Strange and lovely to show.
No need to teach me to pray. There is no need!
Tawny came to see me, and I'll
Let's rapture in a swarm of rapturous bees,
I take the curse back now.
Of you together, with each other haha
What is hospice care?Hospice is not a cure, but a type of medical care that focuses on alleviating the symptoms and slowing the progression of an oncology patient's disease in the weeks or months before the patient's death.
Hospice does not seek aggressive, potentially painful, or pointless treatments, but rather requires skilled and compassionate care to manage the patient's symptoms.
A healthcare program in which healthcare professionals organize the patient's family, relatives, friends, and related units to take appropriate measures from the physical, psychological, and socio-medical model perspectives to provide comprehensive support and care for the dying.
How to develop hospice care in China
Hospice care is important for building a harmonious society, is a social system project for the benefit of the country and the people.
The development of hospice care reflects the progress of people's concept of health services and health concepts, and is a manifestation of the advancement of spiritual civilization, but also optimizes the structure of health services, improves the efficiency of health services, and improves the health care system is an important part of the health care system.
In our country, the development of hospice care has a far-reaching impact.
First of all, the development of this cause adapts to the current situation of population aging in China.
Now our country has entered an aging society, and a considerable portion of the elderly for the terminally ill, life can not take care of themselves, about 80% rely on family care, coupled with the current increase in the number of families, families are facing great difficulties, many dying old people calling hospice care, for the terminally ill elderly, the traditional,
Second, the development of this cause is conducive to highlighting the humanistic spirit of our medical institutions.
Hospice care not only changed the incurable patients are rejected outside the hospital door, or only in the hospital to prolong the pain of life without real care and attention, as well as the phenomenon of medical staff ignore the pain of the patient's family, but also to make the terminal patients in the caring, comfortable environment in dignity, peacefully leave the earth, but also to make the patient's family members to get the comfort of the soul, which not only demonstrates the medical These not only show the spirit of humanitarianism, but also reflects a concern for people, respect for people, people-centered humanistic spirit of the development of medical technology makes it possible to delay death.
Again, it is conducive to the coordinated development of health care.
The development of medical technology makes it possible to delay death, but this will increase the pain of terminal patients, aggravate the economic and psychological burden of the patient's family, and will waste a lot of health resources.
China is a developing country, the development of urban and rural and regional health care is unbalanced, the allocation of resources is unreasonable, the public **** health and rural, community health care work is relatively weak, the situation of serious shortage of health resources in the short term is still difficult to change.
In this context, the allocation of health resources should adhere to the principle of reasonableness and fairness, on the basis of respect for human life, personality and dignity, the value of life and the quality of life of the individual life to judge, and accordingly decide the investment of health resources.
And end-of-life care to improve the quality of life of patients before the end of the purpose, the terminal patients to take care of life, psychological guidance, palliative care, the purpose is to alleviate the pain of the patient, to eliminate the patient and his family anxiety and fear of death, which undoubtedly helps to conserve health resources, but also to make the limited health resources invested in the development of China's health care in the most needy, the most urgent areas, and to promote the coordinated development of health care. The first step is to make sure that you have the best possible chance of getting the best out of your life.
However, it is precisely because of the hospice business in China has just begun, so both theoretically and in terms of implementation, this business is still in the state of crossing the river by feeling the stones, in the specific implementation and development process, there are still a lot of unsatisfactory places, the specific reasons are as follows: First, the traditional concept of the lack of.
Hospice care to discuss with patients and their families about death, how to deal with death and other issues, and in China's traditional concepts even if there is no significance and value of the people are not willing to end their lives prematurely, and at the same time by the impact of traditional filial piety, it is clear that the traditional Chinese view of death did not provide the corresponding conceptual basis for hospice care.
Second, there is a lack of social support.
At present, hospice care in China is still an emerging cause, on the one hand, *** the investment in hospice care is extremely limited, on the other hand, the support of the whole society is also insufficient, the corresponding insurance plan and charitable donations are very few, the hospice organization's funds are seriously lack of, which leads to the emergence of the number of China's hospice organizations, the number of practitioners is small, the quality of the problem of not high.
Third, there is a lack of institutional protection.
