A Model for Developing the Quality of Life of Bedridden Monks In Muang District, Chiang Mai Province

Abstract

This action research aimed to 1) study the issues of bedridden monks in Mueang District, Chiang Mai, 2) develop care activities for them, and 3) propose care guidelines at Doi Sapphanyu Palliative Care Center. Using a qualitative approach, the study involved on-site activity development and interviews/focus groups with 27 key informants from four groups. Data were analyzed through content analysis.

The research findings revealed the following: Problems concerning the care of bedridden ill monks were identified across five dimensions: 1. Physical well-being, 2. Mental well-being, 3. Social relationships, 4. Environment, and 5. Spiritual well-being. These problems ultimately result in a state of helplessness at the end of life for elderly and terminally ill monks. The development of activities for the care of bedridden ill monks at Wat Doi Sapphanyu Palliative Care Center, Mae Wang District, Chiang Mai Province, involved the following steps: Step 1: Analysis of problems in the care of bedridden ill monks, which revealed issues related to a shortage of personnel, a lack of necessary knowledge for caring for ill monks, and problems with coordination with networks. Step 2: Activity design through a participatory process involving monks, relevant government agencies, and local residents. Step 3: Implementation of activities for the care of bedridden ill monks, which included: a meeting to develop the mechanism of the Wat Doi Sapphanyu Palliative Care Center; the creation of a development plan for the Wat Doi Sapphanyu Palliative Care Center; and a capacity-building activity for personnel through the training of Phra Khilanupaṭṭhāka (monastic caregivers). Step 4: Evaluation of activities and readiness.The guidelines for the care of bedridden ill monks at Wat Doi Sapphanyu Palliative Care Center, Mae Wang District, Chiang Mai Province, comprised four elements: (1) Establishing a system for caring for and promoting monastic foster caregivers or monastic volunteers within the temple to care for bedridden ill monks. (2) Community and network partner participation in the care of bedridden ill monks at Wat Doi Sapphanyu Palliative Care Center. (3) Developing specific operational guidelines and manuals for the Wat Doi Sapphanyu Palliative Care Center.
(4) Integrated Buddhist-based health care for the relief and cessation of physical and mental suffering.