【生死教育第三講】
講題 Title:預設醫療指示與預設照顧計劃 Advance Directive and Advance Care Planning
報名鏈接Registration Link: https://bit.ly/3tE9RgE
日期 Date:12/6/2021(Sat)
時間 Time:3:00-4:30pm
地點 Venue:沙田澤祥街12號香港中文大學鄭裕彤樓地下演講廳1A (LT1A)
Lecture Theatre 1A, Level 1, Cheng Yu Tung Building, The Chinese University of Hong Kong, 12 Chak Cheung Street, Shatin, N.T.
講者 Speaker:陳裕麗教授 Prof Helen Chan / 鍾一諾教授 Prof Roger Chung
主持 Moderator:伍桂麟先生 Mr Pasu Ng
講座內容 Synopsis:
現今醫療科技發達,很多疾病均可治癒或受控制。當疾病到了末期,醫療科技有時只能提供維持生命治療,但延長死亡過程對病人可能沒有意義,甚至增加痛楚。面對這情況,病人、家屬和醫護人員可以商討是否中止對生活質素沒有幫助的維持生命治療,讓病人安詳離世。香港中文大學醫學院那打素護理學院副教授陳裕麗博士和香港中文大學公共衛生及基層醫療學院助理教授鍾一諾博士會在由中大公共衞生及基層醫療學院主辦的公眾「生死教育」四講系列的第三講和大家分享『預設醫療指示』 (Advance Directive)和『預設照顧計劃』(Advance Care Planning)的概念與應用。這兩種健康護理選擇不但可以免卻家屬決定病者死時所受到的困難和壓力,減少作出決定後感到矛盾和內疚的機會,亦體現對病者生命和意願的尊重。
Thanks to the advancement of medical technology, most diseases can be cured or subsided. However, there are times that medical technology could only prolong one’s life but could not cure the terminal illness. Facing such situation, patients, family members, and medical staff can discuss whether to withhold or withdraw from life-sustaining treatments that may not help improve patients’ quality of life so that they can die peacefully. Professor Helen Chan, Associate Professor from The Nethersole School of Nursing and Professor Roger Chung, Assistant Professor of the School of Public Health and Primary Care of the Chinese University of Hong Kong, will share with us the concepts and values behind Advance Directive and Advance Care Planning in the third public seminar of the four-lecture series on life and death education organized by the School of Public Health and Primary Care, CUHK. These two health care options aim not only to reduce the pressure faced by patients’ family when making end-of-life healthcare decision, but also show respect to patients’ will.
講者介紹:
Professor Helen Chan’s research interests focus on end-of-life care, gerontology as well as care ethics. She has conducted a number of research projects on promoting palliative and end-of-life care, especially advance care planning, among older adults and people with advanced progressive diseases.
陳裕麗教授的主要研究範疇集中在臨終護理、老年病學和護理倫理學上。她的研究項目包括推廣有關老人和晚期疾病患者的紓緩照顧和臨終護理服務,尤其是預設照顧計劃。
Professor Roger Chung’s research aims to empirically inquire into the social determinants of health inequalities, as well as aging‐related issues on multimorbidity and long‐term/end‐of‐life care, and to utilize such evidence to inform health services and policy, domestically and beyond.
鍾一諾教授的主要研究範疇為健康不平等的社會決定因素,與老年有關的多重疾病,和晚期與臨終護理政策,並運用研究成果為本地及國際公共衛生服務和政策提供意見。
生死教育 X 伍桂麟
同時也有1部Youtube影片,追蹤數超過6萬的網紅This is Taiwan,也在其Youtube影片中提到,[有字幕 ] 外國人覺得台灣的服務業如何 Is Taiwan's service industry any good? Bopiliao Old Street: https://guidetotaipei.com/visit/bopiliao-historical-block-剝皮寮-herit...