***, medical insurance institutions on the hospice career attitude, how to determine the development of this hospice career, how to establish hospice institutions and how to run? What are the conditions for the establishment of hospices? How to establish a hospice and how to run it? How to establish the conditions of the hospice? How to standardize the treatment and service of the hospice These questions will also determine the actual effect of the hospice.
But our country has not formulated the corresponding policy measures and laws and regulations in this regard, hospice care lack of institutional safeguards, hospice care is more in need of "institutional care".
Therefore, in order to make our country's hospice career play a better role, must be improved in the following aspects: First, to carry out the death of education, must be guided by dialectical materialism and historical materialism, to carry out a variety of forms of mass death education.
For example, schools and other educational institutions can be used to carry out education on the scientific concept of death; medical institutions can also be used to educate patients and their families on the concept of death, and the news media can also be used to vigorously publicize the scientific concept of death and the scientific culture of death, and to broadly update people's concepts, and it is also necessary to strengthen the death education of the medical profession and medical personnel in order to make the medical institutions and medical personnel The media must also strengthen the education of the medical profession and medical personnel about death so that medical institutions and medical personnel will pay active attention to the development of hospice care and take the needs of the terminally ill patients seriously.
Secondly, diversified publicity to improve the social support system.
Hospice care is a socialized systematic project, is a part of the social security system, need to care and support from all walks of life, for the current social sparsity of the hospice cause of understanding, first of all, we should increase the publicity of this cause through various means, such as *** publicity, media publicity, etc., in order to increase the hospice cause of the capital investment, but also to maximize the social support.
Third, the establishment of a hospice protection system.
First of all, through the legislation, to clarify the hospice authorities and their supervision and management responsibilities, to clarify the main body of the investment, to ensure that the hospice cause of the source of funds.
Secondly, special health laws and regulations (including specific rules and regulations) should be formulated to make clear provisions on the definition of hospice objects, the standards for setting up hospice hospitals or wards, the technical standards and operating procedures of hospice care, the qualifications, duties and ethical requirements of practitioners, the facilities, equipment, medicines, and the management of funds of hospice organizations, and the charging standards.
Only in this way can we ensure that patients who really need hospice care receive effective and comprehensive end-of-life care.
This is the first time I've ever seen a nurse write a dissertation on hospice care, and I've never seen one.
Britain and the United States in 1967 and 1974, respectively, the rise of the hospice nursing movement, requiring nursing workers must be able to reduce the patient's psychological burden, delaying death and alleviate the pain of death, but also for the patient and his family to provide a *** degree of limited time in a quiet environment.
This work has been praised by the community.
Do a good job of end-of-life care requirements and measures a. Placement of a comfortable environment patients should live in a single room, the room should be clean, quiet, well-lit, moderate temperature and humidity, fresh air, avoid noise.
The purpose is to allow patients to rest quietly and comfortably, and to protect other patients from mental ***.
Second, the ten measures of hospice care 1. Selection of better quality nurses, the implementation of overall care.
The condition of terminal patients is variable, and some of them have many catheters, such as nasal catheters, infusion tubes, urinary catheters, drainage tubes and other monitoring catheters, etc., and the difficulty of nursing is very great, so it is necessary to set up a responsible nurse or a special person to guard the patient, so as to closely observe the condition and skillfully carry out a variety of technical operations.
2. Improve basic care.
In addition to completing the routine basic nursing content, but also to do a good job of turning over, patting the back, and help the patient to do the activities within their reach, in order to prevent decubitus ulcers, pneumonia, and the occurrence of other complications.
3. Closely cooperate with the medical, timely and accurate completion of a variety of treatment and nursing tasks.
Such as infusion, sputum, oxygen and collection of various laboratory specimens, etc., do not arbitrarily terminate a variety of life-sustaining measures.
4. Carefully write nursing charts and intensive care records.
Fill in each item as required, including the condition, blood pressure, pulse, respiration, temperature and other changes, special medication, in and out of the volume, to provide a reliable basis for the doctor.
5. Minimize the patient's pain, regular injection of painkillers, familiar with a variety of commonly used painkillers dosage, effects and side effects.
6. Do a good job of patient dietary care.
Based on the characteristics of the patient's decreased appetite, the nurse should discuss the patient's diet with the family and the dietitian***, not only to meet the patient's caloric needs, but also to cater to the patient's dietary habits and preferences, so that the patient feels at home, and always maintain the best psychological state.
