Don't teach me to pray. No need!
Tao Qian came to see me. I guess
Let's be happy among the happy bees,
I take back the curse now.
You were together, haha.
What is hospice care? For knowledgeable people, hospice care is not a cure, but a medical care that focuses on alleviating the symptoms of cancer patients and delaying the development of their illness in the weeks or even months before their death.
Hospice care does not pursue violent treatment that may add pain or meaningless to patients, but requires medical staff to control patients' symptoms with skilled business and good service.
The medical staff organized the family members, relatives and friends of the patients and related units to unite and take corresponding measures from the perspectives of physiology, psychology and social medical mode to provide comprehensive support and care for the dying patients.
How should China develop hospice care? Hospice care is of great significance to the construction of a harmonious society, and it is a social system project that benefits the country and the people.
The development of hospice care embodies the progress of people's health service concept and health concept, is the performance of spiritual civilization construction, and is also an important link to optimize the structure of medical and health services, improve the efficiency of health services and improve the medical and health system.
In China, vigorously developing hospice care has a far-reaching impact.
First of all, the development of this undertaking has adapted to the current situation of China's aging population.
Now China has entered an aging society. A considerable number of elderly people are terminally ill, unable to take care of themselves, and about 80% rely on their families to take care of them. In addition, the number of childless families is increasing, and family members are facing great difficulties. Many dying old people ask for hospice care. For the terminally ill elderly, traditional and institutionalized forms of medical care may not be the most effective way to help them and provide care. Hospice care is an important way to save costs and solve the difficulties of family care for endangered patients.
Secondly, the development of this cause is conducive to highlighting the humanistic spirit of medical institutions in China.
Hospice care not only changed the phenomenon that terminally ill patients were turned away from the hospital, or just prolonged their painful life in the hospital without real care and care, and medical staff ignored the pain of patients' families, but also made terminally ill patients leave the world with dignity and peace in a caring and comfortable environment, and comforted their families. These not only reflect medical humanism, but also reflect the development of humanistic spirit medical technology with care, respect and people-oriented.
Third, it is conducive to the coordinated development of health undertakings.
The development of medical technology makes it possible to delay death, but it will increase the pain of dying patients, increase the economic and psychological burden of patients' families and waste a lot of health resources.
China is a developing country. The development of medical and health services in urban and rural areas and regions is unbalanced, the allocation of resources is unreasonable, public health and rural and community medical and health services are relatively weak, and the serious shortage of health resources is difficult to change in the short term.
In this context, the allocation of health resources should adhere to the principle of rationality and justice, judge the life value and quality of individual life on the basis of respecting human life, personality and dignity, and decide the input of health resources accordingly.
Hospice care aims at improving patients' quality of life before dying, and adopts life care, psychological counseling and palliative treatment for dying patients, aiming at alleviating patients' pain and eliminating patients' and their families' anxiety and fear of death, which will undoubtedly help to save health resources, and also make limited health resources invest in the most needed and urgent areas of health development in China, and promote the coordinated development of health undertakings.
However, because the cause of hospice care in China has just started, it is still in the state of crossing the river by feeling the stones, both in theory and in practice. In the process of concrete implementation and development, there are still many unsatisfactory places, the specific reasons are as follows: First, the lack of traditional concepts.
Hospice care should discuss death with patients and their families and how to deal with death. However, in our traditional concept, even people who have no meaning and value are unwilling to end their lives prematurely. At the same time, influenced by traditional filial piety, it is obvious that China's traditional concept of death did not provide the corresponding conceptual basis for hospice care.
Second, lack of social support.
At present, hospice care is still a new undertaking in China. On the one hand, the investment in hospice care is extremely limited, on the other hand, the support of the whole society is insufficient, the corresponding insurance plans and charitable donations are few, and the funds of hospice care institutions are seriously lacking, which leads to the problems of small number of hospice care institutions, few employees and low quality.
Third, there is a lack of institutional guarantee.
