#述说全球临终关怀的缘起
#Hospice
#CicelySaunders
1.
当初临终关怀/安宁照顾(Hospice Care/Palliative care)的原义是:
Hospice,在中世纪时代,用来做朝圣者或旅行者中途休息、重新补足体力的驿站。
2.
而现代的安宁照顾 Palliative Care 定义是一种组织化的医护方案,注重团队精神照顾,为临终病人以及其家属提供缓解性以及支持性的照顾。
延伸阅读:
英文版:https://en.wikipedia.org/wiki/Palliative_care
华文版:https://zh.wikipedia.org/wiki/%E4%B8%B4%E7%BB%88%E5%85%B3%E6%80%80
3.
现代临终关怀的发起人是已故的 Cicely Saunders。
一个看起来非常阳光的女士。在2005年去世。她留下的安宁照顾概念,知行合一,散发在整个世界里。
延伸阅读:
英文版:https://en.wikipedia.org/wiki/Cicely_Saunders
华文版:https://zh.wikipedia.org/wiki/%E8%A5%BF%E8%A5%BF%E9%87%8C%C2%B7%E6%A1%91%E5%BE%B7%E6%96%AF
4.
曾经是护士、社工人员、后来成为医师,更是知名作家的 Cicely Saunders 在1967年,设立St Christopher's Hospice。
St Christopher's Hospice是世界第一间Hospice。故事的缘起是这样的。
一位波兰年轻人,David Tasma患上绝症,正当Cicely Saunders是社工的时候,拜访处于剧痛状态的他。虽然David只懂一些英语,不过Cicely Saunders依然陪伴他。他们谈了如何以平静的心态接受死亡。他们希望那个繁忙的医院不要再去治愈他的病痛。而是能够让他在一种安宁的状况之下离开人间。Cicely Saunders述说:“当初,他只是希望能够寻回和上帝联结的宁静,还有寻找当初的自己到底是谁。”
David临终的时候,把自己一生积储五百磅都捐给了Cicely Saunders。他说:“我将会成为那间慈怀病院的窗口。”
St Christopher's Hospice 的网站:
https://www.stchristophers.org.uk/
5.
Saunders introduced the idea of "total pain", which included physical, emotional, social, and spiritual distress.
也是Saunders第一个告知我们何谓是"total pain"(整体疼痛)的概念。疼痛不仅仅包含生理层面、而且还包括情感的、社会的、还有灵性的层面。
6.
Cicely Saunders 的名言:
“你是重要的,因为你是你。你一直活到最有一刻,仍然是那么重要,我们会尽一切努力,帮助你安详逝去,但也尽一切努力,令你活到最后一刻。” - Dame Cicely Saunders
“You matter because you are you, and you matter to the end of your life. We will do all we can not only to help you die peacefully, but also to live until you die.” – Dame Cicely Saunders, nurse, physician and writer, and founder of hospice movement (1918 – 2005).
7.
现代安宁疗护:
根据现代的定义,临终关怀是一种组织化的医护方案,注重团队精神照顾,为临终临终病人以及其家属提供缓解性以及支持性的照顾。
8.
临终关怀的理念包含:
a. 帮助临终病人有效地控制疼痛以及病症。
b. 以整个家庭照顾为单位。重视临终病人与家属的身、心、灵的需求。
c. 尊重生命尊严,尊重濒死临终病人的权利。
d. 重视生命品质,使临终病人安宁走完人生最后一程。
e. 关怀计划是由整个团队(包括医生、护士、社工、临终病人以及家属)共同决定。
9.
临终关怀工作人员抱有的态度须有:
a. 全人照顾:身、心、灵完整医治照顾。
b. 全家照顾:除了临终病人,也需要关心家属的身心灵需求。
c. 全程照顾:陪伴临终者到终老,也帮助其家属度过之后的整个哀伤期。
d. 全队照顾:结合医疗、护理、社工、义工等人员共同照顾临终病人以及家属。
#临终关怀
#安宁疗护
同時也有8部Youtube影片,追蹤數超過477的網紅Victor Tsui,也在其Youtube影片中提到,Today we have a full upper body workout targeting your arms, back, chest and shoulders! For those lucky enough to have gyms still open to them, this i...
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【最怕轉天氣】昨天突如其來的9號風球有沒有令你關節腫痛?
