里長在社區安寧志工的角色

The Role of Head of Neighborhood in Community-based Palliative Care

10.6200/TCMJ.2015.12.SP.10

劉嘉仁(Chia-Jen Liu)；徐愫萱(Su-Hsuan Hsu)；翁瑞萱(Ruey-Hsiuang Ueng)；朱昭美(Chao-Mei Chu)；黃肇明(Chao-Ming Huang)；吳美慧(Mei-Huei Wu)；王實之(Shih-Chih Wang)；黃遵誠(Tsun-Cheng Huang)；黃勝堅(Sheng-Jean Huang)

里長 ； 社區安寧 ； 角色 ； role ； head of neighborhood ； community palliative care

北市醫學雜誌

12卷附冊（2015 / 06 / 30）

109 - 115

繁體中文

近年來臺灣的安寧照護由醫院延伸到社區，以五全照顧（全人、全家、全程、全隊、全社區），讓病人回到最熟悉的地方，能安心有尊嚴的善終。臺大醫院金山分院自2012年6月起於新北市新金山地區，提供社區安寧照護服務，使病患及家庭獲得身、心、靈、社會的完整支持。期間團隊因對社區的地理環境、風俗文化認識不足及因時間、空間所所造成的資訊和溝通上的限制，造成團隊與病患及家庭認知上的落差，為改善情況，決定邀請熟識地方事務的里長擔任社區安寧志工，參與照顧在宅善終病人的行列，經志工里長參與後，利用本身之資源與經驗，使團隊在醫療層面外，對於社會及文化層面更臻完善，落實連結結全社區的照顧，達到五全照顧的理想。

In recent years, palliative care in Taiwan has extended from hospital to community, and operates under ＂five whole cares＂ (whole person, whole family, whole process, whole team, and whole community). Patients return to the place they are familiar with, and die with peace and dignity. Jin-Shan Branch of National Taiwan University Hospital first began to provide community palliative care services in June 2012 in Jin-shan district, New Taipei City. It aims to offer full support for the body, mind, spirit, and society of the patients and their families. Because our caring team was unfamiliar with the geographical environment, customs and culture of the local community, and that time and space limited the information and communication, a perception gap grew between the medical professionals and the patients as well as their families. To improve the situation, we decided to invite the head of neighborhood of the community who was familiar with the local affairs to be a community palliative volunteer and participated in the home hospice care. Apart from the medical treatment provided by the medical team, personal resources of the head of neighborhood and experiences were used to refine the management involving social and cultural aspects. This linked the community members together and the ideal of ＂five whole cares＂ was achieved.