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什么是善终?通过对精选戏剧文学作品的现象学分析探讨生命末期的问题。

What is a good death? An exploration of issues at the end of life through phenomenological analysis of selected dramatic literature.

作者信息

Kelly Christine M J

出版信息

New Bioeth. 2014;20(1):35-52.

Abstract

This study sets out to understand what might constitute a good death in the current UK context. It uses the demographic changes which have taken place in UK society over the period of the twentieth century to offer explanations for our relative unfamiliarity with dying and death. The study draws on two plays written by Nell Dunn as the data source; these are Home Death (2011) and Cancer Tales (2002), which are based on end-of-life experiences. A phenomenological approach is used to analyse this literature, drawing on the works of selected phenomenologists whose work is appropriate in the end-of-life context. Phenomenology seeks to understand the meaning of experience. This approach is used to gain an understanding of the meaning of the lived experiences of terminally ill patients, and their loved ones in order to gain a better appreciation of some of the needs and concerns which are important in end-of-life situations. Finally, the implications of the findings for end-of-life care are discussed in the light of recommendations of the recent report More Care Less Pathway (2013) which criticizes the implementation of the Liverpool Care Pathway for the Dying Patient in some hospital settings.

摘要

本研究旨在了解在当前英国背景下,怎样才堪称善终。它利用20世纪英国社会发生的人口结构变化,来解释我们对临终和死亡相对陌生的原因。该研究借鉴了内尔·邓恩创作的两部戏剧作为数据源,即《家中离世》(2011年)和《癌症故事》(2002年),这两部戏剧均基于临终体验。研究采用现象学方法分析这些文献,借鉴了一些在临终背景下适用的现象学家的著作。现象学旨在理解体验的意义。这种方法用于了解绝症患者及其亲人的生活体验的意义,以便更好地认识在临终情况下一些重要的需求和关切。最后,根据近期报告《更多关怀,更少路径》(2013年)的建议,讨论了研究结果对临终关怀的影响,该报告批评了一些医院环境中对临终患者实施的利物浦临终关怀路径。

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