* * *, the attitude of medical insurance institutions towards hospice care determines the development of hospice care. How to establish and operate hospice care institutions? What are the conditions for the establishment of hospice care institutions? The treatment norms and service standards of hospice care institutions will also determine the actual effect of this hospice care.
However, at present, China has not formulated corresponding policies, measures, laws and regulations in this regard, and hospice care lacks institutional guarantee, and hospice care needs "institutional care" more.
Therefore, in order to make our hospice care work better, we must improve it in the following aspects: First, to carry out death education, we must carry out various forms of universal death education under the guidance of dialectical materialism and historical materialism.
For example, schools and other educational institutions can be used to carry out scientific education on death; Medical institutions can also be used to educate patients and their families about the concept of death. At the same time, the news media can be used to publicize the scientific concept of death and the scientific culture of death, and widely update people's ideas. At the same time, it is necessary to strengthen the death education for the medical industry and medical staff, so that medical institutions and medical staff can actively pay attention to the development of hospice care and seriously treat the needs of dying patients.
Second, diversify publicity and improve the social support system.
Hospice care is a socialized systematic project and a part of social security system, which needs the care and support of all walks of life. In view of the current lack of understanding of hospice care in all walks of life, we should first increase the publicity of this cause through various channels, such as * * * publicity, media publicity and so on. So as to increase the capital investment in hospice care and strive for social support to the greatest extent.
The third is to establish a hospice care security system.
First of all, through legislation, clear the competent department of hospice care and its supervision and management responsibilities, clear the investment subject, and ensure the funding source of hospice care.
Secondly, it is necessary to formulate special health laws and regulations (including specific rules and regulations), and make clear provisions on the definition of hospice care objects, the setting standards of hospice care hospitals or wards, the technical standards and operating procedures of hospice care, the qualifications, responsibilities and ethical requirements of employees, the management of facilities, equipment, drugs and funds of hospice care institutions, and the charging standards.
Only in this way can we ensure that patients who really need hospice care get practical and comprehensive hospice care.
How to write a nurse's hospice care paper? Hospice care campaigns were launched in Britain and the United States on 1967 and 1974 respectively, requiring nursing workers to do their utmost to reduce the psychological burden of patients, delay death, alleviate the pain at death, and provide a quiet environment for patients and their families in a limited time.
This work has been praised by the society.
Requirements and measures for hospice care 1. Arrange a comfortable environment. Patients should live in single rooms. The room should be clean and quiet, with sufficient light, moderate temperature and humidity, fresh air and noise avoidance.
Its purpose is to let patients have a quiet and comfortable rest and protect other patients from mental disorders.
Second, the top ten measures of hospice care 1. Choose nurses with better quality and implement holistic nursing.
The condition of dying patients is changeable, and some patients have many catheters, such as nasal catheter, infusion tube, urinary catheter, drainage tube and other monitoring catheters, which makes nursing extremely difficult. Therefore, it is necessary to set up a responsible nurse or a special person to guard, so as to closely observe the changes of the disease and skillfully carry out various technical operations.
2. Do basic nursing.
In addition to completing routine basic nursing, we should turn over frequently and pat our backs more, and try our best to help patients prevent complications such as bedsore and pneumonia.
3. Close cooperation with medical treatment, timely and accurately complete all kinds of treatment and nursing tasks.
Such as infusion, sputum aspiration, oxygen inhalation and collection of various laboratory specimens, various life-sustaining measures are not terminated at will.
4. Carefully write nursing medical records and intensive care records.
Fill in all the contents truthfully as required, including the change of illness, blood pressure, pulse, respiration, body temperature, special medication, intake and withdrawal, etc., to provide reliable basis for doctors.
5. Minimize the pain of patients, inject painkillers regularly, and be familiar with the dosage, effects and side effects of various commonly used painkillers.
