消失的吿別:「新冠」疫情下的臨終關懷與善終

Sihan SUN
2022 International Journal of Chinese & Comparative Philosophy of Medicine  
LANGUAGE NOTE | Document text in Chinese; abstract also in English. 傳統意義下的臨終關懷,以全面的身心照料為中心,為瀕臨離世的病患及其家屬提供涵蓋生理、社會及心靈方面的支援及照護服務,使其消除焦慮和對死亡的恐懼,最終幫助病人有尊嚴地、舒緩平和地抵達人生盡頭,也慰藉患者家屬走出失去至親的傷痛。然而,在「新冠」疫情的影響下,臨終關懷面臨著倫理困境,善終的意義也一度受到挑戰。本文以香港疫情下受限的探訪和殯葬安排為例,通過儒家思想中的以人文本、家庭主義和臨終禮儀,分析防疫政策對臨終關懷和善終的影響並探究其倫理正當性,為今後突發公共衛生事件下臨終關懷必要性、執行過程和發展提供思考。 End-of-life care aims to provide supportive physical, social, mental, and spiritual care for terminally ill patients and their family members. Not only does it help patients
more » ... proach the end of their lives with dignity and peace, but it also helps family members overcome the grief of losing a loved one. In the context of the COVID-19 pandemic, ethical dilemmas have emerged within the field of end-of-life care, and it has been challenging to help people experience a good death. This article takes the example of the pandemic-related restrictions in Hong Kong that affected visiting and funeral arrangements. It analyzes the impact of anti-pandemic measures on end-of-life care and the provision of a good death. It examines the ethical justifications of these measures through the Confucian themes of human-orientedness, familism, and death rituals, and it outlines practical implications for end-of-life care under similar circumstances.
doi:10.24112/ijccpm.202225 fatcat:pda342fm3vcwjcc5jvahitekca