COVID-19大流行时期学习临终关怀和提供公共临终关怀教育的新途径——在线临终援助课程

G. Bollig, Boris Knopf, S. Meyer, M. Schmidt
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引用次数: 2

摘要

在家里照顾重病和垂死的人是一个公共卫生问题,根据Kellehear,应该是每个人的事(1,2)。在未来,我们确实需要市民和专业人士的合作,以便为所有有需要的人在家中提供姑息治疗(1-5)。2019冠状病毒病大流行表明,在医疗资源有限、需要采取隔离措施的大流行时期,临终关怀尤其具有挑战性。我们听到了许多关于人们没有得到适当的姑息治疗或亲属由于隔离措施而无法与垂死的人告别的故事。在养老院中,孤立和缺乏与亲属和其他人的接触可能导致心理、社会和生存痛苦。2015年,挪威、德国和丹麦为公民开设了“最后援助”课程,以提高人们对死亡和临终的认识,鼓励公众辩论,提高公民对姑息治疗的知识(4)。Bollig所描述的所谓公共知识方法旨在使有关姑息治疗和临终关怀的知识成为所有公民公共知识的一部分(3)。最后援助课程的目的是为公民提供公共姑息治疗教育(PPCE),使他们能够参与家中的临终关怀(3-5)。目前,欧洲和澳大利亚的16个国家已经设立或正在推行“最后援助”课程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A New Way of Learning End-of-Life Care and Providing Public Palliative Care Education in Times of the COVID-19 Pandemic – Online Last Aid Courses
Care for seriously ill and dying people at home is a public health issue and should according to Kellehear be everyone’s business (1,2). In the future we do need a cooperation of citizens and professionals in order to provide palliative care at home for all in need (1-5). The COVID-19 pandemic has shown that end-of-life care is especially challenging in times of a pandemic with limited healthcare resources and the need for isolation measures. We have been told a number of stories of people who did not receive adequate palliative care or relatives who were not able to say farewell to dying people due to isolation measures. In nursing homes isolation and lack of contact to relatives and others may lead to psychological, social and existential suffering. Last Aid courses for citizens have been started in 2015 in Norway, Germany and Denmark in order to raise awareness about death and dying, to encourage the public debate and to improve the citizens knowledge about palliative care (4). The so-called public knowledge approach as described by Bollig seeks to make knowledge about palliative care and end-oflife care part of public knowledge of all citizens (3). The aim of Last Aid courses is to provide public palliative care education (PPCE) for citizens in order to enable them to participate in end-of-life care provision at home (3-5). At present Last Aid courses have already been established or are being introduced in 16 countries in Europe and Australia.
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