醫療團隊協助癌症末期個案生命意義之探索－以肺癌末期個案處遇為例

本文旨在探討醫療團隊成員介入肺癌末期個案之處遇歷程，並協助個案探索其生命意義，以達善終。方法：以一位肺癌末期男性個案為例，以安寧療護之全人、全家、全隊、全程、全社區的照顧理念，藉由醫療團隊介入服務。結果發現：運用社會資源協助個案與其他病友於社區裡創立「癌症病友小站」，除了彼此學習與分享照顧知識與經驗之外，亦成立物資交換平台並販售自製的養生健康食品，使其自給自足永續發展；最後，讓個案得以善終、案家能夠心安。期待藉由實例分享，讓醫療團隊持續運用專業知識與技巧協助癌症末期的個案及其家屬，覓得生命意義迎向自我期待的人生最終站。

關鍵字

癌症末期；生命意義；善終；安寧療護；醫療團隊

並列摘要

The objective of this study was to examine the course of events during a medical team's treatment of a patient with terminal lung cancer and the team's experiences. The medical team members also aided the patient in exploring the meaning of life to support the patient in achieving a good death. Method: We examined the case study of a male patient with terminal lung cancer. Palliative care was provided through the medical team's interventions and services that involved holistic care and care for the whole family and community by the whole team and during the entire course. Results: Community resources were used to assist the case patient and others with creating a ＂Cancer Support Group Station＂ in the community, where patients could learn from each other by sharing their knowledge of and experiences with their own care. In addition, a platform was developed for patients to exchange goods and sell homemade healthy or health-promoting foods, providing all patients involved with self-sufficient and sustainable development. Finally, the medical team helped the case patient achieve a good death and his family a peace of mind. We hope that sharing this case study encourages other medical teams to continue using their professional knowledge and skills to aid patients with terminal lung cancer and their families to find the meaning of life and to fulfill their expectations regarding the final stage of life.