Giving Compassionate Care 金标准框架 Meeting the needs of people with Multiple conditions in Primary Care 初级保健护理要满足合并多种基础疾病的人们的需求。 Changing Culture and Giving Compassionate Care 文化转型，视病如亲 China June 2015 Mark Thomas www.goldstandardsframework.org.uk info@gsfcentre.co.uk

What are the needs of older people? 老年人的需求是什么？

疼痛评分

P R O S T A T E C A N C E R 前列腺癌 Pros… Cancer picture

Making sense 言之有理 “Spirituality is about what we do with our pain- we can either transform it or transmit it.” 灵性便在于我们如何处理疼痛——转化或传递 Fr Richard Rohr Centre for Action and Contemplation “The four things that matter most” 最关键的四点 - I’m sorry 对不起 I forgive you 我原谅你 I love you 我爱你 Thank you 谢谢你 Dr Ira Byock

JOURNEY FROM CRADLE TO GRAVE 一生之旅

A matter of life and death 生死攸关 Reframe our thinking 重塑思维 ….how can we make the best of this last year ? 如何能不虚度最后的时光？ “Its all about how you live” 关键是你如何活？

G S F – LIVING WELL AND DYING WELL 生如夏花之灿烂，死如秋叶之静美 朝阳无限好，夕阳亦如此

Spirituality and GSF Programmes 灵性与金标准框架项目 Head Hands and Heart 脑手心 - process,organisation执行 - systems- GSF 体系—金标准框架 - ‘how to do it’ 如何做 HEAD脑 - knowledge 知识 - clinical competence 临床胜任力 - ‘what to do’ 做什么 HEART心 -compassion, care 视病如亲 human dimension-’why’ 人文—原因 - experience of care 护理经验

GSF ENABLING COMPASSIONATE CARE 实现视病如亲

DEALING WITH LOSS 处理脱发

DYING AT HOME 死得其所

TRUST OUR SHARED HUMANITY & VULNERABILITY 信赖我们共同的人性和脆弱

WHAT IS YOUR UNDERSTANDING OF YOUR ILLNESS? 您对于自身疾病的理解是怎么样的？ ASKING QUESTIONS 询问 WHAT IS YOUR UNDERSTANDING OF YOUR ILLNESS? 您对于自身疾病的理解是怎么样的？

The Five Senses of Spiritual Care The 5 Senses 五种感官 The Five Senses of Spiritual Care Hearing:听 Sight:看 Presence:风貌 Speech:说 Touch:触摸

Advance Care Planning discussion 预定临终照顾计划讨论 What is important to you/ makes you happy? 对于您最重要的是什么？或什么能够让您快乐？ What do you want to happen? 您希望发生什么？ What don’t you want to happen? 您不希望发生什么？ “I don’t want over enthusiastic doctors sending me into hospital ” 我不希望被热心的医生送去医院

Pandora’s Box 潘多拉魔盒

Cross boundary care 交叉护理 Care in line with preferences in any setting 符合任何机构的护理选择 GSF Primary Care 初级保健 GSF Hospitals 医院 GSF Care Homes 养老院

DEFINITION 定义 What is Spiritual Care? 什么是精神照拂？ “Caring for all that helps human beings to flourish, and to be resilient in the face of life’s uncertainties.” 凡是能帮助人们兴旺以及灵活面对生活的不确定性的护理都属于精神照拂的范畴。

We live in the context of our dying 我们生活在老去的路上 Death teaches us about life Dying teaches us about living Bigger picture – priorities Meaning and making sense Forgiveness and thankfulness 死亡教会我们什么是生命，老去 教会我们什么是生活。 着眼大局—— 优先 有意义，言之有理 宽容和感恩 Christ brings life – 基督创生 life in all its fullness 生活在于其完整性

Alignment 队列

The end of life points to the end of life Life is for living