Ethical aspects in end-of-life care

被引：0

作者：

Nauck, F. ^{[1
]}

机构：

[1] Univ Gottingen, Abt Palliat Med, Zentrum Anaesthesiol Rettungs & Intens Med, D-37075 Gottingen, Germany

来源：

MEDIZINISCHE KLINIK | 2011年 / 106卷 / 02期

关键词：

Emergency medicine; Ethics; Palliative medicine; Medical indications; Change of goal of care; UNIT; QUALITY;

D O I：

10.1007/s00063-011-0057-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Therapy decisions in the care of critically ill and dying patients in intensive care and emergency medicine must reflect probably conflicting issues of medical indications, ethics and law. This is of particular relevance when treatment preferences of patients are not known or are in contrast to those of the carers. Difficulties regarding prognostication or with determining the beginning of an irreversible dying process may also lead to treatment situations that need ethical reflection. It is recommended to tackle medico-ethical issues by discussion of the meaning of relevant terms and medico-ethical principles, analyzing the professional self-image in intensive care and emergency medicine, consideration of options of palliative medicine and by use of an ethics case consultation.

引用

页码：137 / 146

页数：10

共 29 条

[1]

Beauchamp T. L., 2001, Principles of Biomedical Ethics

[2] Did you seek assistance for writing your advance directive? A qualitative study [J].

Becker, Matthias ;

Jaspers, Birgit ;

King, Claudius ;

Radbruch, Lukas ;

Voltz, Raymond ;

Nauck, Friedemann .

WIENER KLINISCHE WOCHENSCHRIFT, 2010, 122 (21-22) :620-625

[3]

Bundesarztekammer, 2011, Dtsch Arztebl, V108, pA346

[4] QUALITY OF LIFE IN CANCER-PATIENTS - AN HYPOTHESIS [J].

CALMAN, KC .

JOURNAL OF MEDICAL ETHICS, 1984, 10 (03) :124-127

[5]

CARLET J, 2004, CRIT CARE MED, V32, P770

[6] PATIENTS AND FAMILIES PREFERENCES FOR MEDICAL INTENSIVE-CARE [J].

DANIS, M ;

PATRICK, DL ;

SOUTHERLAND, LI ;

GREEN, ML .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1988, 260 (06) :797-802

[7]

DERIDDER M, 1998, SPIEGEL, V18, P202

[8]

EIBACH U, 2001, MEDR, V19, P21

[9] Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate [J].

Hamric, Ann B. ;

Blackhall, Leslie J. .

CRITICAL CARE MEDICINE, 2007, 35 (02) :422-429

[10]

Jaspers B, 2010, Z PALLIATIVMED, V11, P1

← 1 2 3 →