伦理和终身护理在重症监护病房的成年人
J Randall Curtis1, Jean-Louis Vincent
1Division of Pulmonary and Critical Care Medicine, Harborview Medical Center; University of Washington, Seattle, WA 98104-2499, USA. jrc@u.washington.edu
Lancet (London, England)
|October 12, 2010
概括
重症监护室 (ICU) 关于生命支持的决定涉及复杂的伦理考虑,并因地区而异. 高质量的终身护理改善了患者,家庭和ICU临床医生的结果.
科学领域:
- 医学伦理 医学伦理
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
背景情况:
- 重症监护室 (ICU) 提供先进的生命支持,需要复杂的道德决策,关于治疗的徒劳性.
- 在这些伦理决策中存在显著的区域差异,受文化和宗教因素的影响.
- 病情危急的患者往往缺乏决策能力,使得替代决策者在ICU中至关重要.
研究的目的:
- 探索影响生命末期护理决策的因素,在ICU.
- 强调ICU中高质量的决策和沟通的重要性.
- 检查终身护理对患者,家庭和临床医生的结果的影响.
主要方法:
- 这项研究综合了关于ICU决策和终身护理的现有文献.
- 它分析了文化信仰,临床医生与家庭沟通以及跨学科合作的作用.
- 讨论了决策过程中的区域差异.
主要成果:
- 在ICU的伦理决策受到区域,文化和宗教因素的影响.
- 临床医生和家庭之间的沟通策略有所不同,影响了代孕决策.
- 在ICU的生命终端护理与临床医生的倦怠和痛苦有关.
结论:
- 在所有ICU中,高质量的决策和终身护理是必不可少的.
- 有效的沟通,适当的培训和跨学科的团队合作对于最佳结果至关重要.
- 改善生命终端护理可以提高患者/家庭的结果和临床医生的保留.
相关概念视频
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