Pa-Auk Meditation Centre (Singapore)

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《生死间的智慧与慈悲》研讨会

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《生死间的智慧与慈悲》研讨会

主讲者: 玛欣德尊者

以及新加坡老人内科、慈怀护理专科医生和医疗人员

2015年 7月 4日 - 5日

 

讲题目录
1. 死亡的医学定义
2. 以佛法观照死亡的真相
3. 如何与病患谈生论死?
4. 临终病人所需要的慈怀护理
5. 生命升沉的关键

——

临终关怀的重要性
6. 如何走出丧失亲人的悲伤情绪?
7. 安乐死

——

对与错?
8. 如何以佛法关怀临终病患?
9. 针对临终病人的慈怀护理设施以及服务
10. 你要采用生命维持设备延续生命吗?
11.

当我失去心智能力 ——

预先医疗指示, 预先关照计划以及持久授权书 的重要性

12.

生命的本质是什么?

 

 

讲题Topic

讲题简介Synopsis

主讲者Speaker

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节目介绍 - 第一场
Programme Introduction (1)

 


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三皈五戒
Three Refuges and Five Precepts

 

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开幕献词
Opening Speech

洪孟珠博士
Dr Ang Beng Choo

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1. 死亡的医学定义
What is death?

 

 

您想知道死亡的过程吗?在医学上,医生会以一套严谨的鉴定方式证实死亡。医生是以心脏停止跳动、呼吸停止还是其他方式鉴定呢?脑死和心脏死亡又有什么根本上的不同?在医生为脑死病患做器官捐赠手术的时候,捐赠者是否已经真正死亡?他还有主观意识和疼痛感知吗?

The speaker will talk about the symptoms commonly experienced by a terminally ill patient, as well as the physiologic processes that occurs when a person dies. He will also explain the medical definition of death – brain death versus cardiac death, and draw references to their applicability in the Human Organ Transplant Act.

陈智勇医生
新加坡伊丽莎白医院综合疼痛医疗中心
资深麻醉及疼痛学顾问医生

Dr Tan Tee Yong
Consultant Pain Specialist
Consultant Anaesthesiologist
Integrative Pain Centre, Mount Elizabeth Medical Center
MBBS (Singapore), M.Med. (Anaesthesiology)(Singapore)
FFPMANZCA (Pain Medicine)(Australia), Diploma in Acupuncture (SCTCM)(Singapore)

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2. 以佛法观照死亡的真相
What is the truth behind death?

 

了解了死亡在医学上的定义,我们也有必要明白佛法对于生命、死亡、以及轮回的定义。 让我们通过巴利三藏中的阿毗达摩,剖析生死的真相。

The speaker will explain the Buddhist metaphysical understanding of human existence, as well as the intricacies of the dying process as outlined in the Buddhist Abhidhamma (The Third Collection of the Buddha’s teachings in the Pali Tipiṭaka).

玛欣德尊者
缅甸帕奥禅林禅修业处老师
中国西双版纳法住禅林禅修业处导师

Venerable U Mahinda
Meditation Teacher (Kammaṭṭhānācariya)
at Pa-Auk Forest Monastery, Mawlamyine, Myanmar &
Dhammavihārī, Xishuangbanna, China

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3. 如何与病患谈生论死?
Talking about Death and Dying with Loved Ones – The Impact of Collusion

 

死亡是一个在华人社会里头,人人避忌的话题。每个人都难免会贪生惧死。这间接地使到病患和家属无法坦诚地讨论关乎医疗、家庭、身后事等的重要课题。谈生论死是需要技巧的。我们应该如何善用沟通技巧,和临终亲友坦然讨论生死问题?

The speaker will be discussing the socio-cultural factors surrounding collusion, as well as the pros and cons of revealing to the patient, his diagnosis and prognosis. She will elaborate on the communication skills necessary in discussing end-of-life issues with terminally ill patients, so as to elicit their wishes and goals at the end of life.

黄诗荃小姐
新加坡陈笃生医院
高级社工

Ms Lynette Ng
Senior Social Worker
Department of Care and Counselling
Tan Tock Seng Hospital

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节目介绍 - 第二场
Programme Introduction (2)

 

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4. 临终病人所需要的慈怀护理
What are the needs of a dying patient?

许多人认为死亡必定是痛苦的。但是,在新加坡,慈怀护理部门的专科医生和医疗团队却能够有效的舒缓病患的病痛。到底什么是慈怀护理? 它又是怎么通过生理、心理、家庭以及宗教等环节,全方位地 帮助病患安然面对死亡?