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徵才機關:國立屏東科技大學
人員區分:其他人員
官職等:無
職系:無
名額:1
性別:不拘
工作地點:90-屏東縣
有效期間:110/01/25~110/02/08
資格條件:
國立屏東科技大學109學年度第1學期徵聘「研究人員」公告(校務基金進用/豬隻飼養管理/整合領域)
聘期自本校通知報到日起聘,以一年一聘為原則,但計畫期限在一年以內者,應依實際所需時間聘用,任期最長以三年為限。惟如因計畫持續需要,得聘期得至計畫執行期限結束時止。
(自本校通知報到日起聘) 公告日期:110年01月25日
■徵聘單位:研究總中心(豬隻飼養管理/整合領域)
■徵聘職稱:講師級研究員等級以上
■名額:1
■一般資格條件:具教育部認可之國內、外動物科學、獸醫、環境工程或生物機電等系所碩士學位或講師以上教師資格證書者。
■專長領域或特殊資格條件(含研究著作要求):
如同時具有以下能力者,尤佳:
1.豬隻飼養管理:豬隻動物繁殖育種、豬隻性能檢定與評估、各階段豬隻生產飼養管理、飼料配方技術與品管、飼料營養、飼料添加劑技術。
2.豬隻健康管理:疾病監控、疾病防疫、預防醫學、動物防疫保健。
3.豬隻智慧化飼養管理:畜舍規劃與設計、動物福址飼養管理、飼養設施智慧化應用、智慧化資訊傳遞路徑技術。
4.畜牧廢水處理與循環利用:有機化學、廢水處理技術與原理、廢棄物循環利用技術。
■Department:General Research Service Center
■Position:Lecturer Rank Research Fellow(or above)
■Vacancy:1
■General Requirement:A master’s degree recognized by the Ministry of Education of the R.O.C. in relevant fields is required or an experience as a lecturer (or above) with an official teaching certificate.
■Specialization or Special Qualification(research and publication requirement included):
1. Pig breeding management and waste recycling economic utilization integration: Feeding and management: reproduction, performance testing, management, feed formula, feed quality control, nutrition and feed additives.
2. Animal health: specific pig disease monitoring, disease prevention and biosecurity.
3. Intelligent feeding and management: farm design, farm management, welfare, and intelligent application.
4. Recycling and high-performance waste processing: organic chemistry, waste and slurry processing and recycling technologies.
===================================================
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工作項目:
■備註︰
※依本校「校務基金進用研究人員聘任辦法」第六條規定,校務基金進用研究人員聘期,以一年一聘為原則,但計畫期限在一年以內者,應依實際所需時間聘用,任期最長以三年為限。惟如因計畫持續需要,得聘期得至計畫執行期限結束時止。校務基金進用研究人員辦理續聘時,應提出聘任期間執行研究成果績效報告,並載明要求事項及檢據證明文件資料。
一、以上應徵之「一般資格條件」,須於公告截止日前(110年2月8日)已具有碩士學位。
二、以上應徵之「專長領域獲特殊資格條件」中有關「實務工作經驗」之審核,本校將依教育部訂定公布「技專校院專業科目或技術科目之教師業界實務工作經驗認定標準」規定辦理。
三、報名期間︰自公告日起至110年2月8日止截止收件。
四、報名方式︰報名方式︰一律採書面方式報名,收件至報名截止日止。
(一)郵寄方式報名:以郵戳為憑,請寄送至91201屏東縣內埔鄉老埤村學府路1號,國立屏東科技大學人事室收。
(二) 親送方式報名:以本校人事室「職缺收件章」收件日期為憑,請於報名截止日前之本校工作日期間親送至本校行政中心二樓人事室,交由人事人員收執,並加蓋「職缺收件章」。
※ 應檢附之證件不齊或逾期者,均不予受理。
五、聯絡電話︰08-7703202轉分機6112 本校人事室朱專員。
六、應徵信封右上角請務必註明「應徵者姓名」及「應徵單位(領域)」;資格符合者由徵聘單位辦理後續審查事宜,不合者恕不退件及函復。如未獲錄取時需返還書面應徵資料,請附足額回郵信封以利郵寄。
七、報名需繳交表件︰(徵聘單位另有資料需求者,請依其需求辦理)
(一)現職工作佐證文件(國外任職證明文件須附中文譯本並經我國駐外單位驗證)。
(二)個人基本資料表(請詳細註明通訊地址、聯絡電話、行動電話及電子郵件信箱)。
(三)最近五年內著作一覽表。
(四)最高學歷畢業證書影本,畢業學校如係國外學歷須為教育部所認可且經我國駐外單位驗證有案者,須於公告截止日前取得之學歷始予採認。
(五)檢附相關實務工作經驗之證明文件影本。(須於公告截止日前之實務工作經驗始予採認)
(六)最高學歷歷年成績單影本,畢業學校如係國外學歷須為教育部所認可且經我國駐外單位驗證有案者。
(七)其他有利於聘審之資格證明文件。
(八)國立屏東科技大學個人資料蒐集聲明暨同意書。
※※(一 ~ 八)項資料請勿膠封,使用長尾夾固定成冊即可※※
八、請應徵者詳閱「本校個人資料蒐集聲明暨同意書」,確認同意相關事項後簽名,並隨同履歷資料繳件。
九、前述第七項(1款)所需之「個人基本資料表(word檔案)」、「個人資料簡表(校務基金進用研究人員)(Excel檔案)」表格,刊登於本校首頁(網址:http://www.npust.edu.tw/)點選「徵才資訊」及人事室網站首頁(網址http://personnel.npust.edu.tw/bin/home.php)最新消息、徵才求職,請自行下載相關表格使用;其中有關「個人資料簡表.xlsx(Excel檔案)」,請另行以E-mail方式逕傳送以下相關系、所承辦人:
項目 單位 郵件信箱
(一) 研究總中心 grsc@g4e.npust.edu.tw
工作地址:
聯絡E-Mail:z6362@mail.npust.edu.tw
聯絡方式:
十、校務基金進用研究員之報酬,原則上依自行籌措經費支應,但經費來源另有約定時得從其約定。支給標準原則比照本校專任教師依據「教師待遇條例」及相關規定核敘薪級,並按實際到離職日支薪。
十一、應徵者之個人資料將用於本校此次徵聘研究人員之各項相關業務;且錄取後,將其個人資料供校務行政之用。
十二、本校聘任前依性侵害犯罪加害人登記報到查訪及查閱辦法第14條之規定,應申請查閱有無性侵害犯罪紀錄。
十三、本公告同時刊登於下列網站:
(一)行政院人事行政總處網址http://www.dgpa.gov.tw/點選「事求人」。
(二)本校首頁網址http://mportal.npust.edu.tw/bin/home.php 點選「求才資訊」。
(三)本校人事室網址http://personnel.npust.edu.tw/bin/home.php點選「最新消息」及「徵才求職區」。
(四)「全國就業通」網址https://www.taiwanjobs.gov.tw/Internet/index/index.aspx 點選「找工作」。
(五)「104人力銀行」網址https://www.104.com.tw/index.cfm。
(六)「教育部全國大專教育人才網」網址https://tjn.moe.edu.tw/index.php/點選「職缺訊息」。
(七)「科技部網站」網址https://www.most.gov.tw/?l=ch/點選「動態資訊/求才訊息」。
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職缺類別:
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quality education中文 在 Roger Chung 鍾一諾 Facebook 的最佳貼文
今早為Asian Medical Students Association Hong Kong (AMSAHK)的新一屆執行委員會就職典禮作致詞分享嘉賓,題目為「疫情中的健康不公平」。
感謝他們的熱情款待以及為整段致詞拍了影片。以下我附上致詞的英文原稿:
It's been my honor to be invited to give the closing remarks for the Inauguration Ceremony for the incoming executive committee of the Asian Medical Students' Association Hong Kong (AMSAHK) this morning. A video has been taken for the remarks I made regarding health inequalities during the COVID-19 pandemic (big thanks to the student who withstood the soreness of her arm for holding the camera up for 15 minutes straight), and here's the transcript of the main body of the speech that goes with this video:
//The coronavirus disease 2019 (COVID-19) pandemic, caused by the SARS-CoV-2 virus, continues to be rampant around the world since early 2020, resulting in more than 55 million cases and 1.3 million deaths worldwide as of today. (So no! It’s not a hoax for those conspiracy theorists out there!) A higher rate of incidence and deaths, as well as worse health-related quality of life have been widely observed in the socially disadvantaged groups, including people of lower socioeconomic position, older persons, migrants, ethnic minority and communities of color, etc. While epidemiologists and scientists around the world are dedicated in gathering scientific evidence on the specific causes and determinants of the health inequalities observed in different countries and regions, we can apply the Social Determinants of Health Conceptual Framework developed by the World Health Organization team led by the eminent Prof Sir Michael Marmot, world’s leading social epidemiologist, to understand and delineate these social determinants of health inequalities related to the COVID-19 pandemic.
According to this framework, social determinants of health can be largely categorized into two types – 1) the lower stream, intermediary determinants, and 2) the upper stream, structural and macro-environmental determinants. For the COVID-19 pandemic, we realized that the lower stream factors may include material circumstances, such as people’s living and working conditions. For instance, the nature of the occupations of these people of lower socioeconomic position tends to require them to travel outside to work, i.e., they cannot work from home, which is a luxury for people who can afford to do it. This lack of choice in the location of occupation may expose them to greater risk of infection through more transportation and interactions with strangers. We have also seen infection clusters among crowded places like elderly homes, public housing estates, and boarding houses for foreign domestic helpers. Moreover, these socially disadvantaged people tend to have lower financial and social capital – it can be observed that they were more likely to be deprived of personal protective equipment like face masks and hand sanitizers, especially during the earlier days of the pandemic. On the other hand, the upper stream, structural determinants of health may include policies related to public health, education, macroeconomics, social protection and welfare, as well as our governance… and last, but not least, our culture and values. If the socioeconomic and political contexts are not favorable to the socially disadvantaged, their health and well-being will be disproportionately affected by the pandemic. Therefore, if we, as a society, espouse to address and reduce the problem of health inequalities, social determinants of health cannot be overlooked in devising and designing any public health-related strategies, measures and policies.