6. Do a good job in patient diet care.
Nurses should discuss patients' diet with their families and nutritionists according to the characteristics of patients' loss of appetite, meet patients' calorie needs, cater to patients' eating habits and hobbies, and make patients feel at home and always maintain the best psychological state.
7. Pay attention to and greet patients like relatives.
Comfort patients with heartfelt language, patiently listen to their inner pain, encourage patients to express their fears and anxieties, and then give appropriate explanations and guidance to get rid of them.
8. Doctors and their families should agree to inform patients of their illness, and it is best not to cheat, otherwise patients will have more doubts, even stop trusting medical staff and adopt an uncooperative attitude.
9. Mobilize family members and social members to visit patients more, so that they can feel valued, live in warmth and hope, forget troubles and loneliness, and have a quiet and comfortable state of mind.
10. Be generous with the abnormal psychology of the patient, exercise patience, avoid any quarrel and conflict, be patient and calm, and give advice according to the condition.
Third, hospice care needs "four beauties". In hospice care, nurses must be "beautiful in spirit, language, appearance and operation" and give more love to dying patients.
"Beautiful mind": having a "loving heart".
"Love" is indispensable in hospice care. It can give people warmth, awaken the sick and sleeping heart, and bring self-improvement and comfort to those broken and painful hearts.
"Beautiful language" is a bridge to communicate psychology.
Nurses should speak in a gentle and kind tone and be compassionate, so that patients can be in care, consideration and comfort.
"Good looks": neatly dressed, neatly dressed, natural and generous in expression, smiling at the same time, light and graceful in pace and full of vitality.
"Beautiful operation": When the nurse enters the ward, the instrument gives people the first impression. Skilled operation can win the trust of the dying patients.
Nursing operation must be skilled, accurate, gentle and beautiful, and every move gives people a sense of beauty.
In a word, the psychology of dying patients is extremely sensitive and complicated. They cherish personality, friendship and dignity, and pay more attention to the words and deeds of nurses.
Therefore, nurses' noble moral quality, exquisite technology and kind smile will win the trust of patients.
Even if it can bring happiness to patients for a moment, we should consciously try our best to meet the final requirements and wishes of patients in the world until we leave safely with the noblest and most sacred "love" of nurses.
What is the purpose of hospice care? Today is the second leg operation for 4-year-old Xiaoyu, only half a year before the last operation.
Coincidentally, today is Chen Xiaoyu's 4th birthday, but her mother's mood is very complicated.
The operation was very successful! The operation lasted 58 minutes without bleeding. So this time, the problem of falling feet was solved. Didn't you stand up straight? Feet like ballet, feet are uneven, and now they are flat.
Every time her daughter Xiaoyu has another general anesthesia operation, her mother Chen will keep calling her daughter's name before the anesthetic wakes up.
She is worried about which operation her daughter will leave her quietly! Because Xiaoyu is not Chen's biological daughter, two years ago, a strange experience became Xiaoyu's mother.
I asked for it! I'm willing to pick her up in person and undertake it.
I am self-reliant, I fell down and got up by myself! I always thought so.
This operation is Xiaoyu's second right leg and foot operation. Six months ago, Chen performed the first operation on her daughter in a hospital in her hometown.
Chen never imagined that a little girl named Xiaoyu would suddenly break into her life.
Unexpectedly, the poor light rain will bring her so many tortuous life stories.
More than 20 years ago, Chen became a single mother of two sons.
1998, Chen was dismissed by the factory because of poor unit efficiency. In order to support her two underage sons, she went to an insurance company in Shangqiu as an insurance salesman.
Due to the poor economic conditions at home, Chen has been living in a rented house in the southern suburbs of the city with his two sons.
In recent years, with two sons working and getting married one after another, Chen's hard life is coming to an end.
In order to give my mother a happy old age, the filial eldest son and eldest daughter-in-law have never wanted their own children. They used the money accumulated from working in the south in recent years to book a set of commercial houses of several hundred square meters in the center of Shangqiu.
