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无声的声音与无形的壁垒:探索男同性恋者和女同性恋者的临终关怀

Silent voices and invisible walls: exploring end of life care with lesbians and gay men.

作者信息

Smolinski Kathryn M, Colón Yvette

机构信息

Asssociation of Oncology Social Work.

出版信息

J Psychosoc Oncol. 2006;24(1):51-64. doi: 10.1300/J077v24n01_05.

DOI:10.1300/J077v24n01_05
PMID:16803752
Abstract

The needs and desires of lesbians and gay men with cancer at the end of their lives are not fundamentally different from any other dying individual's needs. There are, however, significant legal restrictions and societal attitudes that can negatively affect the dying experiences of lesbians and gay men. Lesbians and gay men face many challenges at the end of their lives, including issues of disclosure in the healthcare setting, discrimination, misconceptions, legal and financial barriers and the disenfranchised grief of surviving same-sex partners. Oncology social workers can play a prominent role in advocating for these individuals to allow for dignity and support in spite of these barriers and provide effective interventions to help in assisting lesbians and gaymen with healthcare decision-making and end-of-life care planning.

摘要

罹患癌症的男同性恋者和女同性恋者在生命末期的需求和愿望,与其他临终者的需求并无本质区别。然而,存在一些重大的法律限制和社会态度,可能会对男同性恋者和女同性恋者的临终体验产生负面影响。男同性恋者和女同性恋者在生命末期面临诸多挑战,包括在医疗环境中的披露问题、歧视、误解、法律和财务障碍,以及同性伴侣遗属被剥夺的悲痛。肿瘤社会工作者可以在倡导为这些人提供帮助方面发挥重要作用,以使他们在面对这些障碍时仍能享有尊严并获得支持,并提供有效的干预措施,以协助男同性恋者和女同性恋者进行医疗决策和临终护理规划。

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