『我的家人好像快不行了，我該怎麼辦？』－淺談瀕死期照護

＂Encountering the End of Life, How Can I Do?＂-A Brief Discussion of Agonal Stage Care

孫文榮(Wen-Jung, Sun) ； 璩大成(Da-Chen Chu) ； 黃勝堅(Sheng-Jean Huang)

《北市醫學雜誌》 12卷4期 (2015/12) Pp. 419-423

https://doi.org/10.6200/TCMJ.2015.12.4.14

摘要

瀕死期是病人或家屬最難熬的階段，因為死亡即將到來。團隊如何協助病人及家屬度過這段時期，至為重要。除了要教導家屬辨識死亡徵候外（例如，喘、躁動不安、四肢冰冷、喉嚨嘎嘎音…等），也要讓病人舒適且減少痛苦的往生，引導病人與家屬完成互相道愛、道謝、道歉及道別的四道人生，使家屬在身、心、靈與社會層面獲得適當的調解。

關鍵字

瀕死期 ； 死亡徵候 ； 四道人生

並列摘要

Agonal stage is the most difficult stage for terminating patients and their families because death is approaching. It is imperative that a palliative care team is present to provide assistance to the patients and their families to overcome the distress in this period. Apart from teaching family members to identify the signs of death, a palliative care team can help reduce patients' sufferings. Furthermore, the team can guide the families expressing the four themes of life of Buddhism beliefs (express gratitude, apology, love, and goodbye), which can help repair and accommodate their physical, emotional, mental, spiritual, and social burdens.

並列關鍵字

Agonal stage ； signs of death ； four themes of life (gratitude, apology, love and goodbye)