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和平休息或碎片:在美国的死后护理选择提前指令
Adriana Bautista1,2, Mario Jacomino1, Darian Peters1
1Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.
概括
预先指令 (ADs) 对于终身护理规划 (EOL) 往往省略了死后偏好,如葬礼规划和解剖礼物. 对于有关死后护理的全面患者愿望,需要标准化.
科学领域:
- 医疗法 法律 医疗法
- 生物伦理学生物伦理学
- 公共卫生政策 公共卫生政策
背景情况:
- 预先指令 (ADs) 传统上记录了生命终端 (EOL) 护理偏好.
- 新兴的重点是将死后护理偏好纳入EOL计划.
- 关于将死后选择纳入现有ADS的研究有限.
研究的目的:
- 评估所有美国各州和华盛顿特区的预先指令在多大程度上包括死后护理规划选项.
- 在ADs中确定葬礼规划和解剖学礼物条款的可用性.
- 评估死后选择在ADS中的一致性和全面性.
主要方法:
- 系统审查来自美国所有50个州和哥伦比亚特区的预先指示.
- 基于包括葬礼计划和解剖学礼物选项的ADs的分类.
- 对不同死后选项包含的流行情况的定量分析.
主要成果:
- 只有29%的实体包括了葬礼计划和解剖学礼物的选项.
- 43%的实体只提供了两个死后类别中的一种选择.
- 很大一部分 (27%) 的实体缺乏任何 post-mortem 规划选项,只有 2% 提供所有选项.
结论:
- 在美国,在预先指令中包含死后护理偏好方面存在相当大的不一致性.
- 这些发现突出了全面的EOL护理计划中的差距,特别是关于患者的死后愿望.
- 建议对AD标准化,以确保患者能够充分记录他们对死后护理的偏好,包括葬礼安排和解剖捐赠.
关键词:
预先指令 预先指令解剖学上的礼物死亡和死亡,死亡和死亡.在决策过程中做出决定.葬礼葬礼的葬礼葬礼葬礼的葬礼是什么意思器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器更多相关视频
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