Cooper Rhonda S
The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland 21231-2410, USA.
J Health Care Chaplain. 2011;17(1-2):19-37. doi: 10.1080/08854726.2011.559832.
The case study seeks to describe an oncology chaplain's pastoral relationship with a 64-year-old woman with advanced metastatic breast cancer. The patient's distress was complicated by a history of anxiety and other chronic medical conditions. Approximately 16 pastoral encounters occurred during the last year of the patient's life. The patient, chaplain, and the pastoral conversations are presented as well as a retrospective assessment of them. The chaplain's interventions were appropriate for the patient's spiritual needs, particularly in regard to her fear of death, loneliness, grief that her life was "too short" and estrangement from her inherited faith tradition, with observable benefits for the patient. The oncology chaplain has a distinctive role in the healthcare team as one who can meet the patient at the point of their spiritual need, provide appropriate interventions and, thereby, ameliorate the distress, particularly in regard to death anxiety, peace of mind, and issues of meaning.
该案例研究旨在描述一位肿瘤学牧师与一名64岁晚期转移性乳腺癌女性患者之间的牧师关怀关系。患者的痛苦因焦虑病史和其他慢性疾病而变得更加复杂。在患者生命的最后一年里，大约进行了16次牧师关怀接触。文中呈现了患者、牧师以及牧师关怀对话，并对其进行了回顾性评估。牧师的干预措施符合患者的精神需求，特别是在她对死亡的恐惧、孤独感、认为自己生命“过于短暂”的悲痛以及与她所继承的信仰传统疏离等方面，对患者产生了明显的益处。肿瘤学牧师在医疗团队中扮演着独特的角色，能够在患者的精神需求点上与患者接触，提供适当的干预措施，从而缓解痛苦，特别是在死亡焦虑、内心平静和意义问题方面。
