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2. (Model of Family Members Perceptions of Death, Family Grief and Coping) (Nuclear Family (Family Grief Functioning)Reactions) (Death(Family (Family Member(Family CopingEvent)History)Perceptions Strategies) of the Death) (Cultural (Family (bereavement care)(grief work) Constraints) InteractionPatterns) Individual Filter From: Moos N.L., (1995)(1) (3) (Wider Society) (Reference Group) (Law enforcement system) (Communications (Welfare system) system) (Educational(Family) (Health care system) system) (Political system)(Religious system)From Lytton, 1980 - / - - - - - 3. (Pain)()(Spiritual concerns)(Physical symptoms)-- (Total suffering)Anger, Guilt, , Depression, Uncertainty, Anxiety, Fear (physical distresslonelinesshelplessnessloss of workand death) (Psychological problems) (Cultural factors) (Social difficulties) From: Woodruff, R.: Palliative Medicine. 4th ed. Oxford University Press, UK. 2004. : Family distress Patient autonomy From: Dr. Carl Rogers ( Taiwan: nationwide guidelines for truth tellingAssess and preparation()Communication with family (), ACTSTruth telling process (Donnelly & Walsh , 1996)()Support and follow up() http://health99.doh.gov.tw/educZone/edu_detail.aspx?Catid=21568&Type=SEARCH ) 4. () ( Bereavement care ) - / 14(The Tasks of Mourning) To accept the realiry of the loss To experience the pain of grief To adjust to an environment in which the deceased is missing Videka-Sherman - To withdraw emotional energy and reinvest Worden - in another relationship From: Dr. WordenSt. Christopher, Bohnet, 1984; Parkes & Weiss, 1 , , , A. B. , 1.()1. , 2. 2. 3. 3. 4. 4.() ,5. , , 5. (Art therapy) A.71.3 B.7.01.3.71. 37.5 1 23 4 5 2. 15.92. 12.5 3.9.83. 12.5 1 101 004. 36.64. 12.52200 0 0 5. 12.53001 0 05. 19.56. 12.54011 2 1,, C.21.75 402 9 146. 14.6NTUH Hospice 6. ( Staff support ) DNR (Spirituality)The incorporation of a transcendentdimension in life (Kemp, 1999). ; ,2004) Philosophy () Belief () (Spiritual) Faith () - The acceptance without objective proof of (Philosophy or belief) (Religion) something. Religion () An organized effort, usually involving ritual and devotion, to manifest spirituality. 7. - . ., . . . . . . . .(wholeness) Robert Assagioli, 1888-1974 8. . , () Sharing Your Wishes Advance Care Planning Aging with Dignity? ?? ? ? 2012/8/28 9. Freedomof spiritual !