Friday, September 28, 2012

The hospice takes root in China quietly - let the death become dignified

The hospice takes root in China quietly - let the death become dignified
The leaderette is as fastest old in the world, old man's most country, supporting parents has already become one of the difficult problems that the young people of our country must face. What's more, China tries to be the first to breast the tape when economy is still undeveloped. Not " rich and old first " Mean the resources that the society can offer are very limited, preparation of various fields is not enough. It is the China's main way to support parents that the family has been supporting parents all the time. However, " 421 " that only-child's policy brings up The structure of family of the type, has been destined in this way hard to carry on. " 80" And then get married behind to that if you can't want, support by four old man,or even more, intension and pressure during that time have already reflected day by day, in addition the new or old thinking change that society transition brings, the inevitable difference attitude conflicts with the behavior after bringing up children and old man in supporting. This newspaper has been paying close attention to the topic of supporting parents all the time. This report is set about investigating from the case further, attempt to represent contradiction and conflict of question of supporting parents instantly, and people's bitterness and happiness are and helpless, in the hope of causing the more extensive concerns from all walks of life, solution of the difficult problem of seeking to support parents together. The hills and mountains are surrounded, wind chants the green tree, in the holiday village types wooden cabins of pinnacle of north suburb of Beijing, a group of old men live. The old men are not used to appreciating the beautiful scenery. An old lady is sleeping, the body rolled up looks like five six -year-old children, in thin under rise and fall slightly,if you can't nose will insert, in charge of magnifying mouth breathing. The red one of bedside " Aerial baby " Doll, it is people Sun that bring present. An old man is absorbed in the TV in the whole morning, the large stretch of snow flake on the picture, can see souls once in a while. Another old man know completely smooth body unlimited holds at the purpose-built toilet, stupefied to look at outside the window. This is named " The phoenix " If you can't imprison, if you can't cherish, cut by one that accept for medical treatment by institute,mostly (lose by life self-care ability) Old man. According to statistics of Ministry of Civil Affairs, at present, 60 years old and the above old population in the whole country have already exceeded 1. 4,900 million, the old man of about more than 30 million needs family nursing at various degrees. Among them, can lose the old man has already been up to 9,400,000. Though social pension is not something new in China, believing in " raising sons to support one in one's old age " China,losing can old man send to let's support parents by organization still a lot of family unavoidable choice. Who accompanies you to cover the last section of way of life Though everybody avoids " It is approaching one's end " This wording, is called " phoenixes " Or " attend to the institute " ,But the fact is, the last section of journey that the old man who sends here has mostly entered life. Relative choose here, because " most old people's home that we investigate than, here is professional, clean, the scenery is beautiful too " . But the intersection of the old men and most beautiful scenery in the heart, to can enjoy place of family happiness. Live in " phoenix " Project normal school clear, optimistic and optimistic in thinking in bridges shadies old: "I getting old, leg has produce some issues, recuperate here temporarily. In two weeks, I will go home. " He gesticulates, has described the address of the family, permutation of article in detail. Family, it seems it is here tentacle just but and local. He says to guests, " you write our telephone number well, pass in the period of time I went home. " The old men are always more willing to believe that it is not the terminal in life to attend to the institute. However, the nurse says privately, according to the state of my father, don't talk for two weeks, can't go home. In order to let my father's mood be steady, children have woven the well-meaning lie. Medical science department Wu Ming, professor of institute of public health in Peking University has written articles and claimed, for losing the elderly that can be with comparatively serious intensity, the cost of family nursing is higher than the organization to attend to, and the organization type attends to the service that can be offered for 24 hours. Simple from attending to the angle and saying, it is a optimization choice that the organization attends to. Wu Ming's once investigation to 317 old persons revealed: 82.56% of the old men would like to support parents at home, with relative; There are the elderly that organization choosing type attended