scholarly journals 《莊子》的生命倫理觀與臨終關懷

2008 ◽  
Vol 6 (2) ◽  
pp. 91-108
Author(s):  
Ellen Y. ZHANG
Keyword(s):  
Terminal Illness ◽  
Hospice Care ◽  
Symptom Control ◽  
Death And Dying ◽  
Spiritual Needs ◽  
Life And Death ◽  
Contemporary World ◽  
Transient Nature ◽  
Dying Patients ◽  
The Individual

LANGUAGE NOTE | Document text in Chinese; abstract also in English.臨終關懷也稱為“安寧療護”、“善終服務”、“寧養服務”，主要指對生命臨終病人及其家屬進行生活護理、醫療護理、心理護理、社會服務等的關懷照顧，是現代社會一種強調身—心—靈的全人、全家、全社會、以及全程的全方位醫療方式。其目的是為臨終者及家屬提供心理及靈性上的支持照顧，使臨終者達到最佳的生活品質，並使家屬順利度過與親人分離的悲傷階段。本文以現代生死學為框架，從道家哲學，特別是《莊子》一書中所體現的生命倫理觀，探討構建道家臨終關懷的可能性與現實性。In the past, the term “hospice” was rooted in the centuries-old idea of offering a place of shelter and rest, or “hospitality,” to weary and sick travelers on long journeys. In 1967, Dame Cicely Saunders first applied the term “hospice” to the specialized care of dying patients at St. Christopher's Hospice in London. In the contemporary world, hospice care now refers to care that is targeted specifically at terminally ill patients. Sometimes called “end-of-life” care, hospices aim to provide humane and compassionate care for people in the last phases of an incurable disease, so that they may live as fully and comfortably as possible.This essay discusses issues relating to hospice care in China, from the framework of the philosophy of death and dying and the Daoist viewpoint on life and death, as outlined in the Zhuangzi. According to Zhuangzi, the world of experience is constantly transforming and death is part of that transformation. Hence, it is possible for the adaptive qualities of the perfectly well-adjusted person to remain balanced in the midst of this maelstrom of change and transformation. This realization of the impermanence of life and the transient nature of worldly fame and wealth leads to the Daoist ethical positions of “non-attachment” (wuzhi) and “non-self” (wuwo), which can help the individual to ultimately transcend the dichotomy between life and death, or life-affirmation and life-egation.This essay argues that a positive view towards life and death,as represented in Daoism, can help the patient and their family to deal with the pain of terminal illness. The essay also points out that good hospice care, which includes the physical, emotional, and spiritual needs of the patient, is an ethical and social issue that requires attention from both academia and society. The ideal model for hospice care should involve H (Hospitality), O (Organized Care), S (Symptom Control), P (Psychological Support); (Individual Care), (Communication), and E (Education).DOWNLOAD HISTORY | This article has been downloaded 1423 times in Digital Commons before migrating into this platform.

scholarly journals 《莊子》生死觀對臨終者的生命關懷

2016 ◽  
Vol 14 (1) ◽  
pp. 55-68
Author(s):  
Cuiting CHEN
Keyword(s):  
Hospice Care ◽  
Natural Transformation ◽  
Human Life ◽  
Death And Dying ◽  
Human Relations ◽  
True Nature ◽  
Life And Death ◽  
Transient Nature ◽  
Digital Commons ◽  
Self Transcendence

LANGUAGE NOTE | Document text in Chinese; abstract also in English.臨終關懷的兩大議題是疼痛和死亡，對於臨終患者來說，死亡的話題有為凸顯，患者在死亡面前普遍表現出濃重的焦慮和恐懼。本文試圖通過追溯《莊子》的生命哲學，從中汲取面對死亡的智慧，揭開死亡的神秘面紗，消解臨終患者對死亡的恐懼。將死亡從繁複的人倫關係中抽離出來，以期還原死亡的本真狀態。本文闡述了莊子自然主義思想對人們面對生死問題的啟發，並進一步論述從“觀化”的角度，消融狹隘的個體本位，才能實現形上生命的自我超越。而明瞭生死一條的道理，將死亡視作一種可能性經驗，則是對生的最為深刻的覺醒。Two major issues in hospice care are pain and death. For those who are facing death and dying, the issues are intensified. This paper discusses the issues relating to death and hospice care in a framework of the Daoist philosophy on life and death, as outlined in the Zhuangzi. The author attempts to show that the wisdom of Daoism can help us to deal with the finitude and vulnerability of human life when facing death. According to the Zhuangzi, the world of experience is constantly transforming and death is part of that transformation. Therefore, it is possible for the adaptive qualities of the perfectly well-adjusted person to remain balanced in the midst of this unavoidable stage of change and transformation (hua). This realization of the impermanence of life and the transient nature of worldly things, even human relations, leads to the Daoist attitude of non-attachment that enables one to realize the true nature of life and death. The paper concludes that a positive attitude toward life and death, as represented in the Zhuangzi, can help patients and their family members to deal with the pain of illness and death. The author also points out that embracing natural transformation is a way for the Daoist to attain the self-transcendence that ultimately dismantles the dichotomy between life and death.DOWNLOAD HISTORY | This article has been downloaded 1379 times in Digital Commons before migrating into this platform.

