施行安寧緩和照顧協助機構長者在機構善終之實務經驗: 以台中某私立養護機構執行現況為例

In Taiwan, many people understand and accept the concept of hospice care gradually. However, because there’s lack of sharing the experience of hospice care in long term care facilities (LTCFs), the manager and the staff of LTFCs worried about how to help elder residents to die naturally in LTCFs. Therefore, while the residents are dying, they would be sent to the hospital to receive cardiopulmonary resuscitation. This would cause great suffering to the residents and the sorrow of their families. It also increased the consumption of medical resources. The team workers of LTCFs served by the author initiate and disseminate the concept of ＂Hospice care and good death in place＂. The aim of this article was to describe the process of applying advance care planning for elderly residents and their families in LTFCs, including how to initiate informed consent of DNR (Do not resuscitate) to elder residents and their families, and how to cooperate two medical teams between LTCFs and hospitals to assist elder residents to have appropriate medical treatments and good death at the end of life in LTFCs. The authors hope to share the experience with the managers and the staff of LTCFs, as a reference of providing appropriate hospice and palliative care, to assist elder residents having a natural, dignified and peaceful death.