The speaker will present the fundamental principles of palliative care, as well as the common misunderstandings about the use of opiod medications in relieving pain and breathlessness.

斐珠慧医生
新加坡陈笃生医院
综合内科顾问医生
慈怀护理科顾问医生

Dr Poi Choo Hwee
Consultant,
Department of Palliative Medicine
Department of Internal Medicine
Tan Tock Seng Hospital
MBBS(S'pore), MMed (Int Med) (S'pore), MRCP (Int Med) (UK)

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5. 生命升沉的关键——临终关怀的重要性
The Rise and Fall of Life in Samsara – The Importance of Care at the End of Life

佛陀说:“有情是业的所有者,业的继承者,以业为起源,以业为亲属,以业为皈依处。业使有情有劣与胜的分别。” 什么是因果业报?因果法则是如何左右我们投生的去向呢?善巧的临终关怀是否能够帮助病患善终、并投生善处?

The speaker will expound on the teachings of kamma and how it influences death and rebirth. In addition, he will highlight the importance of appropriate care at the end of life, with regards to its promotion of well-being in this life and the next.

玛欣德尊者
缅甸帕奥禅林禅修业处老师
中国西双版纳法住禅林禅修业处导师

Venerable U Mahinda
Meditation Teacher (Kammaṭṭhānācariya)
at Pa-Auk Forest Monastery, Mawlamyine, Myanmar &
Dhammavihārī, Xishuangbanna, China

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6. 如何走出丧失亲人的悲伤情绪?
How to Cope with Grief and Bereavement

丧亲之痛,不足為外人道。在至亲离世以后,许多家属和亲友因为放不下已逝世的亲人,悲痛莫名。甚至在若干年后,仍然不自觉地在心里隐藏着郁结。我们应该如何放下悲伤,继续积极迎向未来呢?

The speaker will be presenting on grief and bereavement as experienced by family members who have lost their loved ones from a terminal illness. In addition, he will speak on how a bereaved care giver may cope with these emotions and eventually return to a fruitful life.

Mr Lawrence Lim
新加坡陈笃生医院
首席医疗社工

Principal Medical Social Worker
Department of Care and Counselling
Tan Tock Seng Hospital
Master of Science in Systemic and Family
Psychotherapy (UK), Bachelor of Arts - Social Work (Singapore)

** Mr Lawrence Lim 是一名基督教徒。这次演讲只对相关课题进行教育性的探讨。Mr Lim is a christian. This speech only provides information on the topic from a secular perspective.

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专题问答
Panel Questions & Answers

玛欣德尊者以及医疗人员
Venerable U Mahinda and Medical Care Team

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节目介绍 - 第三场
Programme Introduction (3)

 

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三皈五戒
Three Refuges and Fiver Precepts

 

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7. 安乐死 —— 对与错?
Medically Assisted Dying – Is It Legal, Ethical or Moral?

 

人人都希望自己能够安详、平静地离世。为了回避病痛,掌控死亡,国际社会有许多学者鼓吹安乐死的合法化。 什么是安乐死?它合乎法律以及道德规范吗?

The speaker will be explaining the different modes of medically assisted dying, including euthanasia and physician-assisted suicide, highlighting that these are illegal and medically unethical in our society. Distinction will be made between these illegal practices and palliative care, which is aimed at alleviating suffering at the end of life, without the intention of prematurely terminating life.

李忠胜医生
新加坡陈笃生医院
慈怀护理科副顾问医生

Dr Lee Chung Seng
Associate Consultant, Department of Palliative Medicine
Tan Tock Seng Hospital
MBBS(S'pore), MMed (Int Med) (S'pore), MRCP (Int Med) (UK)
GDGM (S’pore)

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8. 如何以佛法关怀临终病患?
Spiritual Support for a Dying Buddhist

众所周知,从佛教的观点上说,人在临终最后一刻的心灵状态非常重要。我们的最后一个念头直接影响着我们往生的去处。往下沉沦,我们将投生地狱道、饿鬼道、畜生道、阿修罗道。往上投生,我们将投生为人、又或者为天人。亲人以及家属应该如何以佛法循循善诱,帮助病患维护善念、安然离世、往生善趣呢?

The speaker will expound on psycho-spiritual needs of the terminally ill patient, as well as the spiritual care essential to supporting a dying patient at the end of life. He will also be addressing common cultural and religious practices that family members engage in, to facilitate a good rebirth.

玛欣德尊者
缅甸帕奥禅林禅修业处老师
中国西双版纳法住禅林禅修业处导师

Venerable U Mahinda
Meditation Teacher (Kammaṭṭhānācariya)
at Pa-Auk Forest Monastery, Mawlamyine, Myanmar &
Dhammavihārī, Xishuangbanna, China

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9. 针对临终病人的慈怀护理设施以及服务
From Hospital, Home Care to Hospices -Medical Services Available for Terminally Ill Patients in Singapore

 

许多身患重病的年老病患并不喜欢常常进出医院接受治疗。对于他们而言,能够在家中安祥地度过剩余的岁月,比起利用高端科技延长生命更为重要。随着病情的逐年恶化,病患需要的是一个完善的医疗体系,全方位地照顾他们。新加坡有什么医院以及社区服务设施,能够有效地支援末期病患,帮助他们维持生命质量、有尊严地走完生命最后的旅程呢?

The speaker will be discussing the various palliative care services available to a patient who is terminally ill, these include tertiary hospital palliative units, hospices, as well as palliative home care providers.

沈来娇女士
新加坡邱德拔医院
临终关怀科护士长

Ms Sim Lai Kiow
Palliative Care Nurse Clinician
Registered Nurse, Registered Midwife
Khoo Teck Puat Hospital

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节目介绍 - 第四场
Programme Introduction (4)

 

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10. 你要采用生命维持设备延续生命吗?
Withdrawing or Withholding Life Sustaining Treatment (LST) in the Terminally Ill

 

现在的医药科技一日千里,先进医疗器材能够人为地维持生命, 但也带来了许多沉重的代价。这类激进的医疗手段有什么利与弊呢?我们又应该如何审视这个严肃的课题,并为自己或者家人做出明智的抉择?

The speaker will explain the different modes of extra-ordinary life sustaining treatment available in tertiary hospitals, as well as their indications, benefits and fallibilities. He will further discuss the principles that guide doctors, patients and family members decide on the continuation or withdrawal of these therapies in a patient suffering from advanced illnesses.

梁涵宇医生
新加坡陈笃生医院
老年内科顾问医生
慈怀护理科顾问医生

Dr Neo Han Yee
Consultant,
Department of Palliative Medicine
Department of Geriatrics Medicine
Tan Tock Seng Hospital
MBBS(S'pore), MMed (Int Med) (S'pore), MRCP (Int Med) (UK)

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11. 当我失去心智能力——预先医疗指示, 预先关照计划以及持久授权书 的重要性。
When I Loses Mental Capacity – The Importance of the Advanced Medical Directive (AMD), Advanced Care Planning (ACP) and the Lasting Power of Attorney.

 

当我们因为疾病丧失心智能力时,我们将无法清楚地向家人和医生表达自己对医疗选项的意愿。在新加坡,国民能够通过预先医疗指示 (AMD), 预先关照计划(ACP),以及持久授权书(LPA),提前把自己的想法记录下来。这些文件是什么?它们有法律约束性吗?我们应该如何通过它们,保障我们預先订定的意愿能被尊重?

The speaker will be explaining the ethical concept of respecting patient autonomy, as well as how the Advanced Medical Directive (AMD), Advanced Care Planning (ACP) and the Mental Capacity Act (MCA) helps protect an individual’s right to self-determination. He will be discussing on their differing nature, purposes and context of application.

黄卫众医生
资深老年内科医生
邵氏基金华美中心医药总监
华美流动诊所助理署长

Dr Ng Wai Chong
Medical Director, Hua Mei Centre for Successful Aging of Tsao Foundation.
Assistant Director, Hua Mei Mobile Clinic
Vice President, Home Health Care Association MBBS(S'pore), GDGM(S’pore)

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12. 生命的本质是什么?
What is the nature of Existence?

在佛教的教义中,所有有情众生都在六道轮回中,升升沉沉、轮转不断。我们想要拥有超脱生死的智慧,就必须通透地理解生命的本质和价值。我们应该如何积累生命的资粮,远离三恶趣?我们应该如何积累解脱的资粮,最终证悟涅槃呢?

In Buddhism, sentient beings rise and fall in the tides of samsara. To possess the wisdom to go beyond life and death, one must penetrate the true essence of our existence. The speaker will be expounding on the Buddhist understanding of the intrinsic nature of human existence, as well as the value of life.

玛欣德尊者
缅甸帕奥禅林禅修业处老师
中国西双版纳法住禅林禅修业处导师

Venerable U Mahinda
Meditation Teacher (Kammaṭṭhānācariya)
at Pa-Auk Forest Monastery, Mawlamyine, Myanmar &
Dhammavihārī, Xishuangbanna, China

 

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