臨終(安寧)病人、家屬悲傷

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臨終(安寧)病人、家屬悲傷

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  • 1.

2.

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  • Dying curative palliative
  • Kastebaum 1977 1987 1988

4.

5. ____________ ______________ ________________ ____________________________ _______________ ______________ ________________ ____________________________ _______________ ______________ ________________ ____________________________ _______________ ______________ ________________ ____________________________ _______________ ______________ ________________ ___________________________ _______________ _______ _______ _______ 6.

  • ____________ ______________ _________________
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  • ______________ _________________
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  • _______ _______ _______

7.

  • 1967 St. Christophers Hospice 1967 Connecticut 2003
  • 40 52 38 ( 2008.08.12)

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  • 1.
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  • 6.
  • (WHO, 1990)

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  • HOSPICE( 1998)
  • Hospitality
  • Organized care
  • Symptom control
  • Psychological support
  • Individualized care
  • Communication
  • Education

10.

11.

12. 13. 14.

  • Being-in-the-world mental ego existential presence 2002

15.

  • limited situation

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  • Mode of Dying Awareness

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  • fore-structure

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  • life review

20.

  • -----

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  • 2003 2004

22.

23.

  • agitation 2000 2003

24. 25.

26. -- Dame Cicely Saunders.J of Palliative Care1988 ( ) 27. 28.

29.

  • 1977~1999

30. 31.

32. (hope) 33. ( ) 34.

35.

  • 1993

36.

37. L listen E encourage T tell G generate hope O own your Limitations 38.

  • 2002

39.

40.

41.

  • .

42.

43.

  • Dyson.J(1997) (self) (others) A.Bukhardt(1994) (ultimate other) Carson(1989) B.Golberg (presence) (transcendence)

44. ( ) ( ) ( ) ( ) 45. 46.

47.

  • why to live can bear almost any how
      • (a greater unity)

48.

      • 1. 2. 3. 4.

49.

  • 1.
  • 2.
  • 3.
  • 4.
  • 2000

50.

  • ( )

51. (peace house) 52. 53.