at the
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Advanced Care Planning Symposium, you
know, what inspired you to actually have
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your passion for advocacy in relation to
end of life planning and helping people
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really can take control of their futures?
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Where'd that start?
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Well, I was born during the
Depression and my earliest memory
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was when I was about three.
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A man came to our back door
with three boxes of matches
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to sell for one penny each.
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This has been emblazoned in my memory.
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My family had a very large
business of general stores
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in outer metropolitan areas.
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In those days you also had wheat for the
chickens, you know, it was everything.
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So we had boxes of matches in our house.
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But my mother bought two
boxes, and I can remember it.
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She was standing there, and she said, I
would love to buy some mattress from you.
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Gave him three pennies, but
let him keep the other box.
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And he cried.
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I don't remember any more than that,
but I think at that stage, there
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was a spark and in our family, which
was, my parents were dedicated to
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community service through their church.
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but also outside of the church.
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And I just developed a very strong sense
from then on that was encouraged by my
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parents to look at how we could make the
world a better place for other people
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who weren't as fortunate as we were.
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And then I was five when the
war started, World War II.
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We've had several wars,
many wars since then.
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But.
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My family were very
active in the community.
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We supported my mum's sisters, whose
husbands were serving overseas.
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They had their babies at our place.
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We looked after them.
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I collected newspapers and
knitted socks for sailors.
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I hope they never put them on.
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They would have been so uncomfortable.
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And collected bottles.
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anything to raise money and
also through the Red Cross.
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So, from a very early age, I not only had
that strong sense of social justice, but
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I had a really strong sense of agency.
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I could do things that made a difference.
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I didn't have things done to me
and I didn't do things to people.
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It was really for people.
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And during the war, I mean, we didn't
endure much hardship in Australia,
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but there was certainly a whole
lot of problems with families when.
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They had serving members overseas and
my family supported at least a dozen
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families through their business so
that they could manage and there was
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just so much that you could do and you
knew that it was a good thing to do.
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So, yes, I guess I started off like that.
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I could see that we were very privileged.
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We weren't a wealthy family.
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But we were a comfortable family.
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And so, you know, I was always probably
chastised for being talkative at school.
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But I was always given extra little things
to do, like writing the news in grade
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six for the local school netball team.
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So, and in the church, I was given
opportunities to lead, to speak publicly.
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I've put those days behind me, actually.
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Now I am not a religious person, so I
don't have that faith that's sustained
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by parents, but I have those values.
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that I hold really dear to, and
they are just so embedded in
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my life that sometimes, well, I
don't have to think about them.
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They're just there in what I try to do.
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Obviously I fail sometimes, as
everybody does, to live a life of total
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integrity, but I do try very hard.
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To have a life of integrity and purpose.
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And Judith, I'll come back to those values
in a moment because I know that you're a
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parent and that I think that when we're
raising children, that's when we really.
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Have to really clearly define what
our values are when we bring up
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another generation But the thing
that strikes me about you is that
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you ran your own business for many
years And where did that start?
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Like what year did you actually start
running your own business as a woman when
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You know, you think that a majority of
women, my mother is 85 and I know when
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she talks about opportunities, I know
that when she was working at her age, her
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first job that she had, most women of her
era had to give up their job when they
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got married or when they got pregnant.
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And so that was very much the
feeling that I have about that
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culture at that era at that time.
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So
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when did you start your business?
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Well, I came from a business family.
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And my father was an innovator and
started up a number of organizations
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for young people, particularly young
men who didn't seem to have much
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opportunity through men's basketball.
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So he was the national president of
the Men's Basketball Association.
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For about 40 years, I think, and
started up a men's basketball
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association in South Australia.
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So he was a director and founder
of something which is used
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to be called United Grocers.
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And he was the chair.
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So I had that model of taking
advantage of opportunities without.
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Being eager for promotion, you know, in
my teaching, after eight years of teaching
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junior primary kids, which I absolutely
love, I became a school principal.
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Now, I was only 26, and I was given my own
school with 15 teachers, all of whom were
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20 years or 30 or 40 years older than me.
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And I loved it.
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So I actually had a career when
most of my contemporaries were
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getting married and having children.
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By the time I was married, their
children were in primary school.
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So I married Brian at 31 and
I had to resign, of course,
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for the compulsory three days.
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So my super wasn't ever paid,
it didn't have to be, because
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I had a break in service.
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When I first started teaching, I
earned two thirds of the male wage.
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That was injustice.
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So injustice always sparks me.
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Through activity, well, to thinking about
it, and then say, How can I change this?
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So as a young school principal
I was very innovative.
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Brian and I then lived in London
and I was taught in the East End at
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Bethnal Green, a school noted for the
difficult background of their children.
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So when we came back, I unexpectedly
had two children, both girls.
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But within about three years of being an
at home mum, I had that feeling that there
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was more to my life than rearing children,
which I regarded as incredibly important.
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And I went to work with the Autistic
Children's Association part time.
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And within a couple of years I was working
with the director in diagnosing autism
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and in providing the first programs.
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And what period was this?
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Well this was when I was in, I went
from early childhood disability and
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then I was recruited, well poached I
think, to run an early intervention
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program at Flinders University
for children with Down syndrome.
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And that was where I was.
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I discovered that teaching is
often telling people what to do.
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Disability is finding out what
people can do and encouraging
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them to take the next step.
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So, I was kind of transitioning
into a different mode.
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Well, I happily was retrenched
from that job on a funding issue.
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I like to think it wasn't
a performance issue.
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And I spent two really dark years
feeling so strongly about the injustice.
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But I instigated a court case,
and I felt that I was vindicated.
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So, I'm not afraid to take action.
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And what year was this in?
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Was
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this in
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the early 70s at this stage?
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Yeah, yeah.
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Well, it moved up to the 80s actually.
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Yeah, right.
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So I, well, once the children went to
school and I got the job with autism,
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and then I was retrenched, I had two
years where I was clinically depressed.
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I could not.
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00:14:26,395 --> 00:14:33,005
believe that people would
be so cruel and dishonest.
205
00:14:33,245 --> 00:14:36,594
And you said that during that
time, even though that you were in
206
00:14:36,635 --> 00:14:41,924
your darkest depths, you still had
the ability to fight for what was
207
00:14:41,925 --> 00:14:43,635
right and take people's support.
208
00:14:44,795 --> 00:14:45,314
Yeah.
209
00:14:45,714 --> 00:14:47,204
I had some counselling.
210
00:14:47,635 --> 00:14:51,445
You know, my husband was
retrenched from a mining company.
211
00:14:51,755 --> 00:14:55,535
He was a geologist and
had moved into research.
212
00:14:56,915 --> 00:15:02,625
And his company just deprogrammed his
key one day, so that when he got to
213
00:15:02,955 --> 00:15:05,145
work, he couldn't get in the door.
214
00:15:05,605 --> 00:15:08,954
And that was because that
company had lost millions of
215
00:15:08,995 --> 00:15:11,645
dollars in an overseas venture.
216
00:15:12,325 --> 00:15:17,354
So they decided that they would cut
off their research as a savings.
