禁食是为了停止患有高级痴呆症的痛苦
1Program in Bioethics Law and Medical Professionalism University of Florida College of Medicine Gainesville Florida USA.
患有晚期痴呆症的患者有权拒绝食物和液体,即使他们先前要求. 医疗保健提供者应该尊重这些愿望,以防止长期的痛苦,预先指示是关键.
科学领域:
- 医学伦理 医学伦理
- 老年医疗护理 医疗护理
- 神经学 神经学
背景情况:
- 医疗保健提供者经常认为,从晚期痴呆症患者中扣留食物和液体是不道德的,导致长时间的痛苦.
- 患者有道德权利,如果有能力,在晚期痴呆症期间决定停止食物和液体援助.
- 当前的做法可能与患者的自主权不一致,可能导致不必要的痛苦.
研究的目的:
- 探索在晚期痴呆症患者中扣留食物和液体的伦理考虑.
- 倡导实施患者指导的营养和水分停止的选择.
- 为痴呆症患者预先计划护理提供指导.
主要方法:
- 对痴呆症患者终身护理中的患者自主权的伦理分析.
- 审查围绕高级痴呆症营养和水分的法律和道德框架.
- 讨论预先指示及其在确定终身愿望方面的作用.
主要成果:
- 当患者有能力做出这样的决定时,他们有法律和道德权利拒绝食物和液体.
- 拒绝营养和补水,当先前由一个有能力的病人指导时,在伦理上是允许的,可以防止痛苦.
- 某些司法管辖区的法律障碍可能会阻碍这些患者选择的实施.
结论:
- 医生应遵守提前指示,具体说明在晚期痴呆症患者中停止提供食物和液体援助.
- 预先指示是确保患者自主权和预防终身痴呆症护理中的痛苦的关键工具.
- 解决法律障碍是必要的,以充分支持患者在这些敏感情况下的自主权.
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