节目介绍 - 第一场  (04/07/2015)

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三皈五戒 (04/07/2015)

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开幕献词 (04/07/2015)

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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.

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).

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.

节目介绍 - 第二场  (04/07/2015)

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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.

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.

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.

专题问答 (04/07/2015)

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 (05/07/2015)

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三皈五戒 (05/07/2015)

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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.

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.

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.

节目介绍 - 第四场 (05/07/2015)

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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.

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.

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.