对植物状态患者的侵略性干预进行良心反对
Jason Adam Wasserman1,2,3, Abram L Brummett1,2,3, Mark Christopher Navin2,3,4
1Oakland University William Beaumont School of Medicine.
The American journal of bioethics : AJOB
|November 30, 2023
概括
医生拒绝维持生命的治疗,如气管切除术永久无意识的病人,可以道德上声称良心异议. 这种框架确保了透明度,并促进了患者获得护理.
科学领域:
- 医学伦理 医学伦理
- 生物伦理学生物伦理学
- 临床决策 - 临床决策
背景情况:
- 医生有时会拒绝对永久无意识的患者进行维持生命的干预 (如气管切除术).
- 拒绝通常被称为"徒劳",但可能掩盖临床力量动态.
研究的目的:
- 评估是否拒绝对永久无意识的患者进行干预可以在伦理上被视为良心异议.
- 在这种临床场景中分析良心反对的伦理含义.
主要方法:
- 对临床拒绝维持生命干预的伦理分析.
- 审查广泛认可的道德标准,以良心反对为准.
主要成果:
- 拒绝对永久无意识的患者进行干预符合良心反对的伦理标准.
- 在这些案例中,良心反对本质上并不构成明显的歧视.
结论:
- 医生拒绝对永久无意识的患者进行维持生命的干预可以在道德上被证明是良心异议.
- 将拒绝作为良心反对的框架提高了价值决定的透明度.
- 这种框架可能会改善患者获得所需治疗的机会.
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