新的VSED预先指令 - - 取得进展,但问题依然存在
Jordan Potter1, Christopher Masciari1
1Ethics Department, https://ror.org/040cn9093Community Health Network Inc, United States.
概括
痴呆症患者自愿停止饮食的提前指示 (ADs) 是复杂的. 最小舒适度的食提供了一种更道德和实际的方法,平衡患者的利益,减少护理人员的痛苦.
科学领域:
- 医学伦理 医学伦理
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 预先指示 (ADs) 是法律文件,概述了患者对终身护理的愿望.
- 自愿停止饮食 (VSED) 提出了独特的伦理,法律和实际挑战,特别是在晚期痴呆症中.
- 现有的VSED AD在解决这些复杂性方面存在缺陷.
研究的目的:
- 在高级痴呆症中批判性地评估VSED ADs的伦理,法律和实际复杂性.
- 评估新提出的VSED AD,旨在克服现有的局限性.
- 为高级痴呆症患者的终身护理提出一个替代的伦理框架和策略.
主要方法:
- 审查有关VSED和ADs的现有文献和伦理框架.
- 波普及其同事提出的一本小说VSED AD的分析.
- 关于VSED ADs的合理性和实施的伦理评论和论证.
主要成果:
- 目前的VSED AD具有重要的伦理和实际限制.
- 一个新的VSED AD可能无法完全解决尊重VSED在患者痛苦中的愿望的伦理困境.
- 当患者表现出痛苦和痛苦时,尊重VSED ADs的伦理理由仍然不足.
- 在这种情况下,尊重VSED AD可能会引起护理人员的道德困扰.
结论:
- 最小舒适度的食被提出为一种更道德,更实用的替代方案,用于晚期痴呆症的VSED.
- 这种方法更好地平衡了患者的直接和长期利益.
- 解决道德复杂性和护理人员的道德困扰对于有效的终身护理策略至关重要.
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