谈论在重症监护室的痛苦
Brent M Kious1,2,3, Judith B Vick4, Peter A Ubel5
1Department of Psychiatry, University of Utah, Salt Lake City, Utah, USA.
AJOB empirical bioethics
|September 9, 2024
概括
临床医生很少使用"痛苦"一词来证明限制生命终端治疗的合理性. 虽然讨论了"痛苦"的谈话,但很少在重症监护家庭会议上与减少治疗的建议联系在一起.
科学领域:
- 医学伦理 医学伦理
- 临床交流 临床沟通
- 抚慰性护理是一种缓解性护理.
背景情况:
- 假设表明临床医生可能会使用.
- 这是一个痛苦的痛苦的痛苦的痛苦.
- 讨论,以证明限制生命终端治疗是合理的.
- 本研究探讨了关于痛苦的讨论与危急病患者的决策之间的关系.
研究的目的:
- 检查临床医生和家庭如何沟通.
- 这是一个痛苦的痛苦的痛苦的痛苦.
- 在终身护理的背景下.
- 确定关于痛苦的讨论是否主要用于证明限制治疗的合理性.
主要方法:
- 对146个在重症监护病房的录音家庭聚会进行了二次定性内容分析.
- 用共识开发的编码指南分析了转录.
- 用一种诱导方法在作者之间进行代讨论以达成共识.
主要成果:
- 这是痛苦的痛苦.
- 或其变体出现在23%的成绩单 (34/146).
- 在与决策相关的用途中,只有42% (10/24) 伴随着限制治疗的建议,其中一半 (5/10) 是临床医生发起的.
- 痛苦的含义包括预后不佳,疼痛,生活质量低下和情绪困扰,通常归因于无意识的患者.
结论:
- 结果不支持这样的说法:结果不支持这样的说法:结果不支持这样的说法.
- 这是一个痛苦的痛苦的痛苦的痛苦.
- 主要由临床医生用来证明限制治疗的合理性.
- 这些术语在请求决策时通常不被使用,但在使用时通常与决策有关.
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