217
00:15:17,664 --> 00:15:19,624
It's always the first to
go, isn't it, research?
218
00:15:20,760 --> 00:15:22,410
It's research always
seems to be one of the
219
00:15:22,410 --> 00:15:22,950
first things to go.
220
00:15:23,870 --> 00:15:29,190
Yeah, because they haven't discovered
a major mining site for five years.
221
00:15:29,240 --> 00:15:35,680
I mean, you only do that
every 30 years or 40 years.
222
00:15:35,950 --> 00:15:38,530
Such unrealistic expectations
really, wasn't it?
223
00:15:39,130 --> 00:15:44,930
But what I saw, because of my counselling
during that time when I was not working,
224
00:15:45,439 --> 00:15:47,500
I kind of thought I might have retired.
225
00:15:47,880 --> 00:15:54,770
But as I got my energy back, and I
looked at the materials that My husband
226
00:15:54,770 --> 00:15:57,750
received from his outplacement counsellor.
227
00:15:59,600 --> 00:16:06,050
I realised there was not a single
word in there about loss or grief.
228
00:16:06,560 --> 00:16:12,069
And, you know, it was, we'll set you up
in an office in a high rise building.
229
00:16:12,070 --> 00:16:14,660
You know, you'll have your own secretary.
230
00:16:14,910 --> 00:16:16,159
We will help you, right?
231
00:16:16,570 --> 00:16:22,150
Your resumes, you know, it was never
going to happen because the most
232
00:16:22,150 --> 00:16:29,819
important thing to deal with when people
are in a crisis is to help them find
233
00:16:29,819 --> 00:16:33,250
their own way out of that process.
234
00:16:34,250 --> 00:16:38,140
And that's interesting because that
comes back to that experience that you
235
00:16:38,140 --> 00:16:43,129
had from also what you were mentioning
earlier about transitioning from being
236
00:16:43,130 --> 00:16:47,610
a teacher where you're telling people
to actually seeing what people need
237
00:16:47,750 --> 00:16:51,830
and then providing what they need to
help themselves out of a position.
238
00:16:51,910 --> 00:16:52,050
Yeah,
239
00:16:52,320 --> 00:16:52,740
yeah.
240
00:16:52,830 --> 00:16:58,439
So I looked at the material that
Brian had and I thought, um, There's
241
00:16:58,439 --> 00:17:03,699
an element missing in our placement
work and it's called counselling.
242
00:17:04,030 --> 00:17:11,230
So I decided I'd learn to type because I
thought I could be a good PA for somebody.
243
00:17:11,339 --> 00:17:18,104
So I went to the Commonwealth Employment
Services and they gave me a provider and
244
00:17:18,104 --> 00:17:23,849
I went for an interview which seemed to go
on much longer than I would have expected.
245
00:17:24,079 --> 00:17:28,250
And at the end of the, I always kept
thinking, heavens, if you have to go
246
00:17:28,300 --> 00:17:33,140
through this process to learn to type,
what if you wanted to do something
247
00:17:33,200 --> 00:17:37,670
like, you know, be a hospitality
worker, what would you have to do?
248
00:17:38,080 --> 00:17:41,789
But at the end of the interview,
they offered me a job, but the job
249
00:17:41,799 --> 00:17:46,289
was working with single parents
returning to the workforce.
250
00:17:46,290 --> 00:17:52,030
So I had a brief induction, sitting
in on a service which I could only
251
00:17:52,070 --> 00:17:56,515
describe as damaging to the participants.
252
00:17:56,875 --> 00:17:59,685
And the next week I had
my own course to run.
253
00:17:59,835 --> 00:18:02,205
So I stayed there for a year.
254
00:18:02,235 --> 00:18:08,955
I became the manager after six months
of a larger area, regional area,
255
00:18:09,095 --> 00:18:15,755
and I was retrenched again because
it turned out that my employer
256
00:18:15,965 --> 00:18:22,115
had not been entirely honest and I
looked a bit threatening, I think.
257
00:18:22,845 --> 00:18:29,055
Because I was asking difficult
questions and getting non answers.
258
00:18:29,865 --> 00:18:32,395
So anyway, I was retrenched once again.
259
00:18:32,895 --> 00:18:35,985
I took an unfair dismissal
court case on board.
260
00:18:36,725 --> 00:18:40,044
Resented myself and was
once again vindicated.
261
00:18:40,315 --> 00:18:42,365
I don't want to sound
smug about this though.
262
00:18:42,955 --> 00:18:45,245
Because I prepared so well.
263
00:18:46,260 --> 00:18:47,180
you know, for that.
264
00:18:47,710 --> 00:18:53,850
So, I thought, well, I think I set up
my own business in competition to the
265
00:18:53,960 --> 00:18:56,810
man who'd retrenched me, and I did.
266
00:18:57,139 --> 00:19:00,870
And that took a while because I
read everything I could about career
267
00:19:01,070 --> 00:19:05,260
development from 1907 onwards.
268
00:19:05,440 --> 00:19:07,579
So I'm a voracious reader.
269
00:19:07,860 --> 00:19:10,280
I love reading and I love learning.
270
00:19:11,020 --> 00:19:18,139
So I put in a proposal to the
Commonwealth and was accepted and ran
271
00:19:19,030 --> 00:19:22,100
a three week career guidance course.
272
00:19:22,445 --> 00:19:25,585
And how old were you when you
started your own business, Judith?
273
00:19:25,735 --> 00:19:26,935
Yeah, 57.
274
00:19:27,425 --> 00:19:29,975
And this would have been
late 80s, early 90s?
275
00:19:30,045 --> 00:19:35,565
Yes, we started our business
in 1991 and we got contracts.
276
00:19:35,875 --> 00:19:41,074
I hired premises in Adelaide
in the CBD, hired a secretary
277
00:19:41,914 --> 00:19:44,570
and there you go, off we go.
278
00:19:44,570 --> 00:19:53,444
So, because I think we use the evidence,
Rather than a tick box approach to career
279
00:19:53,715 --> 00:19:57,774
development, we were always in work.
280
00:19:57,925 --> 00:20:03,705
And then we started to employ people,
large contracts to do our placement
281
00:20:03,705 --> 00:20:10,364
work with the Department of Defence,
DVA, tax, even education and employment.
282
00:20:11,685 --> 00:20:17,580
And Our business really prospered
for a long time, but unfortunately
283
00:20:17,630 --> 00:20:22,880
during that period of prosperity when
I was taking on so much additional
284
00:20:22,890 --> 00:20:29,260
voluntary work as National President
of the Korea, Development Association
285
00:20:29,260 --> 00:20:32,020
and I helped set up the industry body.
286
00:20:32,180 --> 00:20:37,610
One permanent employee was
meticulously defrauding us because
287
00:20:37,610 --> 00:20:40,309
she had control of our accounts.
288
00:20:40,530 --> 00:20:47,029
So we lost all our money and
apparently we also owed money to tax.
289
00:20:47,550 --> 00:20:48,880
All sorts of places.
