"不要告诉他们任何事情":应该允许代理决策者隐其他家庭成员的信息或阻止他们访问患者吗?
Bryanna Moore1, Shalom Schlagman2, Laine E DiNoto3
1Department of Health Humanities and Bioethics, School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA. bryanna_moore@urmc.rochester.edu.
概括
当患者缺乏能力时,代理决策者可以要求限制健康信息的访问或限制访客. 这篇论文为在临床实践中解决这些复杂的伦理困境提供了指导.
科学领域:
- 医学伦理 医学伦理
- 卫生法 法律 卫生法
- 患者权利 患者权利
背景情况:
- 患者有权控制健康信息和访客.
- 当患者缺乏能力时,关于这些权利的代理权力往往在法律和道德上不清楚.
- 代理人要求隐信息或限制访问,这对临床团队造成了伦理不确定性.
研究的目的:
- 探索围绕代孕请求限制患者信息访问或访问的伦理问题.
- 总结关于代理权威的现有伦理和法律指导.
- 为临床医生和伦理学家提出解决这些情况的方法.
主要方法:
- 审查现有的有限的伦理和法律指导.
- 介绍了两种管理代孕请求的潜在方法.
- 讨论建议方法的优点,局限性和复杂因素.
主要成果:
- 目前关于代理权威的指导是有限的,通常是模糊的.
- 提出了两种不同的管理代理请求的方法:一种灵活的限制性信息共享方法,另一种限制的允许性访问方法.
- 为临床医生和伦理学家提出了几个考虑因素来指导实践.
结论:
- 建议在信息共享方面采取灵活的限制性方法,在访问方面采取受限制的允许性方法.
- 临床医生和临床伦理学家需要实际考虑,以应对复杂的代孕请求.
- 解决这些道德挑战需要仔细平衡患者权利,代孕权威和临床团队关切.
相关概念视频
Ethical Issues
1.2K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.2K
Nursing Ethical Principles II
1.4K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.4K
Ethics and Bioethics
1.6K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.6K
Ethical Dilemmas II
1.4K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.4K
Ethical Standards II
811
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
811
Ethical Dilemmas I
1.1K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.1K