End-of-Life Needs of Dying Patients and Their Families in Mainland China: A Systematic Review

2021 ◽  
pp. 003022282199734
Author(s):  
Guobin Cheng ◽  
Chuqian Chen
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Healthcare Professionals ◽  
Web Of Science ◽  
Empirical Studies ◽  
Symptom Control ◽  
Mainland China ◽  
Spiritual Needs ◽  
Care Needs ◽  
Dying Patients

Objective To map the current research status and understand existing findings regarding end-of-life care needs in Mainland China. Method First-hand, empirical studies on the needs of dying patients and/or their families in Mainland China were searched in Web of Science, Scopus, Proquest, Taylor & Francis Online and CNKI in December 2019. Findings were synthesized. Results A total of 33 (10 qualitative) studies were involved. Chinese dying patients and their families had physical, psychological, social, and spiritual needs and needs for knowledge and information. Prevalent needs of dying patients were mainly symptom control and decent look, being treated kindly by professional caregivers, family accompany, dignity, and comfortable environment. Families mainly need healthcare professionals to take good care of patients and wishes for information, knowledge, and facilities to help themselves become better caregivers. Conclusions Findings lay the foundation for effective and tailored services for Chinese clients and provided insights for future investigations.

The Good Death, Virtue, and Physician-Assisted Death: An Examination of the Hospice Way of Death

1995 ◽  
Vol 4 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Franklin G. Miller
Keyword(s):  
Terminal Illness ◽  
Assisted Suicide ◽  
Hospice Care ◽  
Death And Dying ◽  
Good Death ◽  
Voluntary Euthanasia ◽  
Assisted Death ◽  
Comfort Care ◽  
The Face ◽  
The Right

The problem of physician-assisted death (PAD), assisted suicide and active euthanasia, has been debated predominantly in the ethically familiar vocabulary of rights, duties, and consequences. Patient autonomy and the right to die with dignity vie with the duty of physicians to heal, but not to kill, and the specter of “the slippery slope” from voluntary euthanasia as a last resort for patients suffering from terminal illness to PAD on demand and mercy killing of “hopeless” incompetent patients. Another dimension of the debate over PAD concerns the evaluative question of what constitutes a good death. At stake are Issues of character and virtue in the face of death and dying and their Implications for legitimizing the practice of PAD. Critics of PAD argue that “natural” death in the context of comfort care, as provided by hospice programs, is the good death. In contrast, PAD amounts to an easy way out, an evasion of the ultimate human challenge and task of dying. Because hospice care is clearly preferable to PAD, the former should be encouraged and the latter remain prohibited.

scholarly journals 大乘中觀哲學的生死觀

2016 ◽  
Vol 14 (2) ◽  
pp. 65-86
Author(s):  
Ellen Y. ZHANG
Keyword(s):  
Hospice Care ◽  
Death And Dying ◽  
Well Being ◽  
The Body ◽  
Religious Support ◽  
Religious Traditions ◽  
Life And Death ◽  
Philosophy Of Life ◽  
Other World ◽  
General Desire