290
00:20:49,420 --> 00:20:56,160
And when, later on, we used my husband's
superannuation to pay everybody.
291
00:20:56,579 --> 00:21:01,890
So, with our values, we couldn't go
bankrupt because they were our debts.
292
00:21:02,110 --> 00:21:05,259
So, we just rebuilt the business.
293
00:21:05,529 --> 00:21:06,149
So, how long
294
00:21:06,169 --> 00:21:06,729
did it take
295
00:21:06,729 --> 00:21:06,859
you
296
00:21:07,220 --> 00:21:08,680
to rebuild that business?
297
00:21:09,230 --> 00:21:14,590
Well, we decided that we would
just be a mum and dad business.
298
00:21:14,895 --> 00:21:20,545
As we were rebuilding, I don't
think my husband would ever let
299
00:21:20,615 --> 00:21:23,844
anyone go near our finances again.
300
00:21:24,415 --> 00:21:29,544
And he didn't trust me not to employ
people with a bad record because I always
301
00:21:29,564 --> 00:21:34,585
could see the good in them and thought
the bad record could be left behind, but
302
00:21:34,595 --> 00:21:37,545
sometimes it can't be, just occasionally.
303
00:21:38,215 --> 00:21:43,435
So, we We gradually recovered and
instead of doing big Commonwealth
304
00:21:43,435 --> 00:21:47,854
contracts, we did state government
ones and we worked from home.
305
00:21:48,695 --> 00:21:53,624
So, after we'd recovered a bit from
the fraud, we decided that we'd have
306
00:21:53,624 --> 00:22:00,304
a new start and we would move to
the country and buy a little farm.
307
00:22:00,305 --> 00:22:00,975
That's where we live now.
308
00:22:01,835 --> 00:22:02,565
Oh, that's
309
00:22:02,825 --> 00:22:03,395
beautiful.
310
00:22:03,465 --> 00:22:04,185
Really beautiful.
311
00:22:04,735 --> 00:22:06,285
We made it beautiful.
312
00:22:06,285 --> 00:22:08,215
It was just a cottage in a paddock.
313
00:22:08,945 --> 00:22:11,395
with a big shed away from the house.
314
00:22:11,545 --> 00:22:16,525
It sounds like that your time and the
cottage has, you know, I think you've
315
00:22:16,545 --> 00:22:20,965
mentioned that it's over 20 years now
that you've been there with your husband.
316
00:22:21,364 --> 00:22:26,305
And from my understandings in our earlier
conversations, you've mentioned that you'd
317
00:22:26,305 --> 00:22:28,495
like to stay there as long as possible.
318
00:22:28,685 --> 00:22:34,739
So Judith, when you were in the symposium
last year, you did touch on the challenges
319
00:22:34,739 --> 00:22:39,030
that you have with just exactly what
you're referring to then is the fact
320
00:22:39,030 --> 00:22:44,340
that you've got the neurologist saying
that Brian can drive his car, yet he
321
00:22:44,359 --> 00:22:49,259
is deemed as far as making decisions
in relation to his advanced care
322
00:22:49,270 --> 00:22:54,199
planning, that because of his diagnosis,
he's no longer in deemed competent.
323
00:22:54,480 --> 00:22:58,179
I believe that's the term that they
use to make his advanced care plan.
324
00:22:58,760 --> 00:23:03,319
And what other limitations have you found
given your experience with not only Brian,
325
00:23:03,320 --> 00:23:05,560
but yourself personally in recent years?
326
00:23:05,729 --> 00:23:14,700
Well, I might just go back a little in
time when In 2020, I was unexpectedly
327
00:23:14,730 --> 00:23:22,390
admitted to hospital with acute
sepsis and spent four weeks in the
328
00:23:22,390 --> 00:23:28,769
Royal Adelaide Hospital, during which
time I had my hip replacement washed
329
00:23:28,769 --> 00:23:32,180
out, which was a major surgery.
330
00:23:32,310 --> 00:23:38,215
And during that time, when I think
I was probably quite, Delirious.
331
00:23:38,645 --> 00:23:44,955
A lovely young intern came and sat down
by my bed and held my hand and said, Now
332
00:23:45,024 --> 00:23:53,504
Judith, have you done any thinking about
how you would like your end of life to be?
333
00:23:54,450 --> 00:23:58,120
I thought, it started me
back into reality, I think.
334
00:23:58,450 --> 00:24:02,040
I said, well, I don't really
need to plan yet, do I?
335
00:24:02,600 --> 00:24:06,189
And he said, well, you know,
could we talk about this?
336
00:24:06,570 --> 00:24:12,349
Look, he looked about 15, he was probably,
you know, a young, a very young intern,
337
00:24:13,230 --> 00:24:15,619
but qualified as a doctor, of course.
338
00:24:15,640 --> 00:24:21,925
And he gently kind of prompted me
to say, well, you know, I wouldn't
339
00:24:21,925 --> 00:24:27,165
want to be brought back to life by a
defibrillator because I know the shocking
340
00:24:27,245 --> 00:24:30,145
damage that can cause to older peoples.
341
00:24:30,254 --> 00:24:34,395
It's not a very safe procedure
for someone of my age.
342
00:24:34,494 --> 00:24:39,395
So we had a little chat, but when
I went into rehab for six weeks and
343
00:24:39,665 --> 00:24:44,814
finally came home, I said to Brian,
you know, this doctor felt that we
344
00:24:44,814 --> 00:24:47,465
should have do advanced care planning.
345
00:24:47,495 --> 00:24:48,804
Now I had heard about it.
346
00:24:49,034 --> 00:24:56,694
Because I read very widely, and I had
an interest in aged care at this time.
347
00:24:57,064 --> 00:25:03,004
Because when I went home, I had
to have some support in the house.
348
00:25:03,274 --> 00:25:05,804
And some clinical services.
349
00:25:05,915 --> 00:25:08,784
So, we went to see a lawyer.
350
00:25:09,225 --> 00:25:12,205
I mean, I come from a
family of lawyers as well.
351
00:25:12,274 --> 00:25:16,110
And our family, uh, in
the law, our children.
352
00:25:16,199 --> 00:25:21,639
And so we went to see a lawyer and
made a new will, very simple one, much
353
00:25:21,639 --> 00:25:26,560
simpler than our previous one, which
was probably 30 years old, I think.
354
00:25:27,129 --> 00:25:29,770
And we filled in and filed for clear.
355
00:25:30,035 --> 00:25:36,805
planning document and I think that
I didn't come back to that document
356
00:25:37,014 --> 00:25:43,764
until I started reading when I was
invited to the Advanced Care Symposium
357
00:25:44,365 --> 00:25:50,425
to prepare myself and I looked through
the document which I have beside me
358
00:25:50,905 --> 00:25:56,925
and it was kind of, it's almost as if
we had a tick and flick questionnaire
359
00:25:57,355 --> 00:25:59,585
and we just copied out phrases.
360
00:25:59,665 --> 00:26:01,545
Or sentences.
