rjfisunv miscellany palliative living willrjfisunv miscellany anchaleeporn wisitwong rn., ph...

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rJfisunv Miscellany Anchaleeporn Wisitwong RN., Ph D Boromaiachonani College of Nursing Sawanpracharak Nakhon Sawan Sawanpracharak Medical ]ournal ddu4vv llri b fluilYi s nuutuu-5u?lnil 2551 Vol.o No.a SeptemberDecember zooa nlroua?iil?urvssdet?ilu : firYsn:truBTsl -'--u 1' t Palliative Care : Living Will vdoodd oqraflr ?crnfi?{u flu.o. av4 2ilUlAUflglUlAU:ll:ITTUU l, v d fl?:tnil:uul:flu vud o{?t?o1{ft5fl?::fl da v I fl?::niltst1:nul?uil]: rloqfufi ,idr eriruruur n t6udr El u l J-" ,,t,t A o, , A"- A? U lTnnTfl U1 1N141 El {',:r'l1l? U tfi A1UA1 LilU 9 \VV a ma.: Ln:un1:nLtnn13J01n1: ?1:On1:qtLA {g rru u tl : v riu Ll :c n a,,l o u 6.,: ? 1 : s 6 Fl Yi1 u ? a.l fii n q {rJr erdeuln 61jfi flrumr Ej.: ur n{rfiau tYo fi.u ,avaadY ir.:ntu 6rtd.:nru an?6ufu1[tl :?aJn{uru?11 nr.: tn:ugfi o un vaiu f, lrtl Yl1.1 fl'l r LLfl n Ei rfl mrur unr:E$a?i? Ettilfi arlrha rmeird 4trriu O 99 n n1:A n n?1 il4 nfl ?1TtJ1U?1'1.1 fl 1 U Lfi ryil? El fi n runrnfii nrfi fi rvhfr qvriluhlfi 16'lfrfii nro ii q-q _ A 6, Av yh u d nuu nna{.:1ilufi:n zuil? uLtasn:au n:?3J L?a'l 1{ deO-- rnSu sJ n?1sJvl5o ru"[u nr?ttJArU dn1? n1:ru v{frnil:r n uii a'lfr fi rjr ufl 1 nh] a Eh.: d',:u g mT n umlula nin ur nrania#Eflnilfifi.: nr:*nn eiuuumsi'um n dt zua'lfr nr:4 rra {rJra m :ca a frr s u{l utrllor e.r ri.: fi i's rrfi u { rd a t* d r, & qq dA ovd ! s eo v fr'Tm-Lrdrfrdn [oulttnn:t].1tfl1 La ilJa{11tl q a o ooJ Y a e- nmilq5{ Luilaiau 6l n1:as.Lmo{n'113JQ5.1 L[av ,avad qn& c 6r e uil or uurilfl u nfr trrursdru Loluu altiluna{ uyvO a1 Flu n21ili n?13J tfl 1 [AA1nmA1 U{ilNA{ &^eu md n?13JQ:llYh.:n1Un1::nU1y'l U1U1A ?AU ttFl n1.:nOfi il1 u LLasn?1il tfirtolutta-n fl'] du1 6(a<&tv Ft'r dnr1a1rduT u rrnn 6i1:d 6t rJ:rv{Tud(' ) lfinrirr 6.:n:vuru n1:?ix u 6 orfii n {rlr a Aar (life sustaining procedure) nrudta:eLu{:efl1{ t e u I ei - A t I ri a r{r nu:r,,: n1 u ilil'l u nu tn:o{ fl a Ln n1',1 1 q a dr.: am:tfu t{l u nr:rir ar u rYn drri n?1 il t{lu dA'dt€ sJUUE fi iAA n n fuFl'l n?1 il tuutill*s a.l qq (dehumanization) n1:ilAtdEn1lfnu1 fn s n :cu r u nr:fi orfli nt a.: Ltv{ Tt EirY',: n eir r ocYir'lfi n:uu?u n1:?i? u tfi 6 a nud'[n fi ,'',, d6tdtva fr anrnta{ a't13J tilu tlql*?l o u1{ una:{ d ' aY & 'aL na nr:mt HO U1\: tJ fl n O fl :UU tO.: a1 n n1:Anr*T rru'irdtd nutnfi rrr El -) 4 : a j narfr{aaa n1:onraon.l nlTQntnntnH'l lJoeea6lYi uasd'.:Ylnu Lfl nn1fl na.ln1:no Ln:6lnnuTl ,o tv A Y Lt1[Arg',t ttasaflfl1.] I t?11 LtJoL?11F10.0n1: { )oetddvl fr.: nuLndnr u LLotacailfl a1ail n?1ilIdn LtaY

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Page 1: rJfisunv Miscellany Palliative Living WillrJfisunv Miscellany Anchaleeporn Wisitwong RN., Ph DBoromaiachonani College of NursingSawanpracharak Nakhon SawanSawanpracharak Medical ]ournalddu4vvllri

rJfisunv Miscellany

Anchaleeporn Wisitwong RN., Ph D

Boromaiachonani College of Nursing

Sawanpracharak

Nakhon Sawan

Sawanpracharak Medical ]ournalddu4vvllri b fluilYi s nuutuu-5u?lnil 2551 Vol.o No.a SeptemberDecember zooa

nlroua?iil?urvssdet?ilu : firYsn:truBTsl-'--u 1' tPalliative Care : Living Will

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Page 2: rJfisunv Miscellany Palliative Living WillrJfisunv Miscellany Anchaleeporn Wisitwong RN., Ph DBoromaiachonani College of NursingSawanpracharak Nakhon SawanSawanpracharak Medical ]ournalddu4vvllri

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Page 3: rJfisunv Miscellany Palliative Living WillrJfisunv Miscellany Anchaleeporn Wisitwong RN., Ph DBoromaiachonani College of NursingSawanpracharak Nakhon SawanSawanpracharak Medical ]ournalddu4vvllri

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(dd,Aq:1U0:fi1UOn6{1U14U.1

a yv a) y .irl ,d. Lna0.,:ruflnfl a.-1?l1v,l La1n1iln LFt

&vo ^v 3 aovv I id{ Lx LU?IUUnTTilU tJ LilAnn1TAfl1.:AUuan

Adr9dtmuaalflnnal?il1un?u

f, r n rfi rt fi a.:ii o'[u rfi riu n rr il Fi a m fi'retX

?\u'tu?11{n'h:utdylTsilT:3J Lnfl1a1Tfl y'lYt0'7l1dRn?

qqA q f vo auAUfl U 6U LfU'.IYI'IY{U U fl TTTJq

a a a vadu1flanFl n.:FIf,iYlEl ?\u'tu

5.A d Aulur[1t11u ?a1T6tJ ?,t'tut Tlu'tu

yrrry{:rnyr anrJolru airflau mtado@{

,.t1\{3J1^lq

avdail u a fl :Tilt? nta{n1uqm fi'Yr1 d

rfl u or-r a Ei r.: fi u-a n :: ru fii n d ua or.: ro n u 1?r o {, J u u r rf 9 r y

mlutn u?nunlTan n1TFlil?0nn1u L?a?{fi u1,aue )

L[n 3J LO LtdFh: rA nU1 rn A? nU fl 1::nUlyr EnUl A

TUUY6INfrlE]

nl:enu6 (dying well /the good

death)'Lurr.: nr: ttl'{yr dr :J'r s 6t nr:orr a, a- A a , d

A fl 1.1 tl FIn n fl : 6{.:U il:1 FiAl n n?1 il1] fl tYl:rJ1Ue t -k,.

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o-a- q

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nm m ulfu r{lu nr:mr u dmiakj la.rlfi a qjdant r

Page 5: rJfisunv Miscellany Palliative Living WillrJfisunv Miscellany Anchaleeporn Wisitwong RN., Ph DBoromaiachonani College of NursingSawanpracharak Nakhon SawanSawanpracharak Medical ]ournalddu4vvllri

nr:Qua{il?o:roEqafrru, firiun::riinitd S arjud 3 n.s.-fi.a. 25s1 Paltiative cre: Living wix 991

n1:m1 ufita n?1 il r6uil? nifl fiiu ruri a qiiiloA , J a ,,-- -q-ia

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ll.t tfr a.: thaunuil no.: Ft1 a Lr.lt1 n LT? ?11 fl fl {

fl 1il rY? La{aqi ral a'jr fl ioilqsmr fl mta #tmr n-&milnail'Juu"

n u'[u a 6 n fi n ?1 u rfl r'[o'[u n?1 il.J 'a%r d-a I

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)rrevLilaaut?41 EJlu L! Fl?1 il n1?fi u1Yl1\:'ln fl 1

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F|1.:61 11?111fifl.]::t

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u-.: nlu o:: Lt tr fi 1 fi u a r u a ci r.: ua s a r a L r'J a a 6 n

1rl fi r erjr oc'lfiin fl r fl r a nirvr eirdru1 n? u n ill

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(prolong life) aanliltfi Iil'jrfirai61pr

rfl u d.rfi n r :vi{ri'i r fii n ueu o ca EI"[u afl 1 nto

Page 6: rJfisunv Miscellany Palliative Living WillrJfisunv Miscellany Anchaleeporn Wisitwong RN., Ph DBoromaiachonani College of NursingSawanpracharak Nakhon SawanSawanpracharak Medical ]ournalddu4vvllri

vunr{ nu uneu 0 iltiu dn1il?a\l rid? Ei Fl1 [J n?1 il{

- idr a 6 ya:.:?ttuuo u uail:u Ft?1tJ nnrfi u n?1il Fta.]n1:{

v q O v\ c oov attasnlTnndu [a?a{atil?u nQu7t1 lltnr::nura

I QUda )o - u q,uaefl? u Lfi t?nr n1a{asnua{ LN n fl }luflu1 n1T,ve a alidr a rnia.:fi aoir.: 1 aufi 1 n?1ild.,:uleJtfr

992 6qr6rr: i?ndelri d?::d'ilTrurindntar:

, !a, Jm nil n,h ufi fi dau rfi Hefrorlunr:4 un t:1 n?:acn?efi u-n'[u a 4n1.,]l^tyt fi Fllaurdaou

,ly-,^,-ds e v "t v v .ii'ir "riio6srrflim,lilo{ua? nluilou?t?{nneiki-d-e--tlt f , e ^c<,r v 1r,riio6n'hirairiluo{rda gnfi fi riluilunirnlsi"

n1:asrfl16{nmcd rfl uan61fr daruduadriuq{

rfi n rJo o'EJ fi rfl u a -ri'luz ruc r 6 a r niu n r : rf,,r'lo'Luq{

fi a n 0'::ri 14 r,u,J n rat6u rJ:ftJd n fi ilual n rlu6 n.qy da

ov?]1 lfi tJul*urnail,:6u6t0i u0rJtu n?1 3J05{?a{q

n?1 il Fl1 u tri ru a.,: ner ru nr fl rfl ud.odilr na-a

{rJrenaervaorfrrcrlfirr.,:rmuirrunr-ufi nmrurfi.r'lo

il ulum {il? uluarrqorfn a rilulil o drt rfi rJ1c6til

9AloRfll:01{o,il

. A c& t v € t av E at. ipei 6rr.l:sniuri. n1:nluaEi'r-,:frr{'nErtizo{n?1ilr{luilqu{. ranaml:snaunr:#ruruur

A C etvyt, Ji vnr{au1n1rr5a.: "nr: [r4{drflfrfrufiirnrflaEir{6r{u: irruaruuurfin{ifirJfruh,,; o1

fiurnal 2s44; ru. fra.,:uaa fi nruvfi6rr1fin5 ruurimerra-s6::r.rFt'r6rFr5. n:..:rynrs,q

2544. (ranmrfadlrul)

2. Lt6?\: urutafisJamd. nr:intuntrarurarfthu:crlsdnfi1fln?1sJai{rntn,t:lLy{mEifiu?auL?Fr

m1{n0}1rJ1u. rofl6{1fl1:rnaunrmJ:4uimnr:rdo.: fifia.:d':rrunr:4Lm{ilzElrsusdorfr1u;{{q

9-11 n:n01nil 2ss't; I:.,:ru:rurfiry{:yu1il1in n?\:[ytyre: rYnffianrnr:firuvfl; ZSS1.

s. igo::nr;6urrvi{rlualruti'n:1ma u.d.2s4o outnqr*fin1 fl.FI. 2s40, rlrnaalurunul,JJ'

rrirufi 14, noufi ss. (a.,:{ufi 11 mn1nil zs4o;

4. n::6uaiu1 d?i{. azaofrrErfiilarElnr.rrzufirynmetmruoEil{d.,tu. n:{Lny{y: fir.,:{udru

d1ilan1; 2549.

5. Proulx K, Jacelon C. Dying with dignity: the good patient versus the good death.

American Journal of Hospice & Palliative Medicine ZOO4; 21 (Z): 'l 16-20.

6. n:slunra iarla. :c6n6.Jnmila.rHdulHfn n1:ra3ililrruafi'Luffimrl:cdrriu. flt.tLyrr{e:

fi'r.rfrudaudliJdrll; zsst .