陪伴一位癌症末期病人走完人生旅程

Accompanying Female Cancer Patients through Terminal Illness

癌症末期病人大多是孤獨無望的，陪病人走這一段，往往會帶給病人存在、安全、安慰、及溫暖感，使他們能再續熱量，點燃生命中僅存的燃料，再次迸出希望之火花，而使生死兩無憾。本文乃描述護理人員利用智慧與熱忱，協助一位癌症末期病人走完人生旅程，並將其經驗及技巧與讀者分享，期望獲得更多迴響，作為護理癌症末期病人的工作指引。本文以實際護理病人方式，利用深度訪談，記錄，回溯，重整記錄的方法，從生理，心理，社會，靈性四個層面加以說明。使病人及家屬終能因康問題，例如：不願接受醫療處置導致之行為限制，不必要的忍受疼痛，失眠，母女互動減少，無望感等等，一一獲得解決，而平靜走完人生旅程。安寧照護是一個極富挑戰性的工作更是一團隊工作，癌症末期病人的需要是多層次，多元化的，因此病人及家屬的意見和意見形成之因素，應視為給予治療及護理時的參考。所以只要有心總有事情可以為病人做的。

Since we often meet death in our professional nursing career and understand how lonely and hopeless cancer patients are, it’s necessary for us to help them face death and reduce their fear of it. They can thereby have more comfortable and tranquil days at the end of their lives and leave no regrets for their families. In caring for patients we use in-depth interviews, written records, retroaction, rearranged recording to be aware of and help solve the patients; health problems. The four levels involved are physiological, psychological, sociological and spiritual. After such problems as unwillingness to receive medical implementation, unnecessary pain, insomnia, less interaction with family and hopelessness have been resolved, they pass their endings more peacefully than could otherwise be expected. Since the needs of this kind of patient are multifaceted and complex, we hospice care providers should consider the needs and suggestions of their families when we care for them. Obviously hospice care is not only a challenging job but also involves much team work.