⭐經常自嘲準過天文台
⭐關節痛不只是老人家才有
#星期三CheckCheckMail
年紀輕輕有風濕?
阿佳:「去年打波時扭傷膝頭,最近轉天氣關節便會痛起來,不是老人家才有風濕嗎?」
CheckCheckCin:一般人認為「風濕」是一種慢性關節痛,尤其轉天氣時特別容易發作,其實在中醫理論中「風濕」分別指風邪與濕邪,「風寒濕三氣雜至,合而為痹」中醫稱之為痹證,即凝滯不通的疾病,每逢潮濕下雨天,風邪和濕邪之氣較盛,如果身體受風寒濕邪侵襲,便會使經絡氣血受阻,疼痛加重。風邪為患屬於「行痹」,關節疼痛遊走不定、有時兼有寒熱;寒邪為患屬「痛痹」,關節疼痛劇烈、痛有定處,得熱稍緩,遇冷則劇;濕邪為患屬「著痹」,關節沉重酸脹、疼痛及腫脹。久病、年老體虛,又或者肢體關節曾受傷的話,外邪更易於侵犯,容易出現風濕痛。「風濕」患者不分年齡性別,只是長者多體虛,患風濕的機會較高,其實年青人同樣有機會患上,不要以為風濕屬於老人病就置之不理,有舊患的話宜諮詢註冊中醫師治理,平日亦可以多按足三里穴及血海穴作保健,如果平素多受風寒冷氣者,也可以做艾灸,有助溫經通絡。
足三里穴
功效:調理脾胃、補中益氣、通經活絡、疏風化濕。
位置:位於外膝眼(膝蓋側的凹位)對下4隻手指下的位置。
按法:拇指指腹以陰力按揉約2-3分鐘。
血海穴
功效:有助活血,調理氣血,尤其有助紓緩膝關節和下肢疼痛。
位置:位於大腿前區,髕底內側端上兩吋。屈膝將腿用力繃直,膝蓋內側會出現一個凹陷,凹陷上方隆起肌肉,在這個肌肉的頂端就是血海穴。
按法:拇指指腹以陰力按揉約2-3分鐘。
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Rheumatism at a young age?
“I hurt my knees during a badminton game last year. The recent weather change has caused me to experience joint pain. I thought rheumatism only happens to older people?”
CheckCheckCin: Rheumatism is commonly thought as a type of chronic joint pain, and the condition will become worse when there is a change in weather. In Chinese medicine theories, rheumatism refers to the pathogenic factors of wind and dampness. When the three qi - wind, cold, and dampness - gather in the body, it caused the ‘bi’ impediment, the ‘bi’ here refers to ‘Bi Zheng’, or painful obstructive syndrome. ‘Bi Zheng’ refers to the obstruction that hinders body from performing its function.
During rainy season, the pathogenic factors of wind and dampness are more intense. The dampness and wind pathogens can invade the body and disrupt the flow of qi in the meridians. Individuals with such condition will feel greater pain.
The pathogenic factor of wind belongs to ‘Xing Bi’, which causes irregular joint pain, and you can sense heat and cold at different body parts. The pathogenic factor of cold belongs to ‘Tong Bi’, where individuals can feel excruciating joint pain at a specific area, but will improve with an increase in temperature. The pathogenic factor of dampness belongs to ‘Zhu Bi’, where individuals with this condition would experience constant sore, pain and swelling.
Physically weak individuals who suffer from chronic diseases or had damaged their joints might be prone to rheumatism, as these conditions allowed the external pathogenic factors to invade the body. Rheumatism is not an age-defined condition. It is often associated with the elderly because they have weaker health system; hence, they would have higher chances of getting the rheumatic diseases.
Young people with conditions above will also have an equal chance of contracting rheumatism, so please do not treat it lightly. Consult a registered Chinese physician for advice, and at the same time, massage the Zu San Li and Sea of Blood acupoints at your free time. Individuals constantly exposed to wind and cold can try Moxa, or the moxibustion therapy, to improve the circulation of the meridians.
Zu San Li Acupoint
Effects: strengthens the spleen and stomach, clears heat and dispels dampness
Location: on the anterior aspect of the lower leg, four-finger breadth below knee cap.
Method: Gently press with your thumb and massage for 2-3 minutes each time.
Sea of Blood Acupoint
Effects: regulates qi and blood circulation, relieves pre-menstrual irritability, constipation and foot edema.
