Quick note, do you have an introduction? I think having something to give the listener some orientation of the sorts of themes you will be discussing and the conclusions you are headings towards would be beneficial here, just like an essay 
Initially, the audience is introduced to the painful experience of a female patient of a hospital, who seems to be struggling to cope with the situation which they have been placed into. The opening description of pain explains to the audience that pain is constantly with her, so much so that it knows her like a lover, preventing the woman from being able to live life as she would normally. The intemperate nature of pain enables to audience to understand the fact that although the pain is always with her, at some points the pain subdues which tends to show that the woman cherishes these moments where she is not affected tremendously by the pain. The nun who sat beside her bed praying was not unusual for this period of time, as nuns were registered nurses, but the use of the metaphor of death through the darkness and fear shows that death was coming for the woman, and there was no escaping the fact that eventually, her time would come.
Once you have the specific textual references in here this will be an effective paragraph, but I do think you are going into a bit too much detail about what is actually happening in the text (just a tad). More importantly, I'm looking for some greater concept or conclusion: WHY are we talking about this poem? What theme does this relate to? The impact of pain on the human psyche maybe? Not sure if it suits SACE and this task, but I would expect to see something a tad more conceptual.To open the second stanza, Harwood uses hypotaxis to continue the woebegone situation of the patient, who seems to be diminishing as the text progresses. The first two lines of the second stanza implement personalisation, as death (which is portrayed as darkness and fear in the first stanza) seems to surround her life, overgrowing all that was good in her life. As the stanza progresses, it is seem that the female patient seems to reflect heavily on her life, especially loved ones. The ruminative nature of the text shows further that the despair in the womans life is heavily evident. Earlier in the text, it was said that pain was her “intemperate lover”, but the unwanted actions described through sexual terminology provides the audience with the perception that pain is now raping her, the relationship has developed from pain being a lover into a rapist. To end the stanza, it is shown that the woman has been dragged down to the depths of despair, hopelessness and depression, all the good in her life is slowly being removed by pain.
This paragraph is very heavily 'retell' focused, accentuated by the fact that you analyse the poem in chronological order (this isn't mandatory. I'm looking for less "this happened and this happened," and more of a focus on techniques, how is the audience's view influenced by the composers use of techniques?Harwood now implements the idea of morning coming to show the audience that hope is still evident in the womans life, no matter what challenging scenarios she has faced. The fact that the sister has beside the womans bed for the entire evening period shows that something is terribly wrong with the woman, the sister would not normally stay with the patient for the night. This explains that the womans fears are evident and are truthful. The audience now begins to see that the woman is overjoyed to be able to see the morning light through the window, showing that the patient, although she still has hope, she has already begun to recognise that the end is close. This line is where the title of the text is implemented, it is known that the sun rises in the East. The title of the text, “Ad Orientem” translates to “To The East”. Harwood uses imagery to remind the audience of the dire situation which the patient faces, reinforcing the fact that she is in a hospital, and that she is in a horrid state, but yet she is able to still find hope in such a calamitous circumstance.
This last sentence is more like what I want to see. Harwood uses a technique to show us something, but your next step is to make that something more relevant to the audience!The final stanza, this stanza reinforces the fact that the patient did not expect to see the dawn and morning light, she hopes for a new day with new experiences, which is shown through the symbolism of the untasted wine, emphasizing her strong mental attitude. As she drank the ‘untasted wine’, the hope which was once evident inside of her announces itself once more, giving the patient confidence in herself and her situation, although it seems unlikely for a recovery. At the lowest depths of the situation, she forgets about everyone else, but with hope, she is elevated, and is able to bless and rejoice over other people.
This paragraph is really good for incorporating the audience, but again, I'm looking for more techniques, more analysis of WHY the composer has done certain things, what are they trying to show?