361
00:26:01,975 --> 00:26:07,235
So, even though we thought, we did
it at home, and we did it together,
362
00:26:07,355 --> 00:26:15,534
but even then, after my, near
escape from death and we still felt
363
00:26:15,675 --> 00:26:23,304
that we hadn't quite captured the
spirit of end of life planning for
364
00:26:23,304 --> 00:26:23,915
us.
365
00:26:24,134 --> 00:26:27,094
What do you think was missing from that,
Judith, because that's something that
366
00:26:27,094 --> 00:26:31,215
I noted here is when you were talking
about the fact that it was a ticker
367
00:26:31,215 --> 00:26:35,175
box experience and it was very sterile.
368
00:26:35,195 --> 00:26:36,794
So in hindsight, what.
369
00:26:36,925 --> 00:26:41,294
Do you feel other things that would
give you more feeling like it was
370
00:26:41,294 --> 00:26:44,445
something planning for yourself
that represented you and Brian?
371
00:26:44,544 --> 00:26:48,144
Well, I think we need deeper literacy.
372
00:26:48,530 --> 00:26:55,600
in death and dying, a deeper
understanding of the processes of dying.
373
00:26:55,810 --> 00:27:02,830
But what we lack is the ability to
forecast the time and the manner
374
00:27:02,969 --> 00:27:05,600
of our dying and our deaths.
375
00:27:05,835 --> 00:27:13,175
And one thing that we really lack is good
medical knowledge about these things.
376
00:27:13,574 --> 00:27:20,884
So, I have been reading much more
deeply in this area, and I am
377
00:27:21,225 --> 00:27:28,334
delighted now that I'm on the board of
Flinders University's Research Centre.
378
00:27:28,335 --> 00:27:31,675
for palliative care, death and dying.
379
00:27:31,764 --> 00:27:38,534
And whenever I'm involved in something,
it's got to be 100 percent involvement.
380
00:27:38,715 --> 00:27:46,164
And so I'm reading a lot more and learning
a lot more about the wonderful resources
381
00:27:46,164 --> 00:27:48,564
that are available to help people.
382
00:27:48,995 --> 00:27:53,274
Understand and navigate end of life.
383
00:27:53,794 --> 00:27:56,565
And what sort of things have you
found that have stood out for you
384
00:27:56,615 --> 00:28:01,955
that have enriched that process or
will perhaps make those conversations
385
00:28:01,955 --> 00:28:04,224
around end of life planning easier?
386
00:28:04,415 --> 00:28:10,014
Well, Brian now has a terminal
disease which has changed.
387
00:28:10,930 --> 00:28:13,220
Everything in our perception.
388
00:28:13,590 --> 00:28:20,600
I have many physical health issues,
some of which are moderately serious.
389
00:28:20,730 --> 00:28:27,329
But in spite of the fact that I have very
impaired mobility, actually I feel fit.
390
00:28:27,550 --> 00:28:28,790
I may not be healthy.
391
00:28:28,820 --> 00:28:30,490
Well, I think I'm even healthy.
392
00:28:31,100 --> 00:28:36,270
I think I acknowledge my
comorbidities, but I don't spend
393
00:28:36,270 --> 00:28:38,200
too much time worrying about them.
394
00:28:38,240 --> 00:28:39,620
I just get on with life.
395
00:28:39,785 --> 00:28:48,635
But for Brian, the diagnosis, of course,
caused him to feel extremely angry
396
00:28:48,804 --> 00:28:58,374
because he prizes, I think, intellectual
excellence and evidence based practice
397
00:28:58,494 --> 00:29:00,865
in everything he is, after all.
398
00:29:01,650 --> 00:29:03,110
a scientist at heart.
399
00:29:03,970 --> 00:29:10,290
I'm a helper, but we've managed to combine
our activities so that we complement
400
00:29:10,290 --> 00:29:16,510
each other, but now I'm moving into
a totally different role, and I'm not
401
00:29:16,900 --> 00:29:25,045
his carer yet, but I propose to be his
carer when he needs to be cared for.
402
00:29:25,604 --> 00:29:32,264
But, I find that word tricky because I
care deeply for him now, and little things
403
00:29:32,264 --> 00:29:36,135
that I do would show him how much I care.
404
00:29:36,335 --> 00:29:42,844
So, the dynamic has changed
between us I think, as his disease
405
00:29:43,344 --> 00:29:49,794
advances very slowly, but because
I'm always been interested in
406
00:29:49,794 --> 00:29:53,395
psychology, there are subtle changes.
407
00:29:53,485 --> 00:29:59,524
That means that I need to be
more thoughtful before I speak.
408
00:30:00,910 --> 00:30:01,790
sometimes.
409
00:30:02,440 --> 00:30:06,080
So that I don't trigger confusion.
410
00:30:06,290 --> 00:30:11,430
I mean, Brian has always laughed and
said, the way I speak is tangential.
411
00:30:12,120 --> 00:30:14,509
You know, I don't go around in circles.
412
00:30:14,869 --> 00:30:19,580
I hop from one thing to another
as a new thought emerges.
413
00:30:19,925 --> 00:30:26,425
I have to be very careful now not to
do this, but keeping our conversation
414
00:30:26,635 --> 00:30:33,704
on an even plane has never required
any effort before, but now I need
415
00:30:33,725 --> 00:30:36,154
to be more thoughtful about it.
416
00:30:36,375 --> 00:30:42,215
What I say and how I say it because
I want him to be happy and I
417
00:30:42,225 --> 00:30:47,175
will be happy too as he is happy
and he's happy working outside.
418
00:30:47,555 --> 00:30:53,955
So our routines have changed a little,
mine have changed a lot more than his.
419
00:30:54,204 --> 00:30:59,625
He's still doing what he's done for
the last few years and that is keeping
420
00:30:59,625 --> 00:31:02,595
our property in pristine condition.
421
00:31:03,485 --> 00:31:08,360
In so far as that's possible in the
back roots of the Adelaide Hills.
422
00:31:09,120 --> 00:31:14,715
I mean, we have PO and branches all over
the place, so we say that's habitat.
423
00:31:14,925 --> 00:31:15,585
That is good.
424
00:31:15,585 --> 00:31:16,035
I like
425
00:31:16,035 --> 00:31:16,185
that.
426
00:31:16,455 --> 00:31:18,075
It is very good habitat.
427
00:31:18,135 --> 00:31:21,375
It can stay there and
produce very good habitats
428
00:31:21,465 --> 00:31:22,215
in the paddock.
429
00:31:22,215 --> 00:31:25,635
It's great and the sheet managed
to navigate it really well.
430
00:31:25,935 --> 00:31:29,385
Big trees cut up by someone
who comes to do that.
431
00:31:29,855 --> 00:31:33,145
And so, we try and live
fairly sustainably.
432
00:31:33,435 --> 00:31:38,245
So, when a big tree goes down,
we have it cut into big pieces,
433
00:31:38,575 --> 00:31:43,125
we season it for two years, and
then we put it in our combustion
434
00:31:43,165 --> 00:31:45,975
heater, which warms the whole house.
435
00:31:45,985 --> 00:31:49,654
So, and these are the
routines that Brian loves.
