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一个暂停的委词女仆.
Richard W Sams1, Peter Jaggard2
1Department Family and Community Medicine, The Medical College of Georgia at Augusta University, Medical Director, Georgia War Veterans Nursing Home, Augusta, GA.
医疗保健提供者在讨论生命终端护理时应该使用精确的语言. 诸如"医疗辅助死亡"之类的委词掩盖了提供者协助死亡的现实,可能会侵蚀信任. 标准化术语对于道德清晰和准确的社会评估至关重要.
科学领域:
- 医学伦理 医学伦理
- 医疗保健通讯 医疗保健通讯
- 临终关怀政策 临终关怀政策
背景情况:
- 说实话的原则是高质量的医疗保健的基础.
- "医疗死亡辅助" (MAID) 这个术语在医学文献中越来越多地使用,通常是医生辅助自杀和安乐死的支持者.
- 这种轻描淡写掩盖了提供者在患者死亡中的作用,并模糊了息护理和活跃生命终端干预措施之间的区别.
研究的目的:
- 分析在医学话语中使用像MAID这样的委词的含义.
- 在提供者协助死亡的讨论中倡导标准化,精确的术语.
- 在道德上复杂的医疗实践中促进讲真和透明度.
主要方法:
- 对当前医学文献和围绕生命终结实践的术语进行批判性分析.
- 关于标准化术语的建议:提供者辅助死亡通过处方 (PAD-P) 和提供者辅助死亡通过管理 (PAD-A).
- 建议在文献和死亡证明上使用准确的语言.
主要成果:
- 术语MAID是不一致的应用,包括协助自杀和安乐死,并用于有和没有终端诊断的患者.
- 当前的委词淡化了提供者在导致死亡中的作用,并掩盖了干预的性质.
- 缺乏标准化的语言阻碍了对提供者协助死亡对社会影响的准确评估.
结论:
- 在终身护理中使用像MAID这样的委词对清晰的沟通和道德实践是有害的.
- 采用PAD-P和PAD-A等精确的术语将提高清晰度和诚实性.
- 标准化语言对于准确的数据收集,社会理解和对医疗保健提供者保持信任至关重要.
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