Although a higher rate of incidence and deaths have been widely observed in the socially disadvantaged groups, especially in countries with severe COVID-19 outbreaks, this phenomenon seems to be less discussed and less covered by media in Hong Kong, where the disease incidence is relatively low when compared with other countries around the world. Before the resurgence of local cases in early July, local spread of COVID-19 was sporadic and most cases were imported. In the earlier days of the pandemic, most cases were primarily imported by travelers and return-students studying overseas, leading to a minor surge between mid-March and mid-April of 874 new cases. Most of these cases during Spring were people who could afford to travel and study abroad, and thus tended to be more well-off. Therefore, some would say the expected social gradient in health impact did not seem to exist in Hong Kong, but may I remind you that, it is only the case when we focus on COVID-19-specific incidence and mortality alone. But can we really deduce from this that COVID-19-related health inequality does not exist in Hong Kong? According to the Social Determinants of Health Framework mentioned earlier, the obvious answer is “No, of course not.” And here’s why…
In addition to the direct disease burden, the COVID-19 outbreak and its associated containment measures (such as economic lockdown, mandatory social distancing, and change of work arrangements) could have unequal wider socioeconomic impacts on the general population, especially in regions with pervasive existing social inequalities. Given the limited resources and capacity of the socioeconomically disadvantaged to respond to emergency and adverse events, their general health and well-being are likely to be unduly and inordinately affected by the abrupt changes in their daily economic and social conditions, like job loss and insecurity, brought about by the COVID-19 outbreak and the corresponding containment and mitigation measures of which the main purpose was supposedly disease prevention and health protection at the first place. As such, focusing only on COVID-19 incidence or mortality as the outcomes of concern to address health inequalities may leave out important aspects of life that contributes significantly to people’s health. Recently, my research team and I collaborated with Sir Michael Marmot in a Hong Kong study, and found that the poor people in Hong Kong fared worse in every aspects of life than their richer counterparts in terms of economic activity, personal protective equipment, personal hygiene practice, as well as well-being and health after the COVID-19 outbreak. We also found that part of the observed health inequality can be attributed to the pandemic and its related containment measures via people’s concerns over their own and their families’ livelihood and economic activity. In other words, health inequalities were contributed by the pandemic even in a city where incidence is relatively low through other social determinants of health that directly concerned the livelihood and economic activity of the people. So in this study, we confirmed that focusing only on the incident and death cases as the outcomes of concern to address health inequalities is like a story half-told, and would severely truncate and distort the reality.
Truth be told, health inequality does not only appear after the pandemic outbreak of COVID-19, it is a pre-existing condition in countries and regions around the world, including Hong Kong. My research over the years have consistently shown that people in lower socioeconomic position tend to have worse physical and mental health status. Nevertheless, precisely because health inequality is nothing new, there are always voices in our society trying to dismiss the problem, arguing that it is only natural to have wealth inequality in any capitalistic society. However, in reckoning with health inequalities, we need to go beyond just figuring out the disparities or differences in health status between the poor and the rich, and we need to raise an ethically relevant question: are these inequalities, disparities and differences remediable? Can they be fixed? Can we do something about them? If they are remediable, and we can do something about them but we haven’t, then we’d say these inequalities are ultimately unjust and unfair. In other words, a society that prides itself in pursuing justice must, and I say must, strive to address and reduce these unfair health inequalities. Borrowing the words from famed sociologist Judith Butler, “the virus alone does not discriminate,” but “social and economic inequality will make sure that it does.” With COVID-19, we learn that it is not only the individuals who are sick, but our society. And it’s time we do something about it.
Thank you very much!//
Please join me in congratulating the incoming executive committee of AMSAHK and giving them the best wishes for their future endeavor!
Roger Chung, PhD
Assistant Professor, CUHK JC School of Public Health and Primary Care, @CUHK Medicine, The Chinese University of Hong Kong 香港中文大學 - CUHK
Associate Director, CUHK Institute of Health Equity
quality education中文 在 This is Taiwan Youtube 的最讚貼文
[有字幕 ] 外國人覺得台灣的服務業如何 Is Taiwan's service industry any good?
Bopiliao Old Street:
https://guidetotaipei.com/visit/bopiliao-historical-block-剝皮寮-heritage-and-culture-education-center-of-taipei-city
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