死ぬことの自然さ
1Department of Medicine, University of Massachusetts Medical School, Worcester, USA.
JAMA
|April 5, 1995
まとめ
死は人生の自然な部分であり,特に高齢者の場合,病気ではなく老化によるものです. 現代の医学は,
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- 緩和ケアとは,緩和ケアです.
- バイオエシック バイオエシック
背景:
- 老化は,高齢者の機能的衰退と生活意欲の低下につながる自然なプロセスです.
- 現代社会は死を医療化し,生命の終わりの自然な出来事ではなく,病気と見なしています.
- 瀕死の個人が自宅から医療施設に移行していることは,死の医療化が増加していることを強調しています.
研究 の 目的:
- 高齢者の自然死という概念を探求する.
- 自然死と死亡の医療化を対比する.
- 終末期の介護を改善するための視点の転換を提唱する.
主な方法:
- 死亡に関する既存の科学的,文化的証拠のレビュー.
- 終末期の介護に対する社会的および医学的アプローチの分析.
- 死因としての老化の概念的分析.
主要な成果:
- 老化と生きる意欲の喪失は,病気とは異なり,高齢者の自然死の原因である可能性が高い.
- 死の医療化は,過度の治療と精神的および緩和的ケアニーズの無視につながります.
- 死を自然な過程と見なすことで,コミュニケーションが改善され,高齢者のケアが改善されます.
結論:
- 死を自然なプロセスとして受け入れることは,生命の終わりのケアを整体的に提供するために不可欠です.
- 医療従事者は,死にかけている患者の過剰な治療を防ぐために,医療管理を実践すべきである.
- 協力と政策を通じて,介護者の感情的負担に対処することが不可欠です.
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