to left, because " unwilling to increase burden for family " there are 42.45% people ,15.49% of the people are that " family are not free very much " . But the only problem that the organization attends to is to lack the kindred. This means, the old men who leave the relative must meet and attend to organization's lonely and standard collective livelihood. "The old men are not used to it at the beginning, just the same as the kindergarten child start going to a nursery. " " phoenix " President ZhongFan Tian say " make a noise what has been just been hered the old men terribly " . Live quick the intersection of old lady and voice very large, call out, partial to Engineer ceaselessly morning while being whole to prolong by Mi of separate room in the south, "the messenger, I ache, I ache. " Partial to workers, but she demands to help her to take out the mobile phone and phone. "This is an old man who suffers from brain atrophy and severe osteoarthrosis. " ZhongFan Tian introduce she very filial children have, but age over 50 years old, have no idea to attend to at home. Relatives have allocated all medicines, snacks for the old man, everything is prepared very thoughtfully. However, for having a little confused Mi old ladies, these are not enough. Her most important thing is phoning. The telephone has not been put through yet, does she claim, " the duckweed, is a duckweed? You come to see me quickly, come over quickly. " Have a loud empty talk on for several times, the telephone is put through. A female voice is asked: "What's up the mother, what happened? " Except " you come, you come " ,The old woman of Mi can not say all the time " The reason like kind " ,Having refused to budge for 2 minutes, she made the telephone which loses the daughter, changed a number: "The young son is good, he loves me dearly. " "Pout "In the quiet room, the old woman of Mi has dialed telephone three times, until hearing " you dial and make a phone call nobody temporary and answer " again ,She quieted down at last, the brand-new mobile phone slipped and fell and was partial to worker's hands. The nurse says, in fact the old man's son has been on the previous day, accompanied her not to walk here in three or four hours. "It is long, she can suit. " Whom whom family can't bear support parents if let the family bear these old men, perhaps the situation is more difficult. Huo Wei living in another old people's home, it was once reluctant to be away from home equally too. On weekend before he is dead, Huo ShuRong once joined forces to take father home and bath with the elder sisters. The old man say, " I do not leave at home, OK in request like child? " "Nobody is unwilling to stay with one's own family. " Huo ShuRong says, if old man's life can be paid by oneself, will certainly stay at home and support parents. It is the helpless act to let father live in the old people's home. Huo big to suffer from behind the senile dementia short-tempered several years ago, it was due to the people at one's side. Even if children take turns, it is very difficult to give up all work on hand to look after: Sometimes family go out to buy meals to leave for a moment, come back to go wrong. After falling several times at home, five children's total, let anyone in the old people's home of the old man look after in a whole day, perhaps can spend late better Annual. Then, that weekend, the family human eye sees the old man want to go home, can only decide to let the old man live in the old people's home first, connect and come back home to have a bath every week, make him glad. Sincerelying believe in " Raise sons to support one in one's old age " Environment in,some people difficult such a without being understood choice. Someone says, spends thousands of yuan in the old people's home each month, it would be better to invite a nurse, let the old man stay at home. However, the situation like Huo Wei, or some old men with spiritual disease, it is unrealistic to ask the nurse to help to look after too. A daughter who suffers from the spiritual disease old man tells one's own suffering: "Invite the nurse to be very difficult nowadays. The nurse does not dare to come once seeing the old man's medicine to take spirit. And nurse that can come uncertain speciality responsible for, medicine that old man take and have a meal important again, it is one that can't fall, time and measure, take very strict. How to rest assured to look for one at will? " "Even so, if invite the nurse, old man and nurse very easy place come. A resignation of nurse, I will put down all things soon, will and then look for the new nurse. Toss about in this way every other day, how to work? " Looking after can lose the suffering which the old man's relatives can not tell. In view of appearance, some old man logic is clear, but already confused in fact. Relatives are visited, the routine asked: "What is eaten at noon? " Some old men just had a meal obviously, but said: "They do not have a meal for me. " Family nursing can lose the old man is often mixed with working hard, being tedious, misunderstanding. That lady says, she looks after mother