Giridharan Selvaraj, Shanbhag Nandan M
Oncology, Tawam Hospital, Al Ain, ARE.
College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, ARE.
Cureus. 2024 Feb 18;16(2):e54405. doi: 10.7759/cureus.54405. eCollection 2024 Feb.
This editorial explores the integration of yoga into end-of-life care, emphasizing its potential to enhance the quality of life, comfort, and dignity of patients. Rooted in over 5,000 years of history, yoga's holistic approach, encompassing physical, mental, and spiritual practices, aligns seamlessly with the goals of end-of-life care. We discuss the benefits of incorporating yoga's diverse practices, such as physical postures, breathing exercises, and meditation, particularly in palliative care settings. These practices offer significant improvements in physical health, psychological well-being, and spiritual fulfillment, especially pertinent for older adults and patients with serious illnesses like HIV and cancer. The philosophical underpinnings of yoga, emphasizing acceptance, harmony, and peace, provide a framework for a dignified and peaceful transition, resonating deeply with the concept of a 'good death'. However, challenges exist in integrating yoga into end-of-life care, including limited research, cultural and religious considerations, physical and emotional limitations of patients, and logistical constraints within healthcare settings. Ethical considerations are also paramount, focusing on patient-centered approaches, respect for individual beliefs, informed consent, and patient autonomy. The editorial concludes by underscoring the need for further research to evaluate the long-term effects of yoga in end-of-life care and to establish comprehensive ethical guidelines. The integration of yoga offers a multifaceted approach to address not only physical discomfort but also provide emotional and spiritual solace for terminally ill patients, thereby enhancing the overall quality of end-of-life care.
这篇社论探讨了将瑜伽融入临终关怀的问题,强调了其在提高患者生活质量、舒适度和尊严方面的潜力。瑜伽拥有超过5000年的历史,其整体方法涵盖身体、心理和精神练习,与临终关怀的目标完美契合。我们讨论了融入瑜伽各种练习的益处,如体式、呼吸练习和冥想,特别是在姑息治疗环境中。这些练习在身体健康、心理健康和精神满足方面有显著改善,对老年人以及患有如艾滋病毒和癌症等严重疾病的患者尤为重要。瑜伽的哲学基础强调接纳、和谐与和平,为有尊严且平静的过渡提供了一个框架,与“善终”的概念产生了深刻共鸣。然而,将瑜伽融入临终关怀存在一些挑战,包括研究有限、文化和宗教考量、患者的身体和情感限制以及医疗环境中的后勤约束。伦理考量也至关重要,重点在于以患者为中心的方法、对个人信仰的尊重、知情同意和患者自主权。社论最后强调需要进一步研究以评估瑜伽在临终关怀中的长期效果,并制定全面的伦理准则。瑜伽的融入提供了一种多方面的方法,不仅可以解决身体不适,还能为绝症患者提供情感和精神慰藉,从而提高临终关怀的整体质量。