436
00:31:49,655 --> 00:31:52,475
You know, we manage our own water supply.
437
00:31:52,905 --> 00:31:56,375
We're having to buy in
right now, which is unusual.
438
00:31:57,080 --> 00:32:03,420
We buy a tanker of water every fortnight
now because we haven't had any rain.
439
00:32:03,620 --> 00:32:11,329
All of that gives him purpose, it has
meaning to both of us and it keeps him
440
00:32:11,590 --> 00:32:17,600
active because he has to respond to
the seasons as well as everything else.
441
00:32:17,930 --> 00:32:23,430
How have you been able to document
those things that are valuable to Brian?
442
00:32:23,860 --> 00:32:27,810
Have you been able to formally document
them in the advanced care plan?
443
00:32:28,160 --> 00:32:32,280
Or is it a conversation that you've had
with the family about what you value?
444
00:32:32,790 --> 00:32:39,230
How do you communicate what your needs
are for a time where you may no longer
445
00:32:39,250 --> 00:32:40,960
be able to communicate those Judith?
446
00:32:41,760 --> 00:32:49,360
What we're doing is we're preparing
together two new advanced care plans
447
00:32:49,470 --> 00:32:57,930
because I have nominated Brian to be my
substitute decision maker and I'm not sure
448
00:32:57,970 --> 00:33:01,300
that legally he could be that person now.
449
00:33:01,970 --> 00:33:06,470
Of course he could be now at
this moment but perhaps later.
450
00:33:07,195 --> 00:33:07,845
Not so.
451
00:33:08,075 --> 00:33:12,055
So that then is a big decision.
452
00:33:12,185 --> 00:33:13,415
Which of our children?
453
00:33:13,950 --> 00:33:20,290
Our three much loved children,
all so different in personality.
454
00:33:20,790 --> 00:33:24,559
Who do we nominate to be
our Advanced Care Planner?
455
00:33:24,820 --> 00:33:26,430
And that's a challenge.
456
00:33:26,820 --> 00:33:30,020
They all say they will
be, if we want them to be.
457
00:33:30,219 --> 00:33:30,944
So who?
458
00:33:30,945 --> 00:33:33,224
Who knows us best?
459
00:33:33,505 --> 00:33:37,975
Who understands our
deeply held values best?
460
00:33:38,055 --> 00:33:47,625
And who understands how we have navigated
our pathway through life more completely?
461
00:33:47,830 --> 00:33:49,360
Well, they all think they do.
462
00:33:52,660 --> 00:33:53,780
I love them for that.
463
00:33:54,300 --> 00:33:59,460
So, that's something we will try and
decide as a family, but it's difficult
464
00:33:59,470 --> 00:34:05,219
to have family discussions sometimes,
because of people's different work lives.
465
00:34:06,050 --> 00:34:09,840
One of our daughters lives in
Perth, so, you know, these are
466
00:34:09,840 --> 00:34:12,300
not easy decisions to make.
467
00:34:12,370 --> 00:34:16,459
The things that you were just mentioning
then are things that are definitely
468
00:34:16,870 --> 00:34:18,690
points that need to be considered.
469
00:34:18,770 --> 00:34:21,390
And also, you've mentioned,
you know, a will.
470
00:34:21,650 --> 00:34:26,770
A will is a very different document to
what an advanced care plan is and I had
471
00:34:26,810 --> 00:34:32,030
a wills and estates lawyer on last year
and he was also talking about the fact
472
00:34:32,120 --> 00:34:38,399
that challenge of finding the right
person within the family who would have
473
00:34:38,410 --> 00:34:44,495
the ability to say if it was appropriate
at the time, okay, my parent does
474
00:34:44,495 --> 00:34:49,515
not wish to have end of life support
and so we'd happy to turn that off.
475
00:34:49,555 --> 00:34:52,765
And it takes a different type of
person in the family to have those
476
00:34:52,794 --> 00:34:57,175
qualities than what it does to
actually have the legal conversations.
477
00:34:57,255 --> 00:34:57,765
Absolutely.
478
00:34:58,405 --> 00:35:05,155
And so I think these matters need to be
handled delicately and with diplomacy
479
00:35:05,505 --> 00:35:12,395
so that one member of the family doesn't
feel marginalized from the processes.
480
00:35:12,665 --> 00:35:15,794
You know, I don't think end
of life planning is easy.
481
00:35:15,915 --> 00:35:20,335
And I think even though my
husband has Alzheimer's.
482
00:35:21,240 --> 00:35:28,980
He is still, I know, perfectly
capable of making informed decisions.
483
00:35:29,380 --> 00:35:36,650
He's still a good critical thinker, but
in the law, he's treated differently.
484
00:35:36,780 --> 00:35:43,940
Those two words, not competent, are like
a dagger to the heart, because That's
485
00:35:43,960 --> 00:35:51,730
what we have valued, not just competency,
but whatever we've done, we've tried
486
00:35:51,800 --> 00:35:58,569
really hard through learning and getting
extra experience to be competent and
487
00:35:58,569 --> 00:36:01,439
then to go to the next stage to deliver.
488
00:36:01,840 --> 00:36:04,750
excellence, particularly in our work.
489
00:36:05,280 --> 00:36:08,860
I don't think we think like
this in the family, you know,
490
00:36:08,900 --> 00:36:10,580
that we have to be excellent.
491
00:36:10,659 --> 00:36:13,700
We are just who we are to the family.
492
00:36:14,030 --> 00:36:17,390
And it seems, Judith, that, you
know, we're talking about, you
493
00:36:17,390 --> 00:36:20,700
know, your stage that you're at
now and with Brian's diagnosis.
494
00:36:20,760 --> 00:36:25,760
However, it seems that the qualities that
you've had with your family of honesty and
495
00:36:25,760 --> 00:36:31,519
integrity and those values, they seem to
have been also based on open conversations
496
00:36:32,259 --> 00:36:34,500
and continuing conversations.
497
00:36:34,510 --> 00:36:38,980
So what would you think we need
to see happening in relation to
498
00:36:38,980 --> 00:36:41,080
the fact that our lives do change?
499
00:36:41,110 --> 00:36:42,619
We do have to spend money.
500
00:36:43,060 --> 00:36:48,199
These are sometimes roadblocks that people
put in the place saying, I can't, you
501
00:36:48,199 --> 00:36:52,540
know, do my end of life planning, or I
can't do a will because then it'll change.
502
00:36:52,810 --> 00:36:56,600
What do you say to those sort of
challenges or roadblocks that people
503
00:36:56,630 --> 00:36:59,790
have in relation to end of life planning?
504
00:36:59,940 --> 00:37:06,600
Well, I think end of life planning is an
investment in your future, so that you
505
00:37:06,670 --> 00:37:13,970
can invest your end of life with some of
the qualities and the activities that you
506
00:37:14,060 --> 00:37:17,830
hold dear, that you hold closest to you.
507
00:37:18,640 --> 00:37:25,590
So, I think that end of life planning
A document should be a living document
508
00:37:25,800 --> 00:37:33,770
and often we'll need several changes,
if not more, depending on when you do
509
00:37:33,770 --> 00:37:41,090
it, because we can never predict when
we will die or how or where or why.