7. Value and greet the patient like a relative.
Comfort the patient with words from the heart, listen patiently to the patient's inner pain, encourage the patient to speak out their own terror and anxiety, and then give appropriate explanations and inducement, so that they can be relieved.
8. The condition of the information should obtain the consent of the doctor and the family and unified tone, it is best not to deceive, otherwise it will make the patient more suspicious, and even no longer believe in the medical staff and take an uncooperative attitude.
9. Mobilize family members and members of the community to visit the patient more often, so that they feel valued, living in warmth and hope, forgetting the worries and loneliness, and have a quiet and comfortable state of mind.
10. To the patient's perverted psychology to be graceful and generous, restraint and patience, avoid verbal conflict, should be patient to appease, and from the condition, to advise.
Third, the end-of-life care requirements to do the "four beautiful" nurses in the end-of-life care, must do the "beauty of the heart, the beauty of the language, the beauty of the instrument, the operation of the United States", to give more love to the terminally ill.
"Beauty of the heart": to have a "heart of love".
"Love" is indispensable to end-of-life care, which can give people warmth, awaken the hearts dormant by the disease, and bring self-improvement and comfort to those broken and painful hearts.
"The beauty of language": it is as a bridge to communicate psychology.
Nurses should speak in a gentle and kind tone of voice, compassionate, so that the patient is in a caring, considerate, comfort.
"Instrumental beauty": neatly dressed, clean coat and hat, natural and generous expression, while smiling, light and graceful pace, energetic.
"Operational beauty": nurses enter the ward, instrumentation gives the first impression, skilled operation is more able to obtain the trust of terminal patients.
Nursing operations must be skillful, accurate, gentle, beautiful, every move gives a sense of beauty.
In short, the terminal patient's psychology is extremely sensitive, complex, personality, friendship, dignity is doubly valued, the nurse's words and deeds more attention.
Therefore, the nurse's noble moral character, skillful technique, and kind smile will win the trust of patients.
Even if it can bring a moment of joy to the patient, but also consciously do their best to do to meet the patient's last request and wish in the world, until the nurse with the most noble, holy "love" peacefully away.
What is the purpose of hospice care? AIToday is the second leg surgery for 4-year-old Xiaoyu, only six months after his last surgery.
Coincidentally, today is also Chen Xiaoyu's fourth birthday, but her mom has mixed feelings.
The surgery was a great success! Surgery total *** did fifty-eight minutes, no bleeding So this time the problem of foot drop is solved, the original is not standing not straight? The foot is like a ballet, the foot is not flat, and now it is flat.
Every time, when her daughter Xiaoyu went through another general anesthesia surgery, mom Chen Xuedong will be before the anesthesia woke up, so constantly calling her daughter's name.
She was very worried that her daughter would quietly leave her during one of the surgeries! Because Xiaoyu is not Chen Xuedong's own daughter, two years ago, a very strange experience became Xiaoyu's mother.
I am self-inflicted! I myself am willing to pick her up, willing to take this thing.
It's that I'm self-made, I fall on my own I get up on my own! I've always felt this way.
This surgery is Xiaoyu's second right leg foot surgery, half a year ago Chen Xuedong in his hometown in a hospital for his daughter to do the first stage of the operation.
Chen Xuedong never imagined that a little girl named Xiaoyu would suddenly come into her life.
What's more, she never imagined that poor Xiaoyu would bring her so many twists and turns in her life story.
More than 20 years ago, Chen Xuedong became a single mother of two sons.
In 1998, due to the poor efficiency of the unit, Chen Xuedong from a factory laid off, in order to be able to support the two sons who have not yet reached adulthood, she went to an insurance company in the city of Shangqiu, engaged in the work of insurance salesman.
Because of her family's poor economic conditions, Chen Xuedong has been living with her two sons in a rented room in the southern suburbs of the city.
In the past few years, with her two sons working and starting their own families, Chen Xuedong's hard life is coming to an end.
In order to give his mother a happy old age, the filial son and daughter-in-law have not wanted their own children, they used the money saved up in the past few years to work in the south, in the center of the city of Shangqiu ordered a set of hundreds of square meters of commercial housing.