with spiritual disease, almost make oneself have a nervous breakdown too. The old people's home can lose old man's most appropriate place to receive. However, it is difficult to look for a qualified old people's home. The condition of some places is very good, but does not accept the old man with psychological block, that can't take care of oneself; Some places accept the old man for medical treatment, but Wan passes easily in the expenses every month; Some conditions and prices can be accepted by relatives both, but there are realistic problems: The home for the aged only offers life to attend to, does not possess medical attendance, it is very difficult to meet the old man's therapeutic demand. Huo ShuRong says, children have all rushed about for supporting parents in the destination of father, she selects a more famous nursing institute finally, the condition is good, the price is suitable, it is very near to leave the place that oneself lives too, it is still very glad to just begin her: "Sometimes I go to see him two or three times in one day, is similar to family. " Having gone much, Huo ShuRong finds, really wants to let the old man live comfortably, besides hardware facility, the nursery work can't be ignored either. She finds, some should be partial to workers to look after three or four old men, gets on the stool that the old man placed on going to toilet and busy with other things frequently, when can come back uncertainly. "This blame they either, attend to institute, work money little, have more things, want, let they treatment impossible even in old man like oneself family. " However, father always complains that is partial to workers: " she always smokes, I " , " wet the bed they, hit me. " Though pure honour Huo it speaks to be may not true after being confused to understand father, " wait until, even look after at home, it is unavoidable to knock against sometimes. " However, she looks for another one what has been rested assured in the old people's home " The man is partial to workers, and then give and partial to 100 yuan each month of worker privately, it can be a little kinder to father to depend on him. Will finish having the bath at home in a couple of days, will be living for 24 days of old people's home, the heart will be stopped suddenly when 79 -year-old Huo Wei gets up. Person who die, already, let whom her worry the future furthermore: "Go to the old people's home together with the friend after I plan originally, but I am really a little afraid after this. But I have only one son, let him serve, bear also later. " Attend to the pure honour of in a dilemma Huo of the institute to only look forward to, a policy can happen in if the country in the future, it is on duty to protect engineering of all and train, grade, she settles down much more. In fact, for attending to the institute, it is a trouble to look for and is partial to workers too. " phoenix " Boss Yuan prolong by Beijing and last one piece enormous photo say reporter, " afford to move they. " It is before more than half a year on the photo, seven young daughters in white clothing are partial to workers, stand in the pure white white snow. They are here " The phoenix " Ones that treat shortest, have not insisted on one month yet. Because of " phoenix " Locate in remote, salary and conditions have only trivial a thousand yuan too, do to serve, can lose work of old man, can hardly employ people in Beijing. "The child in Beijing is inserted and does not insert such work, parents prefer to raise and have a meal in vain not to let children do this work either. " Yuan YanJing says, " phoenix " Having endured sufferings, much strength of fee just knew, must cause from more poverty-stricken place to protect workers. The present one is partial to workers and all come from the countryside of Gansu, Hunan, Sichuan. The problem is, people have come, whether can do this job well? Tian ZhongFan says, does protecting engineering of approaching one's end care, the heart takes to be good, other technology can train, there is no way to do to have a bad temper. "The person reaching this stage, the situation is more special. Where if is out of patience, it is less than that it then must be kind to old man. " On condition that protect workers in exceedingly short supply, " phoenix " Have also dismissed a person: Partial to workers and wash the foot for the old man, washed the instep, did between old man's toe and stank to high heaven finally. Another question is, people have come, can keep here? The imaginations to Beijing of these young girls are not to support parents in the organization. One the intersection of person who stay and protecting at most Engineer say in " phoenix " In one year, did not enter the town of Beijing, but attended to the institutes and their gully of the house and had no differences, and on these people, it is all difficult to say a sentence all day, it can be extremely lonely to be lonely. More important, it is not many to earn money here, this is that they are different to stand. "Nothing can eat while being bitter, no matter how dirty stand, earn money, unable to hand