hospice-care-SYSUCC

Hospicecaresomethingconcerninggooddeath……CancercenterofSYSUBriefintroductionWhatishospicecareHistoryofhospicecareWhentodoitMakeagooddeathPotentialproblemsinChinaPoetryaboutdeathletlifebebeautifullikesummerflowersanddeathlikeautumnleaves.Tagoretrytotranslateit!让生如夏花之绚烂，逝如秋叶之静美泰戈尔Morearemen’sendsmarkedthantheirlivesbefore:Thesettingsun,andmusicattheclose,asthelasttasteofsweets,issweetestlast,writinremembrancemorethanthingslongpast.Thakespeare人在临终的时候总比他们以往要引人注目。正如夕阳的余辉、乐曲的终了、杯底的美酒一样，留给人的记忆最温馨、最甜蜜，也最久远。莎士比亚Tocuresometimes,Torelieveoften,Tocomfortalways……fromepitaphforTrudeauthepowerofmedicineislimited……WhatishospicecareHospicecareisatypeandphilosophyofend-of-lifecarewhichfocusesonthepalliationofaterminallyillpatient'ssymptoms.Thesesymptomscanbephysical,emotional,spiritualorsocialinnature.•thequalityofliferatherthanitslength•humaneandcompassionatecareInterpretationtoHOSPICEHHospitalityOOrganizedCareSSymptomControlPPsychologicalSupportIIndividualizedCareCCommunicationEEducationthegoal:keepthepatientscomfortableandlivewithqualityanddignity!Whathospicecareprovide•PainandsymptomsManagement•Emotional,psychosocialandspiritualsupport•Necessarymedicalcare,morepalliativethancurative•Familycareeducation•BereavementcareandcounselingtosurvivingfamilyHistoryofhospicecare•theconceptofhospicedatedbackto11thcenturyplacesofhospitalityforthesick,wounded,ordying•modenhospicecarebegantoemergein17thcentury•thefoundationalprincipleswerepioneeredinthe1950sbyDameCicelySaundersStChristopher'sHospicein1967thefirstmodernhospice•DameCicelySaunders(22June1918–14July2005)EnglishAnglicannurse,socialworker,physicianandwriterSheisbestknownforherroleinthebirthofthehospicemovement,whichemphasizestheimportanceofpalliativecareinmodernmedicine.HospicecareinChina•thefirsthospicecarecenterwasestablishedinTianjinMedicalCollege,1988.•NanhuinursinghospicalwasthefirsthospiceinShanghai,1988•SongtanghospitalinBeijing1992.•Itisestimatedthatthereareabout200hospiceinstitutesinChina,thenumberofthebedsisabout790.WhentodoitForpatientsexpectedtolive6monthesorlessPsychologicalchangebeforedeathDenialAngerBargainingDepressionAcceptanceTrytomakeagooddeathpatientseducaitontoknowwhatdeathcanbeexpectedtobeabletoretaincontrolofpainandothersymptomstohaveacesstonecessaryinformationorexpertisesupporttohaveacesstoanyspiritualoremotionalsupporttohaveacesstohospicecareinanylocationtohavecontroloverwhoispresentandwhosharestheendtohavetimetosaygoodbyetobeabletoleavewhenitistimetogoPotentialproblemsinChinaItisestimatedthat70%cancerpatientsneedhospicecare……Socialsupportisnotengough!decreasedfamilysupportotheraspectsPopulationawarenessTranditionChinesecultureLimitedcommunityvolunteersReligionsupportControloverpainmanagementDeatheducation…………everydoormaybeclosedbutdeath'sdoor.AnItalianproverbwecametotheworldcrying,butwecanchoosetoleavewithsmile……Thanksforyourattention