However, at this time, an unexpected thing has come to the family! At 7:00 pm on the sixth day of the first month of 2003, just when the Chen Xuedong family immersed in the Spring Festival family reunion in the joy, she inadvertently listened to a phone call, but from then on completely changed the fate of the Chen Xuedong family! That day was unforgettable! The evening of February 6th, the first words said Chen Manager? I said: Hello! I said, "Who are you? I said I'm sorry, I really did not hear who you are, he said my voice you can not hear? Seems quite familiar, he said some time ago his neighbor's house touched him, is out of a car accident .
He said that this insurance is quite good, and there is a dividend.
At that time, I said, "I'm sorry! It's true that I can't go at night when it's dark, and it's particularly cloudy.
He said you can't come what to do? This initiative to come to the door to buy insurance customers, for eight years as an insurance salesman Chen Xuedong, is really a temptation! Accompanied by his eldest son, Huang Lei, Chen Xuedong rushed to the South Lake Park in the southern suburb of Shangqiu County, which is located at the edge of the bridge outside the ancient city of Suiyang, in accordance with the time agreed on the phone.
At that time to the place but did not see people, did not see people turned around, turned around the car and turned around, only to see saw a couple from the south to the north, walking and talking, looking as if they were talking about the appearance of the object, to see the two people, always saw no one else.
There are no pedestrians on the road at all, every few minutes can come over a car, the car is also very little, usually a motorcycle over a, very few.
Chen Xuedong and his son, Huang Lei, waited for about an hour in the early spring wind, but still did not see the shadow of the caller.
Just when the mother and son were ready to leave South Lake home, an unexpected thing suddenly happened.
Just next to the stone bench at the end of the bridge in the park, a little girl of only two years old suddenly ran out, she clung to Chen Xuedong's legs, shouting her mother! The little girl's pocket put a note, which wrote that the little girl was born in 2001 April 25th.
At that time, it was also quiet, the little girl has been crying.
Just as Chen Xuedong mother and son were surprised in this cold night, why there will be such a lonely child in the middle of nowhere, Chen Xuedong's cell phone this time and suddenly rang! He said I also know you, even small dogs and kittens are picked up .
You see with this method to impose the child on you, I am not human ! You are willing to scold me as much as you want to scold me! Until then, Chen Xuedong only suddenly realized: the caller asked her to the South Lake for the purpose of the child in front of her completely entrusted to her.
As it was getting late, Chen Xuedong and his eldest son Huang Lei hesitated for a moment and decided to take the little girl home first.
But to Chen Xuedong's immense surprise, the little girl cried out just as she got into the cab holding the child and prepared to head north to go home.
The caller told Chen Xuedong that the little girl had been sent to four homes.
But what made Chen Xuedong feel strange was that when she asked the little girl who her parents were, the child's answer gave her a real shock! She just said this sentence: "What's dad's name? What's your father's name? What's daddy's name? If you ask her what her mother's name is, you'll have to ask her what her mother's name is: Chen Xuedong!
She would have preferred to believe that a good samaritan had given her a lovely daughter.
But what Chen Xuedong never understood was that the little girl who came to her home for a few days said she would not sleep at night, and was always very vigilant in guarding the Chen Xuedong family! Chen Xuedong family did not realize that this sudden intrusion into their lives this little girl, is about to change their quiet life.
The girl's limping appearance made Chen Xuedong suddenly remember that the person who called her mentioned something to her.
He said that the child had no problems at all, just said that the leg burned and said that it was scalded, and then the mosquito bites again inflamed, and he said so directly.
Because the sky was drizzling on that cold night when they picked Xiaoyu, they named the little girl Xiaoyu.
Gradually, Little Rain became happier and happier every day in this home with a mother, two brothers, and two sisters.
Although to Chen Xuedong home has been half a month of Xiaoyu, and their family get along, gradually familiar with, but Xiaoyu's leg is more and more limp, is it behind there will be any unspeakable secret? Chen Xue...
What is the significance of hospice care?Hospice care is a noble cause that meets the interests of mankind, and is of great significance to the progress of human society: ① Hospice care meets the objective requirements of mankind's pursuit of a high quality of life.
With the progress of human civilization, people put forward higher requirements for the quality of life and death, like welcoming a new life, turning the first page of the course of life; sending off, closing the last page of the course of life, and drawing a perfect conclusion.