over with family. " It is reported, one is partial to workers in " phoenix " Can only get 800 yuan at first, a over segment can rise to more than 1000 yuan. Even if this salary, when the reporter interview, are also in arrears with. Because of " phoenix " Face the financial crisis. Prolong as to Yuan Beijing, " phoenix " Day extraordinary sad. He even suspects one's own original judgement and necessary to persevere. According to account of Yuan, " phoenix " The intersection of rent and 80,000 for one month, add 3. Fee of number of people and more than 70,000 water and electricity coal gas fee of 50,000, 7788 is calculated together, it takes 125,000 yuan at least. This need 50 old man move in, up to profit and loss to be balanced. However, " phoenix " Not always reaching this figure either, sometimes a dozen people, sometimes 20 odd people. "Open the eyes every day, has not been meaning thousands of yuan well, it is really very terrible thing. " He once hoped the government could replenish some. In order to save the cost, " phoenix " Make an issue of mess for a time. However, this is the family soon Have found. "Eating and frying cucumbers at once five times in one week, the old men are all afraid of having a meal, really unacceptable. " Even loyal Fan in the field can not see the eyes go. Relative and Yuan prolong Beijing confront each other. Is Yuan angry? Person who take on bones of the body emperor of Yu Lue pretty free and unfettered Yu of Qiang Dong the intersection of Jin and time invite �� of Yi stern abundant nobelium, amine of ��, forgive stupid the intersection of tip and round the intersection of emperor and pretty free and unfettered Yu of Qiang Dong the intersection of Jin and ���� for live abroad arm neglect amaranth drop down Fei hurriedly Is �� led? An old man moves out. " phoenix " Mess but also improve. This pair of originally difficult ones " The phoenix " It is big blow. It is reported, it is newest to support parents according to Beijing planning, before 2020 years, Beijing should make 90% of the old persons enjoy and support parents to serve at home, 6% of the old persons buy the community service and support parents through the government, 4% of the old persons move in and support parents the service organization concentrate on supporting parents. XiangYang Ding, Vice Mayor of Beijing, say Beijing accelerate public beneficial to support parents construction of facilities, increase by 1 every year. While of 50,000 berths, the pilot project is invested in the construction of the dealing in facilities and supports parents by the society. However, this winter " phoenix " to the properties of enterprise run by the local people Not optimistic. Considering future, Yuan YanJing sees the ceiling saying: "Insist on next spring at most, if still disappear and change, does not have more money that can be broken in. " This news is terrible too for relatives and the old man. It means, may not have even if it is this place not so satisfactory. Their necessary searching the next one " The habitat " ,And that is not a section of easy voyage. With " phoenix " Life last a gleam of different,it is loose want to better than much day at hall. As the first hospice of China, have established the loose hall to 1987 and already entered the most enjoyable stage: Have good reputation, extensive relation and sustainable income. Vice President Zhu Lin tells reporters, the way that the loose hall passed by, has represented Chinese in approaching one's end care to a certain extent, even the choice in supporting parents is changed. "Very lucky it can insist on till now. " Zhu Lin says the winner's development is full of agony and struggle too the prolonged in media report let the story of the loose hall widely known by the people for a long time. Founder Li Wei receives a enlightenment of transferring professor's death as the educated youth, determine to put one's own undertaking in the future on approaching one's end care. In the first several years, Chinese can't accept such a hospital at all. Though a large number of real needs exist, the long history that the family supports parents makes Chinese have special aspiration on family, especially at the last moment of the life. As to Chinese old man, enter the old people's home, approaching one's end hospital, that nearly equates with abandoning by children and the society. The primary importance of the loose hall " Customer " It is Li Wei's neighbour. 