LANGUAGE NOTE | Document text in Chinese; abstract also in English.生死是任何哲學和宗教都不能迴避的問題，佛教更是如此。相比中國傳統的儒家思想，佛教對死亡，甚至如何去死具有更詳盡的梳理和論證。而佛教的生死觀又源於佛教的核心的教義以及其背後的哲學思考。根據佛教的教義，覺悟、解脫或涅槃意味著從根本上去除人生的煩惱，而佛教認為，人生最大的煩惱便是生死輪迴之煩惱。但大乘佛教的反對將覺悟與紅塵、涅槃與輪迴看作絕對的二元對立，因此強調在生死煩惱中體驗超越的時空和宇宙的真理。本文以大乘中觀學派為主，從其「緣起性空」的哲學脈絡和「相即不二」的辦證思維，審視大乘佛教的生死觀以及它對中國儒道傳統的補充與融合。最後，文章論述中觀學的生死觀在當代臨終關懷中的啟示意義。Death is one of the major issues for all religious traditions; it is especially so for Buddhism, as Buddhist teaching is centered upon death and the impermanence of life. This essay discusses death and dying from the framework of the philosophy of life and death, as outlined in the Māhayānic Buddhism of China. The discussion centers on early Madhyāmika Buddhism and its non-dualist approach to samsara and nirvana, this world and the other world, and life and death. The essay shows that the notions of reincarnation and karmic action offer an alternative perspective on the finitude of human existence and reflection upon life’s uncertainty pertaining to the experience of death. The author contends that the theory of interdependent origination explicated by Madhyāmika Buddhism helps Buddhists to develop adaptive qualities that enable a person to remain balanced in the maelstrom of change and impermanence. This realization of the impermanence of life and the emptiness of interdependent origination leads to the Buddhist ethical positions of no self and non-attachment.The essay also addresses the question of hospice care from the perspective of Buddhism as a religious support system. Although Buddhists understand that suffering is a part of life, there is a general desire to avoid suffering whenever possible. Hospice care is important in Buddhism not only because Buddhists recognize the weakness and fragility of the body and mind in the process of death and dying, but also because Buddhists see the connection between the patient’s end-of-life needs, both physical and spiritual, and the well-being of other people associated with the patient. The essay argues that a positive attitude toward life and death, as presented in Madhyāmika Buddhism, can help patients and their families to deal with the pain and anxiety of terminal illness.DOWNLOAD HISTORY | This article has been downloaded 1527 times in Digital Commons before migrating into this platform.

scholarly journals Hospice Employees’ Perceptions of Their Work Environment: A Focus Group Perspective

2020 ◽  
Vol 17 (17) ◽  
pp. 6147 ◽  
Author(s):  
Rebecca H. Lehto ◽  
Carrie Heeter ◽  
Jeffrey Forman ◽  
Tait Shanafelt ◽  
Arif Kamal ◽  
...  
Keyword(s):  
Mental Health ◽  
Terminal Illness ◽  
Hospice Care ◽  
Death And Dying ◽  
Structured Interview ◽  
Organizational Level ◽  
Physical And Mental Health ◽  
Care Workers ◽  
Hospice Workers ◽  
And Coping

Burnout in healthcare professionals can lead to adverse effects on physical and mental health, lower quality of care, and workforce shortages as employees leave the profession. Hospice professionals are thought to be at particularly high risk for burnout. The purpose of the study was to evaluate workplace perceptions of interdisciplinary hospice care workers who provide care to patients at end of life. Six focus groups and one semi-structured interview were conducted with mixed group of social workers, managers, nurses, hospice aides, chaplains, support staff, and a physician (n = 19). Findings from the groups depicted both rewards and challenges of hospice caregiving. Benefits included intrinsic satisfaction from the work, receiving positive patient and family feedback, and teamwork. Challenges reflected issues with workload, technology issues, administrative demands, travel-related problems, communication and interruptions, difficulties with taking time off from work and maintaining work-life integration, and coping with witnessing grief/loss. Hospice workers glean satisfaction from making meaningful differences in the lives of patients with terminal illness and their family members. It is an expected part of the job that certain patients and situations are particularly distressing; team support and targeted grief support is available for those times. Participants indicated that workload and administrative demands rather than dealing with death and dying were the biggest contributors to burnout. Participants reported episodic symptoms of burnout followed by deliberate steps to alleviate these symptoms. Notably, for all except one of the participants, burnout was cyclical. Symptoms would begin, they would take steps to deal with it (e.g., taking a mental health day), and they recovered. At an organizational level, a multipronged approach that includes both personal and occupational strategies is needed to support professional caregivers and help mitigate the stressors associated with hospice work.

Principles of palliative care

2018 ◽  
Vol 11 (12) ◽  
pp. 676-679
Author(s):  
Joshua Getty
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Symptom Control ◽  
Management Options ◽  
Initial Management ◽  
Factors Affecting ◽  
Dying Patients ◽  
Life Threatening ◽  
The Individual

Palliative care traditionally focused on symptom-control in dying patients, but has recently evolved to include care of life-threatening or limiting conditions by optimising the benefits of treatment and considering other ways to improve the quality of life for patients. This is achieved through holistic consideration of physical, psychosocial and spiritual factors affecting the individual patient. The aim of this article is to explore these factors and initial management options.

