The main purpose of hospice care is to let the dying people know and accept death in the last stage of their lives, and then face death safely, without worries, without the aim of prolonging life or surviving. At the same time, hospice care also gives spiritual support and encouragement to family members to help them spend this moment in Where Are You Going? Therefore, Buddhist common sense about death has become the best spiritual salvation for the dying and their families.
The earliest hospice care institution in Buddhism is the "impermanence hospital" in India, which aims to arouse patients' yearning for the death of the western paradise. This is based on the concept of Amitabha's pure land practice. There are also "Happy Hall" or "Nirvana Hall", "Happy Tower Courtyard" and "Nursing Center" in the Zen Forest in China, in which the abbot takes care of the sick monks. At present, monasteries have "Ruyi Therapy" or "Hospice Ward" to serve patients. In addition, there are clear records about hospice care in Jietou Tuopin in Zhu Shi Pipo Sharon, Concept Method written by Shandao, Treatment for Death written by Daoxuan. Today, Japan's Tiangongren even advocates "Vishnu" as the ultimate care center of Buddhist social welfare. These institutions show Buddhism's love for life and respect for death.
Modern hospice care includes Lotus Hospice Care Foundation and Hospice Care Foundation. In addition, hospitals have hospice care wards, such as National Taiwan University Hospital, MacKay Hospital, Veterans General Hospital and so on. On a larger scale, it combines doctors, practical nurse, nutritionists, pharmacists, physiotherapists and other members to relieve and relieve patients' physical pain; With the participation of social workers and religious figures, patients can eliminate their fear of death, and the dying can be comforted and guided by the power of religion.
Hospice care is the last journey to help patients complete their lives with dignity. Therefore, in nursing, we should pay attention to the following items:
First, understand the psychological changes of dying patients
The emotional changes faced by the dying are different, as are family members, volunteers, charities and religious teachers. Should understand and give appropriate help. For example:
1. Fear, try to make dying people happy, there is no fear of inversion.
2. Anger, comfort the dying person, make the mood calm, let go of fate, and don't have love and hate.
3. Sin, so that people who are dying don't feel guilty. Teaching him to recite Buddha can eliminate the obstacles of sin.
Don't give up, persuade him not to be greedy for his relatives and property in the world.
5. Worry, let patients rest assured, don't worry about others.
6. Helpless, let him know that many relatives and friends are his spiritual pillars.
7. Be self-critical and encourage him to strengthen his confidence, and chanting Buddha will give birth to a paradise.
8. Loneliness, don't let sick people feel lonely in the hospital bed.
9. depressed. When the patient is dying, if he is depressed and helpless, he should be given appropriate comfort.
10. Ignorance, tell him that he will go to a clean and happy place and let him know that there is infinite hope in the future.
Second, face up to the needs of dying patients.
People engaged in hospice care should make a conversation data sheet for each patient in order to understand their personal needs and wishes, or to understand what they want from observation. For example:
1. I want to know the condition.
2. I hope to get forgiveness from others.
3. Understand and forgive others.
4. I hope others care about him.
5. Meet friends and relatives.
6. Understanding of life.
7. Desire for religious belief.
8. Arrangements for the aftermath.
Three. Assistance to terminally ill patients
1. Listen to him with a caring attitude.
2. Let the people he loves give timely care and companionship.
3. Respect the religious beliefs of patients.
4. Tell the story and truth of repentance and salvation.
5. Arrange a mage or religious person to talk to him or explain his story to him.
6. Try to satisfy the hope in his heart.
7.*** Discuss the wishes in his heart.
8. Tell the doctor to relieve the patient's physical pain and keep refreshed.
9. Help patients and their families maintain a normal lifestyle and prepare for the aftermath.
10. Keep the patient's psychological peace.
1 1. Help him improve his mindfulness and leave safely.