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((Cure)Cure)((Prolong life)Prolong life)((Improve the Improve the quality of life)quality of life)
To cure sometimeTo cure sometimeTo relieve oftenTo relieve oftenTo comfort alwaysTo comfort always
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FabiolaFabiolaHospiceHospiceSt. Vincent de PaulSt. Vincent de Paul((Sisters of Charity)Sisters of Charity)((Irish Sisters of Irish Sisters of Charity)Charity)((St. JosephSt. Josephs Hospice)s Hospice)
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((Dame Cicely Saunders)Dame Cicely Saunders)19671967((St. St. ChristopherChristophers Hospice)s Hospice)((Hospice care)Hospice care)((Palliative medicine)Palliative medicine)((Hospice Hospice care)care)((Palliative Care)Palliative Care)
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Dame Cicely Saunders Dame Cicely Saunders
((Total Total Pain Care)Pain Care)
((Care in their community)Care in their community), , , , ((Continuity in care)Continuity in care)
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Definition of Palliative Care by Definition of Palliative Care by WHO,1990WHO,1990
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--
19701970s s 829829
1982 1982 ,,1990 1990 1991 1991 1993 1993
1994 1994
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--
1995 1995 1996 1996 (())1997 1997 (())(() ) 1998 1998 1999 1999
-
--
2000 2000 [[]], , (())(())
2001 2001 2002 2002
2003 2003
-
1995 1995
1996 **1996 **
****
****
****6060
-
2000 2000
2000 2000 ( 2000/7 )( 2000/7 )
2000/5/23 2000/5/23 DNRDNR
2002/11/22 2002/11/22
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1990, WHO
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--Holistic CareHolistic Care --Family CareFamily Care --Team CareTeam Care
-- Continuing CareContinuing Care
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(1)(1) ((Hospice Hospice
InIn--patient care) patient care)
Acute & chronicAcute & chronic
(2)(2) ((Hospice home care)Hospice home care)
(3)(3) ((Hospice day care)Hospice day care)
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(1)(1)
(2)(2)
(3)(3)
(4)(4)((Uncertainty)Uncertainty)
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() ()
-
1.1.2.2.3.3.4.4.5.5.6.6.7.7.8.8.9.9.10.10.
89.789.785.585.579.979.967.867.856.656.650.050.048.148.144.044.036.936.936.936.9
11.11.12.12.13.13.14.14.15.15.16.16.17.17.18.18.19.19.20.20.
34.134.132.232.231.831.831.331.330.430.422.922.922.522.519.119.118.318.316.416.4
-
((Total Pain) Total Pain)
Total Pain
- Dame Cicely Saunders --- (Total Pain)