Basic introduction Chinese name: hospice ward function: nursing, consultation and education. Object: Nursing mode of patients and their families: passport club group, ward, home care ward function, home care function, continuous care, hospice care mode, all-round care, patient's mental journey, continuous learning, and nursing ward function should include: 1 Nursing service center, 2. Educational demonstration. In short, it is a promotion center, or what I call a "base". It can serve patients and their families, train medical staff and students in hospice care, and educate the general public about life and death. It can be used as a base for health education, consultation and service. Frankly speaking, after setting up hospice care wards, major hospitals have become "tourist areas" of hospitals (if tickets are collected, the losses can be made up). For the hospice care team, this is the place to serve patients and their families; For hospital directors, it is a place to promote the concept of "respecting life". Hospice care for the aged at home emphasizes "four comprehensive care" (whole person, whole family, whole process and whole team care), so it is a complete care of body, mind and spirit; Not only care about patients, but also care about taking care of family members; We should not only take care of the sick to the end, but also help our families through their grief; And cooperate with doctors, practical nurse, social workers, volunteers, religious teachers and other relevant personnel to take care of patients and their families. Therefore, peaceful home care respects patients' autonomy: patients are masters in their own homes, and medical staff visit patients like visitors; In addition, meet the needs of human nature: because the most comfortable and accustomed place in life is your home, it is more important to have peaceful home care, so as to achieve continuous care. The basic goal of hospice care is to realize the lifestyle that patients want as much as possible, so when patients want to spend the rest of their lives at home, we must provide hospice home care services. There are two kinds of continuous nursing care for general inpatients discharged from hospital: MBD (stable or recovered condition) and AAD (opposing the suggestion of discharge). There may be another way for patients with advanced cancer to leave the hospital: discharge due to terminal illness (DDT), which is also the saying "take a breath and go home". Based on the concept of "respecting life" and the practice of "respecting patients' autonomy", patients with advanced cancer should not be discharged against the doctor's advice. When the condition is stable, patients can go home with MBD and continue to receive hospice home care services. When the condition is seriously deteriorated, patients can go home by DDT, receive hospice care at home according to their own wishes, and die at home. If patients and their families can accept dying in the hospital, they will stay in the ward for hospice care. For the latter two, dying education and dying preparation are very important. We have made health education leaflets with terminal symptoms, and also assisted family members to make preparations for dying, make arrangements for the aftermath in time, and avoid taking unnecessary measures such as cardiopulmonary resuscitation to increase the suffering of patients before dying. After the death of the patient, the grief counseling of the family members continued. Anning home care team will regularly follow up the grieving family members, including sending greeting cards, telephone interviews and home visits. Until family members return to normal life. Although the national health insurance does not pay for the work of "grief counseling", we still provide this service to achieve home care and comprehensive care. At present, there are only three modes of hospice care in China: hospice passport group, hospice ward (acute ward) and hospice home care. A complete hospice care model should also include: hospice care center or nursing home, day care center, chronic care and note consultation center. The hospice ward in China used to be an acute ward. At the beginning of 1987, Tzu Chi Hospital's application for changing the new ward into a special ward was approved by the Ministry of Health. Should be able to meet the objective needs of hospice care in the future. Establishing provincial hospice care referral network and regional hospice care center is the goal that needs to be continued. All-round nursing and hospice care need multi-technology integrated treatment (such as cooperation of traditional Chinese and western medicine), with the goal of controlling symptoms and improving quality of life. Therefore, not a specialist can solve all the problems of patients. If you have any questions or unprofessional questions, you should consult other experts. We call it "doing our best" for patients. As long as it is beneficial to the patient and recognized by the patient, we must try our best to respect his decision. The mental journey of patients Most patients with terminal cancer and their families have gone through a complicated process of seeking medical advice and medicine, and there are also many psychological troubles. It takes time to care and understand. We just need to listen, not criticize or draw conclusions. What we can do is to spend this difficult time with them. Don't criticize Chinese medicine, herbs, folk remedies or western medicine, and don't blame patients and their families for their previous wrong decisions and behaviors, because this is a fait accompli, and it is useless to talk more. What we should do is to face the reality and grasp and cherish the little time left. Members of the continuous learning hospice care team should admit their own limitations and pursue new knowledge in all directions. As long as it is beneficial to patients, it is our learning goal. Without self-restriction, doctors can study nursing, sociology, religion and so on. Other people can study medicine, oncology, communication, etc. , so as to maximize their role and provide the best service for patients and their families. We are all human beings, and we are all vulnerable at times, so we should support each other and grow together. (The writer is a family physician at Hualien Tzu Chi Hospital. )