对精神疾病患者进行临床决策的伦理挑战进行导航 精神疾病患者呈现自我造成的烧伤
Rebekka DePew1, Ashima Lal1, Elizabeth Sivertsen2
1Division of Hospice and Palliative Medicine, Department of Family Medicine, Grady Memorial Hospital, 4th floor, 49 Jesse Hill Jr. Drive SE, Atlanta, GA 30303, USA.
概括
患有严重,持续性精神疾病 (SPMI) 面临自伤危急疾病的患者需要仔细考虑道德问题. 预先的护理规划和代理决策者对于在复杂的医疗情况下尊重患者的意愿至关重要.
科学领域:
- 医学伦理 医学伦理
- 精神病学是一个精神病学.
- 关键护理医学 关键护理医学
背景情况:
- 患有严重,持久性精神疾病 (SPMI) 的患者经常面临复杂的道德挑战,当他们因自伤而严重生病时.
- 自造成的伤害,如严重的烧伤,可以显著影响生活质量,并使这些患者的医疗决策复杂化.
研究的目的:
- 介绍SPMI患者的临床病例,这些患者患有严重的自我伤害.
- 探索涉及代理决策者的伦理考虑和决策过程.
- 提供一个框架来管理SPMI患者的自我伤害导致的严重疾病.
主要方法:
- 对两名因严重自焚烧而入院的SPMI患者的案例研究分析.
- 与代理决策者进行讨论,以确定患者的最低可接受的生活质量和目标.
- 检查医疗团队经历的道德困境和道德困境.
主要成果:
- 医疗团队聘请了代理决策者来指导与患者价值观一致的护理.
- 这些案例突出了确定以患者为中心的医疗决策所面临的挑战.
- 在照顾这些患者的医疗保健提供者中发现了道德困扰.
结论:
- 预先的护理计划,包括任命代孕决策者,对于SPMI患者至关重要.
- 需要一个结构化的方法,在自我伤害的严重疾病的伦理决策.
- 在处理这些复杂的病例时,解决护理团队的道德困难是很重要的.
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