Location: Located in the front area of the thigh, two inch on the inner side of the basis patellae. Bend your knees and stretch your legs, there will be a hollow on the inside of the knee. The muscles are raised above the hollow and the top of this muscle is the Sea of blood acupoint.
Method: Gently press with your thumb and massage for 2-3 minutes each time.
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#男 #女 #長者 #我畏冷 #我疲憊 #陽虛 #濕熱
pain physician 在 Betsy Chen Facebook 的精選貼文
Get Active! Rise & Shine [Ep 16] | Core Blast & Pilates with Betsy Chen
Join Betsy for a blast to your core this morning!
🔴 LIVE
★ Date: 4 May 2020
★ Time: 8:30 am (Singapore time)
The Get Active! Rise and Shine programme is designed to keep you active and healthy at home, with a renewed sense of energy to go about doing your daily activities.
Be it at working from home or spending time with your families. For today's morning programme, we welcome Betsy Chen!
The programme rundown is as follows:
Segment 1
Squats and Leg Work
Supine Hip Rolls
Abdominal Work
Side Lying to Teaser
Segment 2
Side Lying Hip Work
Side Planks with Leg Circles
Prone Shoulder work and Upper Back Exercises
Plank Variations
Enjoy the programme!
Catch more of Get Active TV's LIVE shows here! : https://circle.myactivesg.com/getactive-tv-live
Unsure of what you can do during #CircuitBreaker? From fitness to wellness, skills and knowledge based activities, we've got you covered! Visit this link: https://bit.ly/3cqyp4y
More virtual classes are also available on ActiveSG Circle! : https://bit.ly/fb-activesg-circle-virtual-classes
#SGUnited #GetActiveSG #GetActiveTV #1PlaySports #GetActiveStayStrong #SingaporeTogether #StayHomeForSG
----------------------------------------------------------------------------------------------------------------
Disclaimer: You should consult your physician or a healthcare professional before starting this exercise program to determine if it is right for your needs. Do not commence if your physician or health care provider advises against it. If you experience faintness, dizziness, pain or shortness of breath at any time while exercising you should stop immediately.
These videos are designed for educational purposes only. You should not rely on this information as a substitute for, or a replacement for, professional medical advice, diagnosis, or treatment.
You should understand that when participating in any exercise or exercise program, there is the possibility of physical injury. If you engage in this exercise or exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge SportSG from any and all claims or causes of action, known or unknown, arising out of your engagement in this exercise or exercise program.
pain physician 在 Victor Tsui Youtube 的最佳貼文
Today we have a full upper body workout targeting your arms, back, chest and shoulders! For those lucky enough to have gyms still open to them, this is a perfect workout for you!
Grab a set of light to medium dumbbells to push your body for 8-12 reps. It should feel difficult by the last few reps of each exercise, that's when you know you've chosen the right weight for the exercise. If you don't have any dumbbells, try to find alternatives to use at home.
This is a 45 min - 1 hour workout depending on your rest times and number of sets. Do this 3 times a week along with your other workouts, cardio and strict dieting, to help achieve your fat loss & muscle building goals. If you do this properly, this will help with your body transformation, build a lean and defined upper body in 8-12 weeks!
Workout:
Superset #1
1:02 - Dumbbell Chest Press
1:29 - Skull Crushers
Superset #2
2:09 - Seated Shoulder Press
2:34 - Standing Bicep Curls
Superset #3
2:57 - Chest Support Row
3:27 - Incline Bicep Curls
Superset #4
3:59 - Seated Side Raises
4:26 - Overhead Single Arm Tricep Extensions
Film Location: Ritz Carlton Hong Kong 118th Floor Fitness Centre
#upperbody #workouts #fitness #vtfit #
Last Video: Full Body Home Workout - https://bit.ly/everdayworkout
STAY TUNED for more FREE full workout programs coming soon to my Youtube channel and website!
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Website:
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FREE Programs Playlist:
https://www.youtube.com/playlist?list=PL5xClT_AK2tMGxxVpIrz_Z1ek1IbALQyp
Disclaimer: Before you start your workout, please make sure you are in good health and physical wellbeing. Consult with a doctor before beginning any exercise programs. If you are sick or injured, please consult your physician or doctor to seek professional advice before performing any of these programs. By performing any workout exercises, you are doing them at your own risk. I will not be responsible or liable for any injury sustained as a result of my workout videos or programs. To avoid injuries during a workout, please perform each exercise with correct form. Make sure you are in a safe and controlled environment while you are working out.