In order to make the patient at the time of death, peace, calm, comfortable, so that the family does not leave any regrets and shadows after the death of the patient.
② Hospice care is a sign of social civilization.
Everyone wants to live well and die peacefully.
Hospice care is precisely for the dignity of the patient to comfortably reach the other side of the life of a social public **** cause, it is a symbol of social civilization.
③ end-of-life care reflects the lofty ethics of the medical profession.
The core content of the professional ethics of health care is to respect the value of the patient, including the value of life and human dignity; end-of-life care through the implementation of holistic care of the patient, with scientific psychological care methods, superb and exquisite clinical care, as well as palliative, supportive therapy to maximize the patient to help reduce the physical and mental pain, improve the quality of life, and calmly go through the last stage of life.
Healthcare professionals as the specific implementers, fully embodies the value of life and quality of life to improve the service purpose of the noble medical ethics.
Give me a filial piety essay ......
One day, see the mother sitting on the sofa on her knees, pale hair curls, weathered face is vaguely visible, she held a hand with a fine needle, a hand to sew the clothes to sew, hand in the clothes hole back and forth a few times, a garment is almost perfect as a new one, the action is so pure.
A bag of cigarettes, mother may be tired, into the house to rest.
Look at the sofa is still lying on a few pieces of clothing, in the heart of the mother to work again, a smoke will be sitting on the sofa after the temperature is not exhausted, pick up the needle and thread, recalling the mother's usual sewing action, a needle and a line dry up, this is the Guanfei through the needle - wide-eyed, did not expect from the sewing of the clothes of me this time! I have never sewn a dress before, and this is the first time I've ever done it.
These usually inconspicuous needle and thread in the hands of a heavy, they seem to be sick of being bundled in my hands, constantly struggling I remain calm, calmly sewing for these old clothes, time peacefully and silently from the side of the slip away, I overcame the challenges to help my mother to help do the work done, suddenly felt a hand in the pain, which realized that his fingers were a needle pierced through the several holes.
The blood has long been white thread dyed red ...... tears mother traveled for a few days, leaving only my father and I at home.
One night in the dead of night, I suddenly heard the sound of a broken bowl and pot, and woke up.
Kick off the bedding, quietly out of bed; carefully open the door, tiptoe close to the sound of the source, a sudden burst of *** I could not help but shudder, back a few steps, a little fixed mind, and then drummed up the courage to attack the den of thieves, to open the lights to see, can not help but lose their colors and shouted: "Dad!" Looked at his father collapsed on the kitchen floor and a dark red liquid beside him, only then realized, immediately dialed the nearby relatives of the phone, and helped his father to the sofa, and scrambled to stop the bleeding for his father, bandage.
Time flies, relatives soon arrived and took my father away, leaving me alone at home ...... Early the next morning, my father and I met in the hospital bed, put the bought fruit on the table, put the hand-boiled soup in front of my father, with last night's scalded hand holding a spoon to feed my father a mouthful of soup, for my father to put the The bedding is covered tightly, the peeled fruit into the mouth ...... are said to be a man's tears, but I was dragged out of the hospital by loved ones, the crystalline teardrops also followed a series of falling.
Perhaps in the eyes of others these things are so trivial, but in my eyes everything is so difficult, since childhood pampered me almost even a knife, broom have not touched, and now three Si over the I began to labor for their parents.
Through the emotional space of the self, awakening that tramp in the annihilation of the distant age of a filial piety heart ......
Life is precious, just like the time past can not come back! Even if it is a day of life.
Some people's life is like a fragile branch, a break on the section; some people's life is like a tenacious earthworm, section and stand up again; there are people's life is like a shining star, shining the warmth of the earth.
Rather sacrifice themselves so that the people of the motherland to live a happy life is also worth ...... then how to use life is correct? Life is only once, to properly utilize life must rely on their own ideas! The idea is correct that your life is also correct.
Similarly, your idea of a wrong life is wrong.
In fact, the correct utilization of life is dependent on environmental changes and economic changes, and is not chaotic.
If the economy and the environment are poor, there is less room for the utilization of life, and if the economy and the environment are good, there is more room for the utilization! Isn't that right? Life is precious.
We all need to make the most of it!
Reprinted in the composition of the whole network ? Characteristics ′ abdomen Hamlet? コ涓讳汉鍏