However, at this time, an unexpected thing happened in this family! At seven o'clock in the evening of the sixth day of the first month of 2003, just as the Chen family was immersed in the joy of family reunion during the Spring Festival, she accidentally answered a phone call, but it completely changed the fate of the Chen family! I will never forget that day! On the evening of February 6th, the first sentence was Manager Chen? I said: Hello! I said, who are you? I said I'm sorry. I really didn't recognize who you are. He said you didn't even recognize my voice. Seems familiar. He said it was an accident that his neighbor touched him some time ago.
He said that this insurance is quite good, and there are dividends.
I said at that time: I'm sorry! It is true that you can't go at night, and it's cloudy.
What if he says you can't come? Chen Lai, who has been an insurance salesman for 8 years, said that this kind of door-to-door insurance customer is really a temptation! Accompanied by his eldest son, Huang Lei, Chen arrived at the bridgehead outside Suiyang Ancient City in Nanhu Park in the southern suburbs of Shangqiu County at the time agreed on the phone.
At that time, when I arrived at that place, I didn't see anyone, so I turned around, turned around, and turned around. I only saw a couple walking from south to north, chatting while walking, and it seemed as if they were chatting with each other. Then I saw those two people and never saw anyone else.
There are no pedestrians on the road at all, and a car can come every few minutes, and there are very few cars, usually a motorcycle, very few.
Chen and his son Huang Lei waited in the cold wind in early spring for about an hour, but there was still no sign of the caller.
Just as mother and son were about to leave Nanhu for home, an unexpected thing happened suddenly.
Just beside the stone bench at the bridge of the park, a little girl of only two years old suddenly ran out. She hugged Chen's leg tightly and shouted, Mom! There is a note in the little girl's pocket, which says that the little girl was born on April 25th, 200 1 year.
It was quiet, too. The little girl was crying all the time.
Just as Chen and his mother were surprised at how there was such a lonely child in this cold night, Chen's cell phone suddenly rang again! He said, I know you, too. Even the puppies and kittens were picked up.
You see, I'm not human to force children on you in this way! You can scold me all you want! Chen suddenly realized that the caller asked her to come to Nanhu just to entrust her with the child in front of her.
At that time, it was getting late. Chen and his eldest son Huang Lei hesitated for a while and decided to take the little girl home first.
However, to Chen's great surprise, just as she was getting into a taxi with her child in her arms and preparing to go back to her hometown in the north, the little girl cried.
The person on the phone told Chen that the little girl had been sent to four families.
But to Chen's surprise, when she asked the little girl who her parents were, the child's answer really startled her! She just said, "What's dad's name? What's dad's name? What's dad's name? As soon as you say this, you have to ask her mother's name: Chen! The little girl's "mother" shocked Chen.
She would rather believe that a kind-hearted person gave her a lovely daughter.
But what makes Chen Yizhi wonder is that the little girl who has lived in her house for a few days doesn't sleep at night, and she has always been vigilant against the Chen family! Chen's family didn't realize that this little girl who suddenly broke into their lives was about to change their quiet life.
The limping appearance of the little girl suddenly reminded Chen of something that the person who called her mentioned to her.
He said that the child was all right, his leg was scalded and scalded, and then the mosquito bit and became inflamed. He just said that.
They named the little girl Xiaoyu because it was raining on the cold night when they picked it up.
Gradually, Xiaoyu is happier every day in this home with his mother, two brothers and two sisters.
Although it has been raining for half a month in Chen's family and they get along well, Xiaoyu's legs are getting lame. Is there any hidden secret behind this? Chen Xue ...
What's the point of hospice care? Hospice care for people of insight is a noble cause in line with the interests of human beings, which is of great significance to the progress of human society: ① Hospice care meets the objective requirements of human beings in pursuing high-quality life.
With the progress of human civilization, people put forward higher requirements for the quality of life and death, just like welcoming a new life and turning the first page of life. Send away, close the last page of life and draw a perfect full stop.
