慈悲社区——这对临终关怀中死亡导乐等角色意味着什么？
Compassionate communities - What does this mean for roles such as a death doula in end-of-life care?
机构信息
Palliative Care, Flinders University, PO Box 2100, Adelaide, 5001, South Australia, Australia.
Health and Community Services Complaints Commission, Adelaide, South Australia, Australia.
出版信息
Public Health. 2021 May;194:167-169. doi: 10.1016/j.puhe.2021.02.038. Epub 2021 May 1.
OBJECTIVES
To consider death doulas in relation to compassionate communities, role delineation and regulation, and end-of-life care delivery.
STUDY DESIGN
A narrative describing the emerging role of death doula in the increasingly complex end-of-life space.
METHODS
A discussion of death doula in end-of-life care.
RESULTS
Compassionate communities calls for the mobilisation of informal care around the dying and their families. Formal health services as well, including palliative care, are already providing care as are death doulas. The death doula role is not yet fully articulated and has layers of complexity associated with a lack of formalised training and no registration.
CONCLUSIONS
There is much to consider in the informal caregiving space at the end of life. Conversations are required for coherent, coordinated care delivery in what has become a complex arena. There are those who are in paid positions, volunteers, those who are negotiating fees, as well as role overlap and role blurring.
目的
探讨临终死亡指导师与有同情心的社区、角色划分和规范以及临终关怀服务之间的关系。
研究设计
一篇描述临终死亡指导师在日益复杂的临终关怀领域中新兴角色的记叙文。
方法
对临终关怀中死亡指导师的讨论。
结果
有同情心的社区呼吁围绕临终者及其家属动员非正式护理。包括姑息治疗在内的正规卫生服务也在提供护理，死亡指导师也在提供护理。死亡指导师的角色尚未完全明确，由于缺乏规范化培训和注册，存在着许多复杂的问题。
结论
临终关怀的非正式护理领域有很多需要考虑的问题。在这个已经变得复杂的领域中，需要进行连贯、协调的护理服务对话。有些人是带薪的，有些人是志愿者，有些人在协商费用，还有角色重叠和角色模糊的问题。
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