The physician's role in the assessment and treatment of spiritual distress at the end of life

2006 ◽  
Vol 4 (1) ◽  
pp. 81-86 ◽  
Author(s):  
ANTHONY E. BROWN ◽  
SIMON N. WHITNEY ◽  
JAMES D. DUFFY
Keyword(s):  
End Of Life ◽  
Terminal Illness ◽  
Clinical Utility ◽  
Active Role ◽  
Spiritual Needs ◽  
Spiritual Distress ◽  
Dying Patients ◽  
Assessment And Treatment ◽  
Clinical Tools ◽  
Structured Approach

Objective:Patients at the end of their life typically endure physical, emotional, interpersonal, and spiritual challenges. Although physicians assume a clearly defined role in approaching the physical aspects of terminal illness, the responsibility for helping their patients' spiritual adaptation is also important.Methods:This article (1) describes the terms and definitions that have clinical utility in assessing the spiritual needs of dying patients, (2) reviews the justifications that support physicians assuming an active role in addressing the spiritual needs of their patients, and (3) reviews clinical tools that provide physicians with a structured approach to the assessment and treatment of spiritual distress.Results:This review suggests that physicians can and should be equipped to play a key role in relieving suffering at the end of life.Significance of results:Physicians can help their patients achieve a sense of completed purpose and peace.

scholarly journals Coping with death and awareness of mortality in patients and their relatives

2020 ◽  
Vol 85 ◽  
pp. 02011
Author(s):  
Vladimir Littva ◽  
Anna Kralova
Keyword(s):  
Human Life ◽  
Death And Dying ◽  
Eternal Life ◽  
Dying Patients ◽  
Statistical Program ◽  
The Individual ◽  
End Stage ◽  
And Coping ◽  
Coping With Death

The aim of our study was to analyze the attitudes of people – patients and their relatives in proximity of death and dying. End-stage of human life is often associated with changes in the scale of values and needs of the individual. Particular attention was paid to the needs and values that are associated with recognition of limitations concerning to earthly life, but also with the hope of eternal life. Generally, people think that the feelings and coping with death and dying are same in patients and their relatives. The truth is that coping with death and mortality is individual to each person. The problems related to the dying should be coped with by all: dying patients, their relatives and friends. Dying is not letting cold those who are in the presence of dying. In our study we used Acceptation of Dying and Coping with Mortality Questionnaire – 20 Items (ADCMQ20). Research sample consisted of 275 respondents: 95 dying patients and 180 their relatives. All data were processed by SPSS 24 statistical program.

scholarly journals Receiving Spiritual Care: Experiences of Dying and Grieving Individuals

2017 ◽  
Vol 76 (4) ◽  
pp. 373-394 ◽  
Author(s):  
Anthony Bonavita ◽  
Oksana Yakushko ◽  
Melissa L. Morgan Consoli ◽  
Steve Jacobsen ◽  
Rev. Laura L. Mancuso
Keyword(s):  
End Of Life ◽  
Spiritual Care ◽  
Qualitative Methodology ◽  
Hospice Care ◽  
Death And Dying ◽  
Vital Role ◽  
Spiritual Needs ◽  
Individual Perceptions ◽  
Hospice And Palliative Care

The study examines the perceptions of interfaith spiritual care, received through a volunteer hospice organization, by 10 individuals facing death and dying. Qualitative methodology based on the Interpretive Phenomenological Analysis was used to collect and analyze the data. Four superordinate themes reflected meanings ascribed to spirituality and spiritual care in facing end of life: Vital Role of Spirituality in the End-of-Life Care, Definitions and Parameters of Spirituality and Interfaith Spiritual Care, Distinct Aspects of Interfaith Spiritual Care, and Unmet Spiritual Needs. The results expand an understanding of the role of spirituality and spiritual care as part of the hospice and palliative care through attention to individual perceptions and experiences, as well as to ways to expand attention to spirituality within the hospice care.

scholarly journals 評《大乘中觀哲學的生死觀》一文

2016 ◽  
Vol 14 (2) ◽  
pp. 87-91
Author(s):  
Kam Ming YIP
Keyword(s):  
Hospice Care ◽  
Death And Dying ◽  
The Other ◽  
Fear Of Death ◽  
Contemporary Society ◽  
Life And Death ◽  
Central Thesis ◽  
Digital Commons ◽  
Other World ◽  
Major Defect

LANGUAGE NOTE | Document text in Chinese; abstract in English only.This article comments on Zhang Ying’s essay “Death and Dying in Chinese Madhyāmika Buddhism”. The central thesis of Zhang’s essay is that Madhyāmika’s non-dualist approach to samsara and nirvana, this world and the other world, and life and death helps narrow the gap between life and death and consequently remove our fear of death, which in turn has important implications for hospice care. However, Zhang did not explain how this non-duality can be put into practice, which is a major defect of Zhang’s paper. And if accessibility to non-duality in practice is not fully explained, people’s confusion around hospice care remains. Moreover, Zhang’s essay fails to explain the implications of Madhyāmika’s non-dualist approach for the practice of hospice care in contemporary society, which Zhang promised to do so.DOWNLOAD HISTORY | This article has been downloaded 147 times in Digital Commons before migrating into this platform.

Sign in / Sign up

Export Citation Format

Share Document