不在病床上说再见
不在病床上说再见
本书是由两名活跃在日本老年人医疗前线的医生所著，他们站在专业医疗人员的角度，通过对日常工作的观察，发现许多人无法用平和的心态去面对生老病死的自然规律。出于各种原因，病人家属或子女通常会想方设法延长病人的生命，殊不知这种诉求却增加了病人的痛苦，让他们在病床上受尽无效医疗的折磨。
人终有一死，或许让临终者舒适地走完*后一程才是活着的人能尽的*努力。
本书是由两名活跃在日本老年人医疗前线的医生所著，他们站在专业医疗人员的角度，通过对日常工作的观察，发现许多人无法用平和的心态去面对生老病死的自然规律。出于各种原因，病人家属或子女通常会想方设法延长病人的生命，殊不知这种诉求却增加了病人的痛苦，让他们在病床上受尽无效医疗的折磨。
人终有一死，或许让临终者舒适地走完*后一程才是活着的人能尽的*努力。
生死关头，人们的面前有一座天平，天平的两端摆着“存活”和“尊严”。在大多数人的观念中，生存永远是摆在*位的，但是给深受病痛折磨的老年人加上过度的无效医疗，*终导致老人不能言语，长年卧床不起——这种毫无尊严的“活着”，真的有必要吗？
本书作者的本职工作是治病救人的医生，每天工作在医疗*线的所见所闻让他们对使患者毫无尊严的临终医疗产生了怀疑。他们呼吁大家，要在患者清醒时就和当事人进行商讨，对是否进行延命医疗，以及进行何种程度的延命医疗达成一致，确保病人在临终阶段仍然能够保有生而为人的尊严。
生老病死是常事，死亡并不那么冰冷且可怕，每个人都有权利带着微笑和这个世界告别。
宫本显二，1951年出生于北海道。担任北海道中央劳灾医院院长、北海道大学名誉教授、内科医生，同时任日本呼吸道照护、复健学会理事长和日本呼吸学会专科医生。毕业于北海道大学医学部。2012年在札幌成立“老年人临终医疗学会”，任会长。
宫本礼子，1954年出生于东京。任日本失智症学会专科医生、日本老年精神学会专科医生、樱台明日佳医院“失智症综合支持中心”所长。自2006年起开设健忘门诊，致力于失智症相关研究。毕业于旭川医科大学医学部。2012年在札幌成立“老年人临终医疗学会”，担任发言人。
惨痛到连医界人士都不忍直视的临终医疗 /002
医疗同行的来信：延命医疗只是“敛财工具”？ /006
名为卧床的折磨 /009
急救室里为何大多是老人？ /011
无视本人及家属意愿真的好吗？ /015
让人无法自然迎接死亡的医疗系统 /019
生死抉择引发的家庭纠纷 /021
第 2 章 刻板的临终医疗
老年人进食量减少有其原因 /026
临终期的老年人不需注重营养管理 /030
医疗奇迹不会发生在每个人身上 /032
我们都只是普通人 /035
在谈论自然善终的议题之前
宫本礼子
上了年纪，任何人都将碰到与临终医疗相关的问题。虽说现代医学突飞猛进，我们仍不得不好好考虑自己该如何安排临终阶段的种种。相信每个人都希望能好好地向亲爱的家人说声“谢谢你，再见了”，然后平静安详地告别这个世界。但是，现代医学并不能保证这一点。更常见到的是，病人意识不清也不能言语，卧病在床、包着尿布，仅能从口中的塑料管灌入营养品，苟延性命一年又一年。吸痰是很痛苦的，有时候手脚还会被绑住。用这副模样来迎接人生的谢幕，又有谁愿意呢？
事实上，任何一个在老年人医疗环境工作的人，都能摸着良心说自己不要这样的结果。
正因我们有幸生在这样和平的年代，才更想好好打点自己的临终阶段。
俗话说：“结尾收得好，故事才精彩。”怎么样收尾，就是如此重要。为了能心满意足地结束这段人生，我们有必要认真地考量临终医疗的做法。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
本书是由两名活跃在日本老年人医疗前线的医生所著，他们站在专业医疗人员的角度，通过对日常工作的观察，发现许多人无法用平和的心态去面对生老病死的自然规律。出于各种原因，病人家属或子女通常会想方设法延长病人的生命，殊不知这种诉求却增加了病人的痛苦，让他们在病床上受尽无效医疗的折磨。
人终有一死，或许让临终者舒适地走完*后一程才是活着的人能尽的*努力。
生死关头，人们的面前有一座天平，天平的两端摆着“存活”和“尊严”。在大多数人的观念中，生存永远是摆在*位的，但是给深受病痛折磨的老年人加上过度的无效医疗，*终导致老人不能言语，长年卧床不起——这种毫无尊严的“活着”，真的有必要吗？
本书作者的本职工作是治病救人的医生，每天工作在医疗*线的所见所闻让他们对使患者毫无尊严的临终医疗产生了怀疑。他们呼吁大家，要在患者清醒时就和当事人进行商讨，对是否进行延命医疗，以及进行何种程度的延命医疗达成一致，确保病人在临终阶段仍然能够保有生而为人的尊严。
生老病死是常事，死亡并不那么冰冷且可怕，每个人都有权利带着微笑和这个世界告别。
宫本显二，1951年出生于北海道。担任北海道中央劳灾医院院长、北海道大学名誉教授、内科医生，同时任日本呼吸道照护、复健学会理事长和日本呼吸学会专科医生。毕业于北海道大学医学部。2012年在札幌成立“老年人临终医疗学会”，任会长。
宫本礼子，1954年出生于东京。任日本失智症学会专科医生、日本老年精神学会专科医生、樱台明日佳医院“失智症综合支持中心”所长。自2006年起开设健忘门诊，致力于失智症相关研究。毕业于旭川医科大学医学部。2012年在札幌成立“老年人临终医疗学会”，担任发言人。
惨痛到连医界人士都不忍直视的临终医疗 /002
医疗同行的来信：延命医疗只是“敛财工具”？ /006
名为卧床的折磨 /009
急救室里为何大多是老人？ /011
无视本人及家属意愿真的好吗？ /015
让人无法自然迎接死亡的医疗系统 /019
生死抉择引发的家庭纠纷 /021
第 2 章 刻板的临终医疗
老年人进食量减少有其原因 /026
临终期的老年人不需注重营养管理 /030
医疗奇迹不会发生在每个人身上 /032
我们都只是普通人 /035
在谈论自然善终的议题之前
宫本礼子
上了年纪，任何人都将碰到与临终医疗相关的问题。虽说现代医学突飞猛进，我们仍不得不好好考虑自己该如何安排临终阶段的种种。相信每个人都希望能好好地向亲爱的家人说声“谢谢你，再见了”，然后平静安详地告别这个世界。但是，现代医学并不能保证这一点。更常见到的是，病人意识不清也不能言语，卧病在床、包着尿布，仅能从口中的塑料管灌入营养品，苟延性命一年又一年。吸痰是很痛苦的，有时候手脚还会被绑住。用这副模样来迎接人生的谢幕，又有谁愿意呢？
事实上，任何一个在老年人医疗环境工作的人，都能摸着良心说自己不要这样的结果。
正因我们有幸生在这样和平的年代，才更想好好打点自己的临终阶段。
俗话说：“结尾收得好，故事才精彩。”怎么样收尾，就是如此重要。为了能心满意足地结束这段人生，我们有必要认真地考量临终医疗的做法。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom and Germany to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
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