面对医生协助自杀的要求:朝着一个实用和原则性的临床技能集
1Institute for Ethics, American Medical Association, Chicago, IL 60610, USA.
JAMA
|August 26, 1998
概括
医生可以解决医生协助自杀的请求,使用一个以舒适护理和患者自主权为重点的8步方法. 这种方法旨在通过治疗潜在原因而解决大多数请求,而无需医生直接参与自杀.
科学领域:
- 医学伦理 医学伦理
- 临床实践 临床实践
- 患者护理 患者护理
背景情况:
- 医生辅助自杀请求对医疗保健专业人员来说具有伦理和临床挑战.
- 现有的方法可能无法充分解决患者痛苦和自主权的复杂性.
研究的目的:
- 为应对医生协助自杀请求的医生提出一个结构化的8步方法.
- 为识别和处理此类请求的根本原因提供一个框架.
主要方法:
- 开发一个八步临床响应协议.
- 患者自主权 (免受不必要的干预) 和医生责任 (舒适护理) 的方法的基础.
主要成果:
- 拟议的方法不包括医生协助自杀,但在特定情况下可以证明患者拒绝口服.
- 该模型旨在通过息和支持性护理策略解决大多数医生协助自杀请求.
结论:
- 八步方法提供了一个临床上适用的方法来管理基于核心道德原则的医生协助自杀请求.
- 建议进行进一步的临床试验,以验证这种方法在不同患者群体中的有效性.
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