衰老的衰退:护理的美学和道德
1SP Tobin and AM Cooper Professor Emeritus, DeWitt Wallace Distinguished Scholar, Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine, White Plains, NY.
概括
有限性,或意识到我们的局限性,重塑临床注意力和道德优先级. 护理伦理学侧重于持续存在,为应对患者的脆弱性和共同责任提供了一个框架.
科学领域:
- 医学哲学 医学哲学
- 临床伦理学 临床伦理学
- 老龄化现象学的现象学
背景情况:
- 当代现象学,存在哲学,预测处理和护理伦理学为理解有限性提供了信息.
- 哲学传统强调了短暂如何加剧美丽和道德,使脆弱的元素更加突出.
- 英雄的存在模式,假设无约束的未来和代理,受到衰老和疾病的现实挑战.
研究的目的:
- 认为有限性会重组临床注意力和道德突出性.
- 重新构想老龄化和疾病的代理,因为它们依赖于身体能力和外部支持.
- 提出护理伦理作为临床接触中道德价值的框架.
主要方法:
- 借鉴哲学传统 (海德格尔,莱维纳斯,卡雷尔,巴特勒).
- 分析衰老和疾病的现象学.
- 将预测处理模型应用于临床解释.
- 检查临床接触中注意力的作用.
主要成果:
- 有限性加剧了对脆弱,短暂和不可替代的关注.
- 代理机构重新概念化,超越个人选择,包括身体能力和支持系统.
- 临床注意力作为一种影响诊断和治疗的精确权重机制.
- 诊断配方可能会施加自上而下的约束,影响症状突出性和患者叙事解释.
结论:
- 注意的伦理要求临床医生评估他们的重点,并响应患者的脆弱性.
- 护理伦理强调持续的存在和响应能力,而不是恢复自主.
- 脆弱性和衰退被视为不是失败,而是促进共同责任的条件.
- 承认暂时性对于符合人类短暂性的护理伦理至关重要.
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