克服善終障礙─我國高齡者之善終教育現況與因應策略

Conquering the Good Death Barriers-the Current Good Death Education for the Elderly and Coping Strategies in Taiwan

羅耀明(Yao-Ming Lo)

《安寧療護雜誌》 16卷3期 (2011/11) Pp. 361-370

https://doi.org/10.6537/TJHPC.2011.16(3).7

摘要

我國在邁向高齡社會之際，高齡者的死亡人口比率逐年增加，而善終是國人對死亡的期待，但從我國醫療環境的現況發現，要善終卻不容易。為了探討我國在醫療現況下的善終障礙，以及為高齡者的善終教育提出建議，本研究以文獻探討為研究基礎，先探討醫療現況無法讓人善終的問題，並說明爭取善終權的因應策略，即透過預立醫療照護計畫（ACP）簽署具法律效力的文件，如不施行心肺復甦術（DNR）意願書；接著，探討高齡教育機構提供善終教育的現況；最後，對高齡者的善終教育提出近程與中程的因應策略。

關鍵字

不施行心肺復甦術 ； 高齡者 ； 善終教育 ； 預立醫療照護計畫

並列摘要

As Taiwan has entered into an aged society, the elderly ratio in regard to death population is increasing year by year. Good death is an ordinary hope for people who are facing death issue; however this wish may not be realized under current medical system. The objects of this research are to explore the possible good death barriers due to current medical system, and finally to come up with certain death educational suggestions which may guard the good death right for the elderly. Based on related literatures, this study discusses the reasons why good death may not be realized under current medical system and provides certain practical strategies. This research points out the importance of advance care planning. This study also explores current situation of good death programs provided by educational institutions for senior citizens. Finally, short and medium range educational strategies for educational institutions for senior citizens are suggested to fulfill good death realization.

並列關鍵字

do not resuscitate(DNR) ； elderly ； good death education ； advance care planning(ACP)