医疗专业人员对绝症正统犹太患者的看法和经验
Moshe C Ornstein1, David Harris2
1Department of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH, USA.
The American journal of hospice & palliative care
|January 4, 2025
概括
东正教犹太患者患有绝症可能更喜欢积极的终身护理,并且往往缺乏先进的指令. 建议提前与拉比当局接触,以改善护理协调.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 在医疗保健中的文化能力.
背景情况:
- 东正教犹太患者有独特的终身护理需求,受宗教法 (halakha) 和文化规范的影响.
- 了解医疗保健专业人员的看法对于改善这一群体的护理质量至关重要.
研究的目的:
- 调查医疗专业人员照顾患有绝症的东正教犹太患者的基线感知和经验.
- 确定为这个特定的人群提供终身护理的挑战和促进者.
主要方法:
- 一个质量改进项目,利用调查分发给医疗保健专业人员.
- 调查包括人口统计,多选题和自由文本部分.
- 参与者来自重症监护室 (ICU),瘤学和息治疗/临终关怀团队.
主要成果:
- 73名医疗专业人员作出回应.
- 东正教犹太患者更有可能要求采取积极的生命终结措施,并且不太可能拥有先进的指令或医疗保健授权书.
- 拉比权威参与决策并不总是一致的.
结论:
- 强有力的宗教和社区支持是护理的积极方面.
- 医疗团队应在患者要求时与拉比当局进行早期沟通.
- 数据为未来的策略提供信息,以提高东正教犹太患者及其家属的终身护理质量.
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