死ぬ前に患者を殺さない
Kanhu C Patro1, Kaviya Lakshmi1, Ajitesh Avinash2
1Department of Radiation Oncology, Mahatma Gandhi Institute, Vishakhapatnam, Andhra Pradesh, India.
Journal of cancer research and therapeutics
|December 31, 2025
まとめ
腫瘍医は、延命がん治療と患者の生活の質とのバランスをとるべきである。患者中心のケアと緩和ケア戦略を優先することで、過剰治療を防ぎ、幸福を高めることができる。
科学分野:
- 腫瘍学;医療倫理;緩和ケア
背景:
- がん治療の進歩は、延命対生活の質の倫理的ジレンマをもたらす。;腫瘍学における過剰治療は、患者の快適さ、尊厳、全体的な幸福を損なうリスクを伴う。
研究 の 目的:
- 「死ぬ前に患者を殺さない」という概念を腫瘍学において探求すること。;患者中心のアプローチを提唱し、慎重な意思決定と個別化されたケアを優先すること。;進行がんにおける治癒的意図と緩和的意図のバランスをとることの課題を検討すること。
主な方法:
- 症例研究と患者の語りのレビュー。;治療結果に関するエビデンスに基づく研究の分析。;過剰治療リスクを軽減するための戦略の議論。
主要な成果:
- 積極的な介入は、患者と家族に多大な身体的、精神的、経済的負担を強いる可能性がある。;効果的な戦略には、共有意思決定、率直なコミュニケーション、統合された緩和ケアが含まれる。
結論:
- 腫瘍学には、延命と並行して生活の質を高めるためのパラダイムシフトが必要である。;共感、協力、患者の自律性を育むことは、治療と患者の価値観を一致させるために不可欠である。
関連する概念動画
Decreased Body Temperature
954
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
954
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
7.2K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
7.2K
Nursing Ethical Principles II
2.0K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.0K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
Kubler Ross's Stages of Dying
1.0K
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
1.0K


