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避免患者放弃:在不可持续的患者与外科医生关系的情况下,道德解决的途径
Hannes Prescher1, Leah M Gudex1, Jaclyn T Mauch1
1From the Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan.
Plastic and reconstructive surgery
|September 10, 2024
概括
在道德上结束无法维持的病人与外科医生关系,特别是与精神病相关的疾病,需要谨慎的导航. 该框架旨在防止徒劳的治疗和患者放弃,同时确保道德护理.
科学领域:
- 手术伦理学 手术伦理学
- 患者与外科医生关系的动态
- 在外科手术中的精神病并发症.
背景情况:
- 患者和外科医生的合作关系对于成功的治疗结果至关重要.
- 当治疗关系变得不可持续时,特别是伴随着精神疾病的精神疾病时,就会出现道德困境.
- 外科医生面临的道德义务是提供护理,而不会造成伤害,并使管理困难的关系复杂化.
研究的目的:
- 讨论解决无法维持的病人与外科医生关系的道德途径.
- 专注于为患有并发性精神疾病的患者制定策略.
- 为了防止徒劳的干预,避免病人被遗弃.
主要方法:
- 关于临床伦理和患者与外科医生关系的文献综述.
- 应用已确立的伦理原则 (徒劳,非有害,有益,放弃).
- 开发一个框架来管理具有挑战性的术后患者关系.
主要成果:
- 现有的伦理指南没有专门针对精神疾病手术患者的治疗局.
- 使用核心伦理原则开发了一个框架,以应对这些复杂的情况.
- 应用的伦理原则包括治疗无用性,非有害性,有益性和患者放弃.
结论:
- 管理患有并发性精神疾病的术后手术患者提出了独特的伦理挑战.
- 在严重的病例中,治疗性排泄可能在伦理上是允许的,以防止患者受到伤害并破坏适应不良的周期.
- 必须采取谨慎的预防措施,以防止在出院过程中患者被遗弃.
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