死亡的自然性
1Department of Medicine, University of Massachusetts Medical School, Worcester, USA.
JAMA
|April 5, 1995
概括
死亡是生命的自然组成部分,尤其是对老年人来说,往往是由于衰老而不是疾病. 现代医学 现代医学
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 生物伦理学生物伦理学
背景情况:
- 老龄化是一个自然过程,导致老年人的功能衰退和生活愿望下降.
- 现代社会对死亡进行了医学化,将其视为一种疾病,而不是自然生命结束的事件.
- 垂死个体从家中转移到医疗机构的转移凸显了死亡日益医疗化的现象.
研究的目的:
- 探索老年人自然死亡的概念.
- 为了对比自然死亡与死亡的医疗化.
- 倡导一个转变的观点,以改善终身护理.
主要方法:
- 对死亡现有的科学和文化证据的审查.
- 对终身护理的社会和医疗方法的分析.
- 将衰老作为死亡原因的概念分析.
主要成果:
- 老龄化和丧失生活意愿是老年人自然死亡的可能原因,与疾病不同.
- 死亡的医疗化导致过度治疗和忽视精神和息护理需求.
- 将死亡视为自然过程可以改善老年人的沟通和照顾.
结论:
- 接受死亡作为一种自然过程对于提供全面的生命终结护理至关重要.
- 医疗专业人员应实行医疗管理,以防止临终患者过度治疗.
- 通过合作和政策解决护理人员的情绪负担至关重要.
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