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如何與您的醫生討論安寧療護事宜

Talking About Hospice With Your Doctor

安寧療護可提供協助

It's only human to shy away from talking about death and dying. But if you or a loved one has a serious illness, chances are your doctor would welcome the chance to discuss your wishes concerning 生命末期療護, including what hospice can do to help.

Of course, the best time to talk to your doctor about end-of-life care is long before you need it. Studies show that individuals who have the end-of-life conversation with their doctors have less anxiety about death and more control over their medical care as they near the end of life. Additionally, they feel their doctor and their family better understand their wishes,¹ such as wanting to remain at home, or not being a burden, or hoping to see distant friends or family.

必須考慮的事情

If your prognosis is 6 months or less, your doctor may have already broached the subject of hospice. Now that you are ready, here are a few things you may wish to consider when talking to your doctor about hospice:

  • If you choose 安寧療護, will your doctor support your decision? Will he or she remain your primary care physician and travel this journey with you?
  • If you have advanced directives, is your doctor willing to follow those directives? If your doctor is opposed to your wishes, for either moral or ethical reasons, they are not legally bound to carry them out.²
  • Ask about how your symptoms will be managed and your pain controlled. Talk about the relationship between pain relief and alertness.¹ Is your doctor supportive in allowing you to determine how much pain medicine or sedation is enough?
  • Share with your doctor your definition of "quality of life." What matters most to you? How can your doctor help give your life meaning?
  • If you become incapable of making decisions, will your doctor honor your requests as voiced by a family member or healthcare agent?

¹https://www.hospicegso.org/i-am-living-with-an-illness/patient-resources/how-to-talk-to-your-doctor/

²http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3281

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