6 治療的目標 1/3 Cure of disease 治癒疾病 治療的目標 1/3Cure of disease 治癒疾病Maintenance or improvement of quality of life through relief of symptoms, pain and suffering 經由解除症狀、疼痛、或受苦維持或改善生活品質Promotion of health and prevention of disease 健康促進及疾病預防
7 治療的目標 2/3 Prevention of untimely death 預防非預期的死亡 治療的目標 2/3Prevention of untimely death 預防非預期的死亡Improvement of functional status or maintenance of compromised status 改善功能狀態或維持折衷的狀態Education and counseling of patients regarding their condition and prognosis 根據病患之狀況及預後提供教育與建議
8 治療的目標 3/3Avoidance of harm to the patient in the course of care 避免治療過程中造成之傷害Providing relief and support near time of death 提供瀕死前的緩和支持照護台中榮民總醫院
12 決策為主策略 Decision-Centered Strategies Supporting or agreeing with one side or aspect of a contradiction贊成論證 Arguing forOpposing or disagreeing with one side or aspect of a contradiction反對異議 Arguing againstIgnoring the existence of a contradiction intentionally by not directly responding to either side避而不談 Avoiding
13 訊息尋求策略 Information-Seeking Strategies 1/2 Explicitly recognizing the existence of a contradiction承認知悉 AcknowledgingQuestioning family’s views of a contradiction without being judgmental to interpret the meaning of statements made by family members澄清闡明 ClarifyingMoving away from the contradiction and directing the conversation to different aspects of decision making, such as to reflecting on the patient’s preferences重新聚焦 Recentering
14 訊息尋求策略 Information-Seeking Strategies 2/2 Recognizing that both sides of a contradiction have value and that contradictions are ongoing and are not likely to go away重申確認 ReaffirmingReframing so that two sides of contradictions no longer seem oppositional再次校準 RecalibrationCompartmentalizing to illuminate different levels or spectrums (such as withdrawing, withholding, or cardiopulmonary resuscitation) of EOL decisions劃分片段 Segmenting
29 7 ways to boost your happiness By Danielle Dellorto, CNNSeptember 24, Updated 1809 GMT (0209 HKT)
30 Happy Life Expectancy, HLE 快樂平均餘命 Definitionis an estimate of how long and happy the average citizen will live in that nation in this era.Analogous= Happy Life Years= Happiness Adjusted Life-Years, HALYAnalogous to Disability Adjusted Life Years, or "DALY'sHappy life-expectancy = standard life-expectancy x 0-1 happiness (enjoyment of life)Naidoo, J., & Wills, J. (2010) ‧健康促進 [Foundations for health promotion]（賴秀芬譯）‧台北：台灣愛思唯爾。（原著出版於2009）
31 HAPPY LIFE YEARS IN 144 NATIONS 2000-2008 How long and happy people liveNationSatisfaction with life1(scale 0 -10)Life expectancy in yearsHappy Life Years (HLY)Iceland8.581.569.0USA7.077.954.7Taiwan6.276.447.4Zimbabwe3.340.913.3
32 Happy Plant Index, HPIEach country’s HPI value is a function of its average subjective life satisfaction, life expectancy at birth, and ecological footprint per capita.
51 Program Logic sets out what a project will do and how it will do it. also known as outcome model, outcome logic, logic model, or outcome hierarchysets out what a project will do and how it will do it.visually representing a linear sequence of steps that need to occur for a project to meet its desired outcomes.consists of identifyinginputs, activities, outputs, and outcomes (from immediate, to long term).
54 A Backcasting Approach to Planning Sustainability Projects
55 A Logic Map A logic map - or logic model is a visual representation of the relationship between the various components of your program of work.Traditionally, these components include program inputs, actions, intermediate goals/objectives, and overall program outcomes.The structure of the logic map -- that is, the illustrated relationships between the components -- highlights the "logic" by which you expect your project to work.The logic map is a schematic representation of your project.
57 Map of Program LogicAustralian Institute for Primary Care. (2005). An Evaluation of the Primary Care Partnership Strategy Report. La Trobe University, Victoria, Australia. From
58 SOUTH EAST PRIMARY CARE PARTNERSHIP, COMMUNITY HEALTH PLAN 2002 – 2003
59 Framework for Implementation of Health Promotion at Country Level World Health Organization. (2008). A framework to Monitor and Evaluation Implementation: WHO global Strategy on Diet, Physical Activity and Health. Geneva, Switzerland. From