Palliative and End-of-Life Ethical Dilemmas in the Intensive Care Unit

被引：22

作者：

Wiegand, Debra L. ^{[1
]}

MacMillan, Julia ^{[2
]}

dos Santos, Maiara Rogrigues ^{[3
]}

Bousso, Regina Szylit ^{[3
]}

机构：

[1] Univ Maryland, Sch Nursing, 655 West Lombard St,Off 404P, Baltimore, MD 21201 USA

[2] Danbury Hosp, Western Ct Hlth Network, Danbury Hosp Eth Comm, Chair Nursing Eth Comm, Danbury, CT USA

[3] Univ Sao Paulo, Sch Nursing, Sao Paulo, Brazil

来源：

AACN ADVANCED CRITICAL CARE | 2015年 / 26卷 / 02期

关键词：

bioethics; end of life; ethical dilemma; intensive care unit; palliative care;

D O I：

10.1097/NCI.0000000000000085

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Critical care nurses and advanced practice registered nurses frequently face bioethical dilemmas in clinical practice that are related to palliative and end-of-life care. Many of these dilemmas are associated with decisions made concerning continuing, limiting, or withdrawing life-sustaining treatments. The purpose of this article is to describe common ethical challenges through case study presentations and discuss approaches that critical care nurses and advanced practice registered nurses in collaboration with the interdisciplinary team can use to address these challenges. Resources that may be helpful in managing ethical dilemmas are identified.

引用

页码：142 / 150

页数：9

共 15 条

[1]

American Association of Critical-Care Nurses, 2006, MOR DISTR POS STAT

[2]

Beauchamp T.L., 2013, CONT ISSUES BIOETHIC

[3]

Beauchamp T.L., 2012, PRINCIPLES BIOMEDICA, V7th

[4] Ethical Dilemmas in the Intensive Care Unit Treating Pain and Symptoms in Noncommunicative Patients at End of Life [J].

Chow, Kimberly .

JOURNAL OF HOSPICE & PALLIATIVE NURSING, 2014, 16 (05) :256-260

[5] Critical Care Nurses' Perceptions of and Responses to Moral Distress [J].

Gutierrez, Karen M. .

DIMENSIONS OF CRITICAL CARE NURSING, 2005, 24 (05) :229-241

[6]

Hamric A.B., 2013, ADV PRACTICE NURSING

[7] Palliative care for infants, children, adolescents, and their families [J].

Himelstein, Bruce P. .

JOURNAL OF PALLIATIVE MEDICINE, 2006, 9 (01) :163-181

[8] Developing the concept of moral sensitivity in health care practice [J].

Lützén, K ;

Dahlqvist, V ;

Eriksson, S ;

Norberg, A .

NURSING ETHICS, 2006, 13 (02) :187-196

[9] American Academy of Pediatrics policy statements on bioethics: Summaries and commentaries: Part 2 [J].

Mercurio, Mark R. ;

Maxwell, Marilyn A. ;

Mears, Brenda Jean ;

Ross, Lainie Friedman ;

Silber, Tomas J. .

PