醫務社工不藏私

‘Better to die well than to live poorly.’In an age of ever-advancing medical technology, the longing for a natural death has become an increasingly heartfelt wish at the end of life.When it comes to the quality and quantity of life, each person has their own standards, their own beliefs—there is no absolute right or wrong.At life’s end, some people wish to fight against illness until their very last breath;others hope to spend those final moments sharing time with loved ones or fulfilling lifelong dreams.Whatever choices or plans we make, may we all, in our final days, find peace—and leave this world gently and well.In this episode, Pammei and Lee-san explore the complex and sensitive topics of patient autonomy and euthanasia.‘Euthanasia,’ from the Greek meaning “good death” or “death without suffering,” refers to intentionally ending one’s life to relieve unbearable pain (WMA).- Euthanasia: when another person administers a lethal substance to end the patient’s suffering from an incurable illness.- Physician-assisted suicide: when a doctor prescribes and provides the means, but the patient takes the medication themselves.- The right to refuse treatment: when a physician respects the patient’s wish to forego artificial life-prolonging measures, allowing life to end naturally.(Source: Hospice Foundation of Taiwan)”Apple Podcast：Spotify：Share your thoughts on this episode here: https://open.firstory.me/user/cmcihfnnk06ig01xec5jf5a4w/commentsOr drop me an email—tell me what color the ocean is today… (just kidding~)msw.nosecrets@gmail.comWe’ve also got a Facebook & IG page now, so don’t forget to like and follow!Facebook: https://www.facebook.com/profile.php?id=61579195030101”Instagram: https://www.instagram.com/msw.nosecrets/這一集是中文版第9集「 病人自主路上 你我他 ~「安樂死」真的是我想的那樣嗎？ 」的英文版。留言告訴我你對這一集的想法： https://open.firstory.me/user/cmcihfnnk06ig01xec5jf5a4w/comments我們有粉絲專頁囉～歡迎按讚追蹤！https://www.facebook.com/profile.php?id=61579195030101Powered by Firstory Hosting

醫務社工雖然不能摘器官、放器官(ㄟ~)但是在器官捐贈的流程中 醫務社工扮演了很關鍵的角色在前端 潛在器官捐贈者的勸募作業醫務社工往往都被醫療團隊期待能扮演那勸募的開啟者如何與家屬開口提到器官捐贈？又 如何能讓家屬認同並接受器官捐贈這檔事？箇中辛酸苦楚與會談技術難以道與外人知啊~台灣的器官捐贈發展至今已較能讓大眾所認識與接受例如一般熟知的大愛捐贈、心死捐贈抑或親屬間的活體捐贈這些 都不是想捐就捐的各有一些嚴謹的規範與倫理考量的我們就來一起討論一下吧~#醫學倫理原則自主原則(Autonomy)不傷害原則(Non-maleficence)行善原則(Beneficence)公平正義原則(Justice)誠信原則(Veracity)保密原則(Confidentiality)Apple Podcast：Spotify：留言告訴我你對這一集的想法： https://open.firstory.me/user/cmcihfnnk06ig01xec5jf5a4w/comments也可以寫信告訴我們，今天海是什麼顏色......（喂～）msw.nosecrets@gmail.com我們有粉絲專頁囉～歡迎按讚追蹤！https://www.facebook.com/profile.php?id=61579195030101https://www.instagram.com/msw.nosecrets/Powered by Firstory Hosting

ヘイ〜前回のエピソード、まだ話し終わってませんよ〜！医療トラブルの処理って、本当に奥が深いんです。ちょっとやそっとの経験じゃ太刀打ちできない、まさに「修羅場の梁山泊」って感じですね（笑）。さて、「医療事故防止および紛争処理法（いわゆる医預法）」の立法精神には、医療行為によって傷ついた患者に対し、医療側がまず“関懷（ケア）”と“説明”を行い、共に損害の回復や医療者と患者との関係修復を図る、という願いが込められています。……どこかで聞いたことがある考え方だと思いませんか？そう、「修復的正義（レストラティブ・ジャスティス）」の理念と、とてもよく似ているんです。「修復的正義」と聞くと、司法ソーシャルワーカーや保護領域のソーシャルワーカーならピンとくるかもしれませんが、医療ソーシャルワーカーにとっては、ちょっとだけ馴染みの薄い言葉かもしれません。では、修復的正義と医預法の関係って、どんなものなんでしょう？医療の現場でトラブルが起きたときに大事なのは、正直さと向き合う勇気。でも、謝り方って難しいですよね。誠意を見せたいけど、下手すると「過失を認めた」と取られてしまう……。そう、誠実で、かつ上手な表現――これはまさに芸術の領域です。今夜は、そんな修復的正義と医預法の深いつながりについて、ゆっくり語っていきましょう。Apple Podcast：Spotify：番組への感想は、こちらのコメント欄からどうぞ：https://open.firstory.me/user/cmcihfnnk06ig01xec5jf5a4w/commentsメールもお待ちしています。「今日の海は何色かな……（えっ!?）」msw.nosecrets@gmail.comそれから、Facebookページもありますので、ぜひ「いいね」と「フォロー」をお願いします！https://www.facebook.com/profile.php?id=61579195030101這一集是中文版第 8 集「 來說一說蘊含修復式正義精神的醫預法 」的日文版Powered by Firstory Hosting

Hey—last episode wasn’t the end of the story.Handling medical disputes is a huge challenge—you can’t just walk into it without some real skills.Taiwan’s Act for the Prevention and Resolution of Medical Incidents was written with one big hope: that when medical harm occurs, the healthcare provider will step forward first—to show care, to explain, and to work with the patient and family toward restoring both damages and the doctor–patient relationship.Sound familiar? That’s right—it carries a spirit very close to restorative justice.Now, restorative justice might ring a bell for judicial or child protection social workers, but for us medical social workers, it still feels a little unfamiliar. So what’s the real connection between restorative justice and the Medical Incident Act?When medical harm or disputes arise, the key is honesty and facing the issue directly. But here’s the tricky part—how do you express apology with sincerity and skill, without making it sound like a confession of guilt? That’s where the art comes in.In this episode, let’s take our time to unpack what restorative justice really means in the medical field, and how it shapes our practice as medical social workers.Apple Podcast：Spotify：Share your thoughts on this episode here: https://open.firstory.me/user/cmcihfnnk06ig01xec5jf5a4w/commentsOr drop me an email—tell me what color the ocean is today… (just kidding~)msw.nosecrets@gmail.comWe’ve also got a Facebook & IG page now, so don’t forget to like and follow!Facebook: https://www.facebook.com/profile.php?id=61579195030101”Instagram: https://www.instagram.com/msw.nosecrets/這一集是中文版第 8 集「 來說一說蘊含修復式正義精神的醫預法 」的英文版。Powered by Firstory Hosting

「你們是世上的鹽。鹽若失去了味，怎能叫它再鹹呢？…你們是世上的光…你們的光也當這樣照在人前，叫他們看見你們的好行為，便將榮耀歸給你們在天上的父。」(馬太福音 5:13-16)一段聖經上的文字，卻也帶出了靈性支撐與組織文化支持對我們的自我修復是很重要的~醫務社工相對於醫療場域中其他專業角色來說，壓力為何山大？因為個案永遠不是我們自己挖掘出來的，往往是被動的被照會、被動的被尋求要求協助~因為醫務社工永遠面對的都是人生最大的難題，如家暴、性侵害、醫療糾紛、案家的家庭糾葛…因為醫務社工的專業認同度相對較弱，我們需要常常自我鼓勵，以理念支撐工作的根底~因為醫務社工沒有專屬的業績獎金…親愛的~學習與練習讓超越時空的感受、連結與思考能力的靈性韌力，讓我們面對棘手的困境，也能披荊斬棘~或許眼前是無可抗拒的障礙，令人感到絕望但隨著將時間感拉長來看，必然會出現曙光與希望必須打開靈性的眼光來觀看及領受祝福的來臨~也許我們總是專注在照顧他人、卻忘了愛護自己願你我 能在照亮他人之前，先回到自己內在的光中 療傷、復原、再出發~#建立靈性支持文化的組織行動Ø 醫院組織須建立靈性支持文化，減少助人者的耗竭Ø 管理階層須設計制度兼顧員工心理與靈性的照顧Ø 組織須提供專業韌力培訓，持續性的提供個人與團體支持Ø 建立偵測與預防「職業倦怠」與「慈悲枯竭」的高度風險者等症狀的發生留言告訴我你對這一集的想法： https://open.firstory.me/user/cmcihfnnk06ig01xec5jf5a4w/comments也可以寫信告訴我們，今天海是什麼顏色......（喂～）msw.nosecrets@gmail.com我們有粉絲專頁囉～歡迎按讚追蹤！Facebook: https://www.facebook.com/profile.php?id=61579195030101Instagram: https://www.instagram.com/msw.nosecrets/Powered by Firstory Hosting