Results are not 100% guaranteed, the best results are from following a program suited for you and a diet to control your daily caloric intake, whether it be a deficit or surplus. Keep in mind results don’t come overnight and it takes discipline, determination and most importantly time for your body to change and adapt to what you’re trying to achieve. You may feel muscle pain (DOMS) from doing these workouts depending on your level of fitness and past history with working out. This is normal and you can choose to take proper rest for your muscles to recover. I am here to help show different types of workouts that may help different people achieve their goals, whether it is inside a gym or not. Again, workout safely the top priority is your health and safety.
pain physician 在 Victor Tsui Youtube 的最佳貼文
Get in this 15min full body workout to help tackle your weight loss and fat loss goals. A home workout using your bodyweight that you can do with no equipment, only an exercise mat is needed. This workout will help jumpstart your weight loss and fat loss goals or just to get into a routine of being more active. Add this to your other workout routines, cardio for the best results.
All workouts are most effective when combined with proper dieting, healthy eating, a caloric surplus or deficit depending on your goals. Remember abs are made in the kitchen!
Filming location - Ritz Carlton Hong Kong 118th floor fitness centre
STAY TUNED for my FREE full workout programs coming soon to my Youtube channel and website!
Subscribe for more FREE workouts:
https://www.youtube.com/channel/UCoX0XNAjl93XVd26cg2KpDg?sub_confirmation=1
Follow me on:
https://www.instagram.com/victortsui/
Website:
https://www.vtfitspace.com/
FREE Programs Playlist:
https://www.youtube.com/playlist?list=PL5xClT_AK2tMGxxVpIrz_Z1ek1IbALQyp
Disclaimer: Before you start your workout, please make sure you are in good health and physical wellbeing. Consult with a doctor before beginning any exercise programs. If you are sick or injured, please consult your physician or doctor to seek professional advice before performing any of these programs. By performing any workout exercises, you are doing them at your own risk. I will not be responsible or liable for any injury sustained as a result of my workout videos or programs. To avoid injuries during a workout, please perform each exercise with correct form. Make sure you are in a safe and controlled environment while you are working out.
Results are not 100% guaranteed, the best results are from following a program suited for you and a diet to control your daily caloric intake, whether it be a deficit or surplus. Keep in mind results don’t come overnight and it takes discipline, determination and most importantly time for your body to change and adapt to what you’re trying to achieve. You may feel muscle pain (DOMS) from doing these workouts depending on your level of fitness and past history with working out. This is normal and you can choose to take proper rest for your muscles to recover. I am here to help show different types of workouts that may help different people achieve their goals, whether it is inside a gym or not. Again, workout safely the top priority is your health and safety.
pain physician 在 Dr. Grace Youtube 的最讚貼文
Appointment with me! 今天我當你們的牙醫,回答一般常見的問題,有什麼食物要避免,照X光安不安全,怎麼避免蛀牙等,絕對不能錯過喔💕
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如果還沒看【讀書技巧】,千萬不要錯過~
https://youtu.be/-NfQv4MFn0M
瞧瞧我其他相關內容:
【牙齒小知識】
現在牙痛看牙醫安全嗎?
https://youtu.be/6f7fYqQmyGc
想知道如何打麻藥不痛?請看
https://youtu.be/tgKf_XGBcO4
普通洗牙和深度洗牙有什麼不同?
https://youtu.be/SHT8LQzqZOA
【有益身心成長篇】
如果早知道的人生道理
https://youtu.be/f6xTz1Sp-7A
改變人生
https://youtu.be/VBgo3Qk0HAc
被人欣賞秘訣
https://youtu.be/Fa4o4BpKl7E
華人如何在國外被看的起
https://youtu.be/AWHb1sty68A
英文流利的秘密
https://youtu.be/7o3CuTSYcX0
和壓力說再見
https://youtu.be/_BXDEk5U5lM
Music: Little Idea - Bensound
https://www.bensound.com
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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.
pain physician 在 Pain Physician Journal - Home | Facebook 的推薦與評價
Pain Physician Journal is the official journal of the American Society of Interventional Pain Physicians. Medical Company. ... <看更多>