In order to let the patient get peace, calmness and comfort when he dies, let the family members leave no regrets and shadows after the patient dies.
② Hospice care is a sign of social civilization.
Everyone wants to live a smooth life and die peacefully.
Hospice care is a social undertaking that enables patients to reach the other side of life with dignity and comfort. It is a symbol of social civilization.
③ Hospice care embodies the sublimity of medical professional ethics.
The core content of medical professional ethics is to respect the value of patients, including the value of life and personal dignity; Through holistic nursing, scientific psychological nursing methods, superb clinical nursing methods, palliative and supportive therapy, hospice care helps patients to minimize their physical and mental pain, improve their quality of life, and walk through the last stage of their lives calmly.
As concrete implementers, medical personnel fully embody noble medical professional ethics, aiming at improving the value and quality of life.
Give me a composition about filial piety ... One day, I saw my mother sitting cross-legged on the sofa with curly hair and a weather-beaten face looming. She held a fine needle in one hand and a dress to be mended in the other. Her hand touched the hole in the dress several times. A dress is almost as perfect as new and moves so skillfully.
After smoking a pack of cigarettes, my mother may be tired, so she went into the house to rest.
Looking at a few unfinished clothes on the sofa, I couldn't bear to make my mother work harder, so I sat on the sofa with unfinished temperature, picked up a needle and thread, recalled my mother's sewing movements every day, and began to work one by one. This is Guan Fei threading a needle-staring at each other, but I didn't expect I could lift wood with fifteen people who have never sewed clothes-there are too many cooks.
These ordinary needlework suddenly became heavy in my hands. They seem to hate being tied up in my hands. I have been struggling, but I still calm down and sew these broken clothes firmly. Time slipped away safely and silently. I overcame many challenges and finally helped my mother finish her work. Suddenly I felt a dull pain in my hand. Only then did I know that my finger had been pierced by a needle.
Blood has dyed the white line purplish red ... tears mother has been on a business trip for a few days, and only my father and I are left at home.
One day in the dead of night, I suddenly heard the sound of broken bowls and basins, and I woke up unconsciously.
Kick off the bedding and get out of bed quietly; I opened the door carefully and crept close to the source of the sound. A sudden * * * made me shudder, stepped back a few steps, and after a pause, I got up the courage to go straight to the den of thieves. When I turned on the light, I couldn't help crying: "Dad!" " Looking at my father who collapsed on the kitchen floor and a dark red liquid beside him, I suddenly realized that I immediately dialed the phone of my relatives nearby, helped my father to the sofa, and hastily stopped bleeding and bandaged him.
Time passed quickly, and my relatives came soon, took my father away and left me alone at home ... The next morning, my father and I met in the hospital bed, put the fruit we bought on the table, served the soup we cooked to my father, fed him what he ate last night with a spoon, covered him with bedding, and sent the cut fruit to his mouth ... It was said that the man was in tears, but I was dragged by my relatives.
Maybe these things are so insignificant in the eyes of others, but in my eyes, everything is so difficult. I have never touched a knife or broom since I was a child, and now I have thought about it and started to work hard for my parents.
Awaken a filial piety lingering in distant years through the emotional space of self. ...
Life is precious, just like time has passed and it will never come back! Even a day's life.
Some people's lives are like a fragile branch, which will break when it is folded; Some people live like tenacious earthworms and stand up again after a while; Other people's lives are like a shining star, shining on the warm earth.
It is worthwhile to sacrifice yourself and let the people of the motherland live a happy life ... so how to use life correctly? Life is irreversible. If you want to use life correctly, you must rely on your own ideas! If the idea is right, then your life is right.
Similarly, your idea is wrong, and so is your life.
In fact, the correct use of life depends on the changes in the environment and economy, and it is not arbitrary.
If the economic environment is poor, the utilization space of life will be small, and if the economic environment is good, the utilization space will be more! Isn't it? Life is precious.
Everyone should make good use of it!
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