在死亡和息治疗中提供医疗援助:共同的轨迹
James Downar1,2, Susan MacDonald3, Sandy Buchman4,5
1Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Journal of palliative medicine
|July 10, 2023
概括
临终医疗 (MAID) 和息护理有着共同的历史根源和伦理相似之处. 尽管有反对意见,MAID和息护理可以互补,为面临终身决策的患者和家人提供协同效益.
科学领域:
- 生物伦理学生物伦理学
- 抚慰性护理是一种缓解性护理.
- 医疗法 法律 医疗法
背景情况:
- 临终医疗 (MAID) 和息护理在法律管辖区中经常表现出敌对关系.
- 从历史上看,早期的息护理实践曾经被视为医疗辅助死亡或谋杀.
- 当代对MAID的批评,如"能力",与撤销生命支持或停止延长生命治疗的历史理由相呼应.
研究的目的:
- 探索死亡医疗援助 (MAID) 和息护理之间的历史和伦理相似之处.
- 质疑这种观念,即息护理提供者反对MAID的理由是他们能够减轻所有痛苦的能力.
- 倡导MAID和息护理对患者和家庭福祉的互补和协同潜力.
主要方法:
- 对息治疗和MAID的历史伦理和法律分析.
- 对MAID与息护理干预措施的患者动机和理由的比较检查.
- 基于息护理的范围,对反对MAID的论点进行哲学批评.
主要成果:
- 息护理和MAID的演变之间存在着重要的历史和伦理共同点.
- 对MAID自主决策的担忧同样适用于已建立的息护理实践.
- 一些息护理提供者对MAID的反对可能源于对息护理解决所有痛苦的能力的高估.
结论:
- 息护理和MAID本质上并不相互排斥,可以整合.
- 息护理提供者可以选择退出MAID参与,而不会否定这两个领域之间的潜在协同作用.
- 承认共同的历史和道德基础可以促进对终身护理的更具协作性的方法.
相关概念视频
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Standards of Care II
685
Nurses bear specific legal responsibilities under several federal statutes, including:
685
Documentation in Long-Term and Home Healthcare Setting
931
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
931
Ethical Dilemmas II
1.2K
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:
1.2K
Ethical Issues
1.0K
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:
1.0K
Nursing Ethical Principles II
1.0K
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...
1.0K