42 years old women's lives are in later period of breast cancer, family members can not really look after over, mobilized by Li Wei to enter the loose hall. Four months later, she leaves away in the lover's arms calmly. Later, had similar person, the overwhelming majority who were that an old man lived in successively. By the middle and later periods of the 1990s last century, experience the transition of the attitudes of people obviously in the loose hall. Increasingly many Beijingers can accept this kind of mode gradually, and is no longer entangled with the fetters in the emotion of morals. Nowadays, sees the most hospice of the life off in the world in the loose hall. "Certainly, the course of the whole development is full of contradictions, painful and struggling. " Unless say Zhu Lin, since the loose hall is established,before and after move by seven families already,there are to move to by half just on most difficult every one, the masses of the community have not allowed garrisoning in. Several numerous people stop up the door, way, require unlucky " die in people's hospital " Move away. " a guy shouts, " Should move inside our community, people die everyday, we can not get rich either this lifetime, how unlucky. " The loose hall has no idea, can only seek the place again. People do not have thus clear understanding. " Now, the loose hall has one's own courtyards in Chaoyang District of Beijing, the building of the Chinese style is antique. When the reporter interviews, the loose hall is expanding the new room eastward. Old and too crowded, it is unable to hold the increasingly many old man. "The new or old room is added up, can admit more than 500 people at most, nearly 360 old men settle down in the loose hall at present. Mainly local in Beijing, there are Shanxi, Guangdong too, there is the foreign one that comes because of respect for the fame, it is mainly a foreign citizen of Chinese origin. " Zhu Lin says. Different from the general old people's home here. See peace and quiet that less than two old men play chess, the serenity that or an old man reads the newspaper. Reporter's finding is, more than 20 old men are looking at a TV set. They all sit on the wheelchair, some are fixing tape in bond, the appearance not exchanged with the program in the eyes, also there is no sign exchanged with other people. An old man sitting in the corner cried suddenly: "Have you checked? What disease have I got? Why do you send me here? " Nobody speaks to her. Another group attempts to chorus a song, but the sound that everybody pronounces is different. "People here's mean age is over 81 years old. " Zhu Lin says. There are some photos by a wide margin on the wall of the hospital to let the death make dignified some, socialite such as stars, officers are visiting to have a picture taken as a memento. Beijing numerous the intersection of university and student come on, make volunteer frequently still, help hospital look after the old men. Every room is still sticking to " **The love cabin " Picture. Someone thinks, the tanacity of the loose hall is not poured, is correlated with with the faith that Li Wei there was certain economy to support and not give up originally, also it is great to follow his social management ability relation. He not merely all takes out home will come " Gamble " Tomorrow, the pronoun that still made the loose hall nearly become approaching one's end care and support parents successfully. And as first large country in population of world China, obviously can't pay attention to the question, because it is entering senilization at the quickest speed in the world. According to the standard of the United Nations, over 10% of population over 60 enters the senilization society. China entered the senilization country in 2000. The statistics show, the elderly over our country 60 have already been up to 1 in 2005. 4,500 million, accounts for 11% of total population, and is also here by 3 every year. 3% of the speeds increase. By 2050, the old man over 80 will exceed 100 million. The Chinese Academy of Social Sciences works chief Cai Chuang says, the old people's total amount of China will be the first in the world in the future, old population's proportion will be the first in the world too. It is heavy that will be that China will bear soon to undoubtedly support parents. Among them, the life of the old man of serious illness is cared for with the medical attendance difficult point in the question of supporting parents more in the futurely at advanced age. Not long ago, the social welfare of Ministry of Civil Affairs and Wang ZhenYao, chief of promotion department of the charities revealed, can lose old man 9,400,000 in the whole country of China, the part can lose old man 18,940,000. Say he, attend to because of lacking by societying,one piece of mistake can old man minimum to influence by two family, so several ten million families can lose the old man's nursing question at least now in China Perplex. In fact, while starting in the loose hall and developing, Chinese Government and the society are considering the question of supporting parents progressively. As far back as 1992, incumbent minister of Ministry of Public Health Chen MinZhang said: Ministry of Public Health plans to regard approaching one's end care as one of the focal points of the tertiary industry of health care of our country, list in the development plan of the undertaking, impel it to develop in a healthy way. In 2004, the regional hospital that had at home evaluated the content of newly-increased approaching one's end care in the standard, pay attention to the policy guidance. Above-mentioned thing forest Zhu seem, mean loose undertaking of hall prospect limitless really. The industrialized wheel roars and crosses, even if carefullied attend the funeral rites of parents and followed them when gone with due sacrifices, grieved China and east Asian countries exerted an uplifting influence on sincerely by the Confucianists, also resist the stereotyped death processing procedure of this era. Say in " whether death, and approaching one's end " until famous spiritual medical science and death study Rose, Elizabeth of house, in her: "The important thing of a piece of end is, today's death course is more terrible and more detestable in many aspects, that is to say, more lonely, mechanized and inhuman The course of the death becomes and isolates but lacks human touch, the hopeless case patient is forced to transport from one's own familiar environment, send hastily to the hospital. " In this course, what people can do is to let the death become a little more dignified. The loose hall, the organization of the loose hall of the resembling, it was exactly this one that was done. It is to try to find out to the regular in trade thing earlier that specialized personnel lack the advantage of perplexing and supporting parents the trade forerunner. Zhu Lin says, the socialization of supporting parents is an inevitable trend, especially Chinese only-child's policy makes it more urgent, " 421 " Family composition last family to serious without being supported parents when bearing. However, it is still insufficient that the Chinese society prepares in socializing and supporting parents, this trade has a lot of things that are still far from understanding. "For example how look after old man, let them can accept then enjoy in old people's home, approaching one's end day of hospital, this is very difficult. " Enter the old man in the loose hall, originally some conflicts very much. "Just as that grandma that you saw in the hall just now does not accept this reality like that. They will often have the sense abandoned, it has aggressiveness very much that some still make. " There is a volunteer once close to a grandfather, wanted to talk and speak with him, that grandfather picked up the hot tea just made on hand to splash on guy finally. "The old man is different from general adult. " Zhu Lin says, it is the psychological talents of old man of research that the most urgently now to lack. "Study teenagers' psychology, there are ones that study marriage psychology, but study old man's psychology, analyze what their spirit needs is few, practical talents in this respect have less. " What the loose hall lacked most is psychologist. However, Li Wei's outsight to old man's psychology is stronger. He record and narrate a plurality of story of old man in " embrace death every day ", represent he exchange the ability linking up with old man among them. This is considered to be one of the successful knacks of loose hall too. At present, the loose hall basically asserts, the old man is very key in 15 days after moving in. No matter to the old man, or to relatives, is a bank in 15 days. The old man is admitted to hospital and the same as the child starts going to a nursery, relatives come to look everyday, it may not be all right. In addition, Zhu Lin says, no matter support parents, approaching one's end care, it is extremely key to attend to the team. With " phoenix " Tian president emphasize and have nursing staff to have different mercy,emphasize Lin Zhu also want nursing staff by passionate immunity. There should be mercy, because this job is very arduous; Want passionate immunity, because will often face the birth and old age,sickness and death straightly. The tragicomedy of human world is performed ceaselessly, if can not always control one's own emotion, this job is to do the relatively short one. "Once one was partial to workers, and the old man was together from morning to night, the emotion was very deep, the old man has left, too sad to control oneself, this is unsuitable. Should in love, can't so in love also, among them relation test people very much really. " Just like this, the nursing staff's flowability is the strongest. This and " phoenix " Situation the same. Another fact of meriting attention is, how to ensure the old man's rights and interests having the system, get regular support when their rights and interests are damaged and threatened in other words, and not merely depend on the conscience of the administrator and persons who attend to, it is still too difficult to have answers. The reporter sees, leave alone in " phoenix " ,In the loose hall, relatives and administrator playing chess on charging and service quality, it is the present only equilibrium method. Zhu Lin worries to this too, " the norm actually protects both sides. " Ask about whether it is personal,on if you can't there is 80 Lin Zhu at mothers old, say they be supported four a siblings by old manned at home. "Are you willing the old man lives in the old people's home or hospice? " "If condition permitting, we should respect will of old man, let they with live by oneself. It is unable to bear in the family, succour it under the pointless situation too, I will send the old man here too. "

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