摘要：本文以南京市建邺区金德松老年服务中心为研究对象，通过问卷调查和访谈，分析和发现了老年人有一定的护理需求，但是临终关怀服务开展面临巨大现实困难：传统观念的影响，人们固有的死亡观念和伦理孝道的观念束缚；人们对临终关怀的认知程度普遍较低；经济负担重；国家缺乏相应的政策；机构缺乏专业人员的临终关怀教育。同时，笔者提出了促进临终关怀事业发展的相关建议：推行“善终”理念；制定临终关怀政策；加强专业人员的临终关怀教育；建立本土化临终关怀社会工作模式。
关键词：临终关怀； 老年人； 社会工作
Abstract：This essay will put Jin Desong Service Center for the elderly in the Jianye District, Nanjing as a research subject. I have analyzed the research and found that the elderly do have the needy to be nursed through questionnaires and interviews. However, carrying out the hospice care service may encounter great challenges in reality. Firstly, under the impact of traditional ideas, people are fettered by their innate concept of death and ethics about filial respect. Secondly, people generally have a low level of cognition for hospice care. Thirdly, taking hospice care requires people to bear a heavy economic burden. Besides, there is a shortage of relevant policy in our country. Moreover, professional nursing staffs of the institution lack formal hospice care education. At the same time, I put forward some relevant suggestions that will promote the development of the hospice care cause. first, implementing the idea of good ending --caring about the deceased. Second, shaping hospice care policy. Third, strengthening formal education on professional nursing staffs. Forth, establishing a local-based social work model for hospice care.
Key words：Hospice care； The elderly； Social work
社会工作是在长期的助人实践中逐步发展起来的一种专业性服务活动，是在专业价值观的指导下，运用专业的理论、方法和技巧。帮助社会上处于不利地位的个人、群体和社区，克服困难、解决问题，恢复、改善和发展其功能，以适应正常的社会生活的一种专业化服务行为。同样的，临终关怀工作认为临终病人和其他人一样式平等的，他们除了需要医疗 通过医疗技术和手段为他们处理各种末期病痛外，更需要得到心理上的照顾和社会关怀，以获得与其他人同样的平等和尊严。因此，社会工作与临终关怀存在在密切的联系，这也为社会工作介入临终关怀领域提供的一定的契机。
在社会工作发展迅猛的今天，我们可以考虑把临终关怀与社会工作结合起来，用社会工作的专业知识来充实临终关怀实务，这也正好为社会工作提供了一方用武之地。
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