Restoring Dignity at the End of Life with Sunita Puri
Dec 20, 2023
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Sunita Puri, a palliative medicine physician, discusses unlearning assumptions around death, the importance of language in illness, and regarding death with reverence. She explores the field of palliative care and the integration of arts in healthcare. The podcast also touches on contemplative practice, the spiritual aspect of death, and expressing gratitude through a guided meditation.
Being honest, compassionate, and present for patients is essential in providing end-of-life care.
Palliative care focuses on relieving both physical and emotional suffering in seriously ill individuals.
Shifting our perspective on death and embracing impermanence can lead to greater presence, acceptance, and gratitude in life.
Deep dives
The Importance of Honesty and Compassion in End-of-Life Care
In this podcast episode, Sunita Puri, a palliative medicine physician, discusses the importance of being honest and compassionate when providing end-of-life care. She emphasizes that while doctors may feel like failures when they can't cure a patient's illness, their role is to support patients in processing their emotions and to be present for them. Puri also explores the concept of unlearning discomfort with uncertainty, both for doctors and patients, and highlights the need for better communication about death and suffering in our culture.
Understanding Palliative Care
Puri provides a clear and concise explanation of palliative care, highlighting its focus on relieving suffering, both physical and emotional, in seriously ill individuals. She explains that while high-tech medicine is often focused on curing and fixing, palliative care attends to the existential and spiritual suffering that arises when someone becomes sick. Puri also emphasizes the importance of understanding patients' unique experiences and coping mechanisms, as well as their personal values and goals, in order to provide holistic care.
Navigating Death with Reverence
Puri discusses the need to shift our perspective on death and dying, viewing it as a sacred passage rather than something to be feared or avoided. She draws on her spiritual beliefs to explain that while the body is temporary and subject to change, the essence of who we are remains. Puri encourages embracing the impermanence of life and cultivating a relationship with death that allows for greater presence, acceptance, and gratitude for the present moment. She also emphasizes the importance of offering support and compassionate care to individuals facing the end of life.
The Power of Language and Storytelling
Puri explores how language shapes people's experiences of illness and suffering. She discusses the pitfalls of using language such as 'fighter,' 'battle,' and 'courage,' which can pressure patients to pursue aggressive, often unnecessary treatments. Puri advocates for open and honest conversations about illness and coping mechanisms, allowing individuals to define their own meanings and goals. As both a doctor and a writer, Puri highlights the importance of storytelling in understanding and connecting with patients, as well as the power of language in shaping our perceptions and experiences.
Embracing Impermanence and Surrender
Puri reflects on the concept of impermanence and the importance of surrender in dealing with life's inevitable changes. She shares a personal experience of loss and discusses the lessons it taught her about embracing uncertainty and letting go of control. Puri urges us to find freedom through surrender, accepting what we cannot change, and focusing on living authentically in each moment. She also emphasizes the need for self-compassion and cultivating relationships based on love and gratitude, as well as empowering others to do the same.
Sunita Puri is a writer, a palliative medicine physician, and an associate professor at the UMass Chan Medical School. In her memoir, That Good Night: Life and Medicine in the Eleventh Hour, she explores her journey of helping patients and families redefine what it means to live and die well in the face of serious illness. In her article in Tricycle’s Winter 2023 issue, “A Gift,” she explores how she has learned to navigate love and loss through the lens of impermanence.
In this episode of Life As It Is, Tricycle’s editor-in-chief, James Shaheen, and co-host Sharon Salzberg sit down with Puri to discuss the importance of unlearning our assumptions around death, how language can shape people’s experience of illness, her journey of learning to regard death with reverence instead of fear, and how working with dying patients influences how she lives her daily life.
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