Krout Robert E
Conservatorium of Music, Massey University, Mt. Cook, Wellington, New Zealand.
Am J Hosp Palliat Care. 2003 Mar-Apr;20(2):129-34. doi: 10.1177/104990910302000211.
Hospice care seeks to address the diverse needs of terminally ill patients in a number of physical, psychosocial, and spiritual areas. Family members of the patient often are included in the care and services provided by the hospice team, and hospice clinicians face a special challenge when working with families of patients who are imminently dying. When loved ones are anticipating the patient's impending death, they may find it difficult to express feelings, thoughts, and last wishes. Music therapy is a service modality that can help to facilitate such communication between the family and the patient who is actively dying, while also providing a comforting presence. Music therapy as a way to ease communication and sharing between dying patients and their loved ones is discussed in this article. The ways in which music therapy can facilitate a means of release for both patients and family members in an acute care unit of a large US hospice organization are specifically described. Case descriptions illustrate how music therapy functioned to allow five patients and their families to both come together and let go near the time of death. Elements to consider when providing such services to imminently dying patients and their families are discussed.
临终关怀旨在满足晚期绝症患者在身体、心理社会和精神等多个方面的不同需求。患者的家庭成员通常会被纳入临终关怀团队提供的护理和服务中，而临终关怀临床医生在与濒死患者的家属合作时面临着特殊的挑战。当亲人预料到患者即将离世时，他们可能会发现难以表达自己的感受、想法和遗愿。音乐疗法是一种服务方式，它可以帮助促进濒死患者与家属之间的这种沟通，同时还能给予慰藉。本文探讨了音乐疗法作为一种缓解濒死患者与其亲人之间沟通和分享的方式。具体描述了在美国一家大型临终关怀机构的急症护理病房中，音乐疗法如何为患者和家属提供一种释放途径。案例描述说明了音乐疗法如何发挥作用，使五名患者及其家属在临终前相聚并释怀。文中还讨论了为濒死患者及其家属提供此类服务时需要考虑的因素。