510
00:37:41,090 --> 00:37:45,629
Now I'm sorry, some people
can predict why, but I can't.
511
00:37:45,629 --> 00:37:48,929
I don't know how I'm going to die.
512
00:37:49,920 --> 00:37:50,480
Or when?
513
00:37:50,810 --> 00:37:51,960
Will I be ill?
514
00:37:52,500 --> 00:37:54,150
Will I be in hospital?
515
00:37:54,510 --> 00:38:00,800
Will I fall over and have
to be operated on again?
516
00:38:00,940 --> 00:38:01,800
You know, it'd be
517
00:38:01,800 --> 00:38:02,500
nice.
518
00:38:02,640 --> 00:38:03,889
And you're right, we don't know.
519
00:38:03,889 --> 00:38:08,429
And so Judith, what do you think
you would like to see done in
520
00:38:08,429 --> 00:38:13,189
relation to Australian policies or
systems about end of life planning?
521
00:38:13,399 --> 00:38:19,620
Well, I'd like to see end of life
planning remain an individual choice.
522
00:38:20,390 --> 00:38:26,620
And not ever to be compulsory
because that's when people are
523
00:38:26,690 --> 00:38:32,770
mandating what could, should,
or could not be said or done.
524
00:38:32,830 --> 00:38:39,680
So I would really like it to be
voluntary, but I would like to see
525
00:38:39,900 --> 00:38:50,149
death literacy enhanced and introduced
into programs about human development.
526
00:38:50,640 --> 00:38:59,470
In schools and at university, I think
that within a citizenship framework,
527
00:39:00,050 --> 00:39:07,340
it is possible to talk about the
stages of development of our citizens.
528
00:39:07,629 --> 00:39:14,770
I am still a citizen, still a very
active citizen, and so I would like
529
00:39:14,850 --> 00:39:21,815
my rights under Australian law To be
respected because I'm a passionate.
530
00:39:22,440 --> 00:39:23,190
Australian.
531
00:39:23,540 --> 00:39:30,590
I love my country and I am so
pleased that I happened to be born
532
00:39:30,609 --> 00:39:33,390
here just by accident I imagine.
533
00:39:33,940 --> 00:39:39,060
I think that death literacy
is a really important area.
534
00:39:39,439 --> 00:39:45,200
We're not very accustomed
to death in our society.
535
00:39:45,410 --> 00:39:53,415
People don't have Nowadays an extended
family all living together where
536
00:39:53,525 --> 00:39:58,965
when grandma dies she's laid out
on the kitchen table and washed.
537
00:39:59,135 --> 00:40:00,614
That doesn't happen anymore.
538
00:40:01,195 --> 00:40:07,515
We've moved on from that society
that understood and respected
539
00:40:07,865 --> 00:40:10,815
the stages of death and dying.
540
00:40:11,235 --> 00:40:16,920
It doesn't mean everybody was able
to Be part of that process in a way
541
00:40:16,920 --> 00:40:23,220
though, that reflected their personality
and their wishes and their values.
542
00:40:23,570 --> 00:40:26,510
I'm still learning so much about this.
543
00:40:26,920 --> 00:40:30,400
I just will never be able to learn enough.
544
00:40:30,670 --> 00:40:36,280
But what I'm understanding
better now is the processes.
545
00:40:36,715 --> 00:40:44,575
of dying, which would be at the last
stages, but the absolute necessity for
546
00:40:44,685 --> 00:40:51,995
palliative care to be available when
people are in the end stages of life.
547
00:40:52,475 --> 00:40:56,299
But I'm not talking
about the last two days.
548
00:40:56,660 --> 00:41:02,670
Or the last week, I'm talking
about a medically predicted period
549
00:41:02,670 --> 00:41:10,360
of time where people are able to
be supported and even made more
550
00:41:10,410 --> 00:41:13,590
aware of what is happening to them.
551
00:41:14,610 --> 00:41:16,510
So that they can understand better.
552
00:41:17,110 --> 00:41:22,750
And I think that will help people
say, I want to plan for my end
553
00:41:22,760 --> 00:41:28,940
of life, but I'd like to include
not just family, but friends and
554
00:41:29,379 --> 00:41:35,200
colleagues who become friends in that
process if they wish to be involved.
555
00:41:36,025 --> 00:41:38,025
Not everybody wants to be involved.
556
00:41:38,635 --> 00:41:39,365
It's so true though.
557
00:41:40,325 --> 00:41:43,375
You know, what you were saying
is that, that you're talking
558
00:41:43,375 --> 00:41:45,615
about the, really the life cycle.
559
00:41:45,934 --> 00:41:46,144
Yeah.
560
00:41:46,144 --> 00:41:50,674
And at, at this point in time when
we're in our standard sort of education
561
00:41:50,674 --> 00:41:55,815
system, we cover on birth, I think we
cover on reproductive system, and then
562
00:41:55,815 --> 00:42:00,865
there's nothing about the inevitable
death that we will all experience.
563
00:42:01,745 --> 00:42:03,535
Life ends at retirement.
564
00:42:06,260 --> 00:42:07,930
It does for some people.
565
00:42:08,060 --> 00:42:11,950
Yeah, but the thing is, is that,
you know, death can happen at
566
00:42:11,980 --> 00:42:14,130
any stage during that process.
567
00:42:14,130 --> 00:42:14,970
It can.
568
00:42:15,110 --> 00:42:20,509
And so I think I totally agree
with you about seeing it normalised
569
00:42:20,509 --> 00:42:21,920
as part of the curriculum.
570
00:42:21,920 --> 00:42:24,289
I think that would be
an amazing step forward.
571
00:42:24,680 --> 00:42:29,290
And then it allows you to actually
think about it as much as what
572
00:42:29,290 --> 00:42:32,780
you, Have it as your life, you
know, because it's just part of it.
573
00:42:32,780 --> 00:42:37,890
It's another stage that you experience
and then as you were talking about it
574
00:42:38,010 --> 00:42:42,869
Understanding what those stages could
look like if you go down this path but
575
00:42:42,980 --> 00:42:47,199
there's so many very ways in which we
live and there's so many ways in which
576
00:42:47,200 --> 00:42:52,205
we die and look I think that I love the
idea of putting it in the curriculum.
577
00:42:52,255 --> 00:42:56,465
I think that will encourage
a lot more deaf literacy and
578
00:42:56,475 --> 00:42:58,115
understanding within our community.
579
00:42:58,115 --> 00:42:59,894
So I think that's a great idea, Judith.
580
00:42:59,965 --> 00:43:07,254
I think we're often desensitised to deaf
if we turn on the television, you know.
581
00:43:07,575 --> 00:43:13,335
Particularly if my husband and I love
watching streaming services and he does
582
00:43:13,335 --> 00:43:16,355
like to watch some war movies, you know.
583
00:43:16,635 --> 00:43:17,185
I love it.
584
00:43:17,925 --> 00:43:19,305
Bang, you're dead.
585
00:43:19,865 --> 00:43:24,235
That isn't how people end their
lives very often, thank heavens.
586
00:43:24,425 --> 00:43:26,635
Unless it's during war.
587
00:43:27,385 --> 00:43:32,555
But you see people falling down pretending
to be dead, and you know they're going
588
00:43:32,705 --> 00:43:35,495
to get up and be in the next series.
589
00:43:35,705 --> 00:43:38,214
So, we have been desensitized.
590
00:43:38,274 --> 00:43:44,535
Instead of being sensitized to the
whole process, we don't see that
591
00:43:44,574 --> 00:43:51,950
lead up where Advanced care planning
could be extraordinarily helpful,
592
00:43:52,820 --> 00:43:59,670
particularly if people are unable to
articulate what they would like, then
593
00:43:59,900 --> 00:44:06,100
a supported or designated decision
maker will be making those decisions.
594
00:44:06,170 --> 00:44:08,929
They need to know what you would like.
595
00:44:09,120 --> 00:44:13,270
I mean, my husband and I have
got very different ideas about
596
00:44:13,540 --> 00:44:15,630
how we want our funerals to be.
597
00:44:16,120 --> 00:44:19,080
He doesn't want one and I want a party.
598
00:44:19,380 --> 00:44:20,220
And it's important
599
00:44:20,220 --> 00:44:22,530
to document the
differences even, you know.
600
00:44:22,760 --> 00:44:22,800
Yes.
601
00:44:23,440 --> 00:44:24,429
That's the beauty of it.
602
00:44:24,655 --> 00:44:25,885
That's the whole purpose.
603
00:44:25,965 --> 00:44:26,485
It is.
604
00:44:26,805 --> 00:44:32,605
So what would be your advice or what would
you like to see healthcare professionals
605
00:44:33,205 --> 00:44:38,625
do better in supporting patients making
and documenting their advanced care plans?
606
00:44:38,845 --> 00:44:42,934
But also, as you've said, it's not just
about the advanced care plan, is it?
607
00:44:42,945 --> 00:44:47,585
So how can health professionals
help patients or people have
608
00:44:47,585 --> 00:44:52,295
better conversations about death
and Planning for it, I suppose.
609
00:44:52,345 --> 00:44:56,845
Well, I think in order to have a
reasonable discussion about end
610
00:44:56,975 --> 00:45:02,485
of life planning, you need first
to understand the person's life.
611
00:45:02,605 --> 00:45:09,865
And I think that people's lives are
shaped by so many different factors.
612
00:45:10,114 --> 00:45:13,524
But what is important to
them at the end of life?
613
00:45:13,855 --> 00:45:20,755
I think is their sense of identity,
that they know who they are and
614
00:45:20,755 --> 00:45:23,674
that other people know who they are.
615
00:45:23,675 --> 00:45:28,194
I think that's incredibly important
because the first lesson I learned in
616
00:45:28,195 --> 00:45:32,204
counselling was don't make assumptions.
617
00:45:32,710 --> 00:45:36,680
And don't give advice,
don't give your opinion.
618
00:45:36,840 --> 00:45:42,330
So when someone is assisting you with
end of life planning, it needs to
619
00:45:42,330 --> 00:45:50,379
be a conversation in brief about how
you've lived your life and what values.
620
00:45:51,015 --> 00:45:55,685
have sustained you, because we
all live our life by our values.
621
00:45:55,765 --> 00:46:02,215
But some values are directed with
compassion, with kindness, and with care.
622
00:46:02,414 --> 00:46:08,694
And other values may more centre
on status, power, control.
623
00:46:09,064 --> 00:46:17,280
Now I think that even on a small scale,
we can't assume what people's values are.
624
00:46:17,830 --> 00:46:23,569
And if you actually walk the talk, if
you embed your values in everything you
625
00:46:23,580 --> 00:46:28,050
do, they'll probably be more obvious.
626
00:46:28,419 --> 00:46:35,049
But some people have lived very
quiet, wonderful lives, nurturing
627
00:46:35,049 --> 00:46:37,679
their family, providing for them.
628
00:46:38,270 --> 00:46:40,850
But they have left quiet loves.
629
00:46:40,900 --> 00:46:44,050
I think mine's been a bit
of a noisy one, actually.
630
00:46:44,390 --> 00:46:46,050
Certainly been a busy
one, that's for sure.
631
00:46:46,050 --> 00:46:46,190
Well,
632
00:46:46,190 --> 00:46:53,560
it's been a very busy life and a life
full of love and learning, but also loss.
633
00:46:53,930 --> 00:46:56,750
And all of those things shape people.
634
00:46:56,880 --> 00:47:00,629
Their work shapes them, their life roles.
635
00:47:01,210 --> 00:47:07,780
So, what people, I think, towards
the end of their life would like
636
00:47:07,900 --> 00:47:14,520
to feel is that they have been
understood and loved or accepted.
637
00:47:14,860 --> 00:47:17,840
in their family and in their community.
638
00:47:18,770 --> 00:47:22,490
And when we think, when we use the
term family, I think you'll agree
639
00:47:22,490 --> 00:47:27,790
with me Judith, that family can be
who anyone we choose to be family.
640
00:47:28,290 --> 00:47:28,980
Absolutely,
641
00:47:29,490 --> 00:47:30,140
yes.
642
00:47:30,460 --> 00:47:34,510
We have chosen our son
to be part of our family.
643
00:47:34,590 --> 00:47:39,240
He came into our family
as a 16 year old boy.
644
00:47:39,639 --> 00:47:45,895
And he is as much our son as
our daughters are our daughters.
645
00:47:45,895 --> 00:47:51,030
So this is a choice that
we've made and he's made.
646
00:47:51,490 --> 00:47:57,829
And I think I've always felt
that people choose their family.
647
00:47:58,145 --> 00:48:04,235
Not by blood, but by those
ties which bind us together.
648
00:48:04,235 --> 00:48:07,795
It sounds, ties that bind sound like.
649
00:48:07,935 --> 00:48:11,145
Oh, I think it comes from
a hymn I learnt as a child.
650
00:48:11,425 --> 00:48:15,445
Bless be the ties that bind
our hearts in human love.
651
00:48:15,845 --> 00:48:17,695
That's well said, isn't it?
652
00:48:17,995 --> 00:48:18,755
It is well
653
00:48:18,765 --> 00:48:19,295
said.
654
00:48:19,485 --> 00:48:24,454
And I think one last question I will
ask you before we finish up, Judith,
655
00:48:24,475 --> 00:48:28,445
because it's been a really beautiful
conversation with you, is, you know,
656
00:48:28,445 --> 00:48:33,405
what advice would you give to someone who
wants to start a conversation about end
657
00:48:33,405 --> 00:48:35,134
of life planning with their loved ones?
658
00:48:35,524 --> 00:48:36,644
Where do they start?
659
00:48:36,865 --> 00:48:43,175
Well, what I can say with real
confidence now is that the first thing
660
00:48:43,215 --> 00:48:52,015
I do before what can be a challenging
conversation is to be well prepared.
661
00:48:52,525 --> 00:48:57,065
And there are so many
resources on the internet now.
662
00:48:57,165 --> 00:49:03,425
And the ones where I'm very familiar
is that Palliative Care Death and
663
00:49:03,435 --> 00:49:12,155
Dying Research Centre have a large
Knowledge Hub where there are blogs and
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00:49:12,275 --> 00:49:20,255
research articles and information to
help people start that conversation.
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00:49:20,524 --> 00:49:25,205
Because I've always talked
about my death to my kids as
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00:49:25,205 --> 00:49:27,135
if it's just a matter of time.
667
00:49:27,355 --> 00:49:32,155
Like, not pessimistically
though, optimistically though.
668
00:49:32,505 --> 00:49:37,755
I'm living the best life I can
live, but it will come to an end.
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00:49:38,065 --> 00:49:43,474
Now, it has been my children,
particularly our two daughters, who've
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00:49:43,474 --> 00:49:46,135
been reluctant to talk about our death.
671
00:49:46,865 --> 00:49:49,625
So don't think about it, Mum,
you're not going to die yet.
672
00:49:49,885 --> 00:49:51,695
No, but I am going to die.
673
00:49:51,925 --> 00:49:58,745
So, I think I've been the instigator
of conversations with our family.
674
00:49:59,305 --> 00:50:02,574
Whereas sometimes it's a family member.
675
00:50:03,170 --> 00:50:08,620
that needs to instigate these
discussions with the person that
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00:50:08,620 --> 00:50:11,710
they love or care for deeply.
677
00:50:12,450 --> 00:50:19,229
And I think my approach is always
make sure that you live the end of
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00:50:19,289 --> 00:50:25,610
your life as you would want to under
whatever circumstances there are.
679
00:50:26,195 --> 00:50:35,755
But that you don't leave a legacy, if you
can help it, of mistrust or hostility,
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00:50:36,034 --> 00:50:38,725
as I've seen in so many families.
681
00:50:38,895 --> 00:50:45,034
And in particular, my dearest friend,
who died of cancer, did not have
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00:50:45,074 --> 00:50:51,624
the opportunity to reconcile with
one of her dearest family members.
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00:50:52,375 --> 00:51:00,075
So, what we can do by end of life
planning is not only look after ourselves,
684
00:51:00,375 --> 00:51:04,745
but we can actually look after the
people that we love through our end
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00:51:04,745 --> 00:51:12,545
of life planning, so that they don't
have to be burdened with their parents
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00:51:12,545 --> 00:51:18,469
or best friends, they don't have to
interpret their wishes, they're there.
687
00:51:18,760 --> 00:51:23,690
Plainly stated, what they would like,
and how they would like things to happen.
688
00:51:24,110 --> 00:51:27,689
Now, in some ways, it's a best guess.
689
00:51:27,800 --> 00:51:33,989
But in other ways, if you look at what
people really value in life, I've always
690
00:51:34,000 --> 00:51:42,849
said that what I want is a string quartet
playing Mozart in my room when I am dying.
691
00:51:43,119 --> 00:51:46,600
And I'd like two Monets on
loan from the National Gallery.
692
00:51:47,630 --> 00:51:53,760
On the waltz, I would like
bouquets, bunches of gloriously
693
00:51:53,850 --> 00:51:56,989
David Austin roses everywhere.
694
00:51:57,190 --> 00:52:04,879
Um, I would like my family and
friends and animals there, my pets.
695
00:52:05,485 --> 00:52:10,965
I would like books beside my
bed just in case I had five
696
00:52:11,025 --> 00:52:12,985
more minutes for a quick read.
697
00:52:13,315 --> 00:52:14,315
That is so beautiful.
698
00:52:14,895 --> 00:52:16,124
Is that practical?
699
00:52:16,475 --> 00:52:20,984
Oh, and I'd need a bit of horse
manure sprinkled around the floor
700
00:52:21,415 --> 00:52:23,944
to get that wonderful country aroma.
701
00:52:24,555 --> 00:52:28,075
I probably want A petting zoo sounds good.
702
00:52:28,495 --> 00:52:33,895
Oh Judith, I love the fact that you
are finishing our interview with
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00:52:33,905 --> 00:52:39,795
that mental imagery of you lying
there with your David Austin roses,
704
00:52:40,205 --> 00:52:42,905
your string quartets and horse poo.
705
00:52:43,050 --> 00:52:43,960
on the ground.
706
00:52:44,150 --> 00:52:46,480
I just think that is absolutely beautiful.
707
00:52:47,300 --> 00:52:48,870
Don't forget the moneys on the wall.
708
00:52:48,870 --> 00:52:49,410
Of course,
709
00:52:49,410 --> 00:52:52,290
sorry, of course, the moneys on the wall.
710
00:52:52,680 --> 00:52:53,850
I do love that.
711
00:52:53,860 --> 00:52:58,500
But it, it really does honour the
fact that, you know, how we live our
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00:52:58,500 --> 00:53:01,190
lives is the legacy we leave behind.
713
00:53:01,259 --> 00:53:05,910
Because when we die, it's
only the memories we leave.
714
00:53:06,395 --> 00:53:07,655
of when we've been living.
715
00:53:07,925 --> 00:53:13,425
And I think that that's a beautiful way
to end our wonderful interview today.
716
00:53:13,585 --> 00:53:15,025
Oh, Judith, it's been a pleasure.
717
00:53:15,025 --> 00:53:16,645
Thank you so much for being with us.
718
00:53:16,835 --> 00:53:17,515
Thank you.
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00:53:20,745 --> 00:53:24,154
We hope you enjoyed today's
episode of Don't Be Caught Dead,
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00:53:24,474 --> 00:53:26,055
brought to you by Critical Info.
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00:53:26,995 --> 00:53:31,255
If you liked the episode, learnt something
new, or were touched by a story you
722
00:53:31,255 --> 00:53:32,965
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723
00:53:33,360 --> 00:53:36,940
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00:53:36,940 --> 00:53:38,680
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725
00:53:38,860 --> 00:53:42,980
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726
00:53:42,989 --> 00:53:44,720
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727
00:53:45,040 --> 00:53:46,400
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728
00:53:46,550 --> 00:53:50,009
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729
00:53:50,310 --> 00:53:51,899
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730
00:53:52,339 --> 00:53:54,200
Head to don'tbecaughtdead.
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00:53:54,250 --> 00:53:57,610
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Read Less
Resources
Advance care planning involves planning for your future health care. It enables you to make some decisions now about the health care you would or would not like to receive if you were to become seriously ill and unable to communicate your preferences or make treatment decisions.
Advance care planning helps to ensure your loved ones and health providers know what matters most to you and respect your treatment preferences.
- Starting the conversation
Get ready to discuss your thoughts and preferences. - My Loved One Has Died, What Do I Do Now?
Our guide, ‘My Loved One Has Died, What Do I Do Now?’ provides practical steps for the hours and days after a loved one's death. Purchase it here.
- Support Services
If you're feeling overwhelmed by grief, find support through our resources and bereavement services here.

