DNRは,OR.で,そして,DNRは,OR.で 術的リスクとしての蘇生
1Department of Internal Medicine, University of South Florida College of Medicine, Tampa 33612-4799.
JAMA
|November 6, 1991
まとめ
DNR (Do-not-resuscitate) 命令は,緩和外科手術中に遵守されるべきである. これは,患者の自律性を尊重し,医師の干渉なしに,手術の利益と蘇生リスクのバランスをとることができます.
科学分野:
- 医療倫理 医療倫理について
- 外科腫瘍学外科腫瘍学
- 緩和ケアとは,緩和ケアです.
背景:
- DNR (Do-not-resuscitate) 命令は,緩和手術の前に撤回されることが多い.
- これにより,患者の希望と外科的介入の間の矛盾が生じます.
- 既存のDNR政策は,手術中の蘇生の倫理的ジレンマを無視しています.
研究 の 目的:
- 内部的なDNR命令を尊重する許容性について議論する.
- 緩和外科手術中の医師の倫理的考慮事項に対処する.
- 患者の自律性と医師の責任のバランスを探す.
主な方法:
- 患者の権利と医師の懸念の倫理的分析.
- 類似した状況 (例えば,エホバの証人) と比較する.
- 双重効果の原理の適用について.
主要な成果:
- 治療を拒否する患者の権利は最優先です.
- 医者の道徳的懸念は,倫理的枠組みを通して緩和することができます.
- 緩和手術中の手術中の死亡は,二重効果として見ることができる.
結論:
- 内部的なDNR命令は,尊重されるべきです.
- 緩和外科手術において患者の自律性を尊重することは極めて重要です.
- 倫理的な考慮は,患者の権利を守るためのDNR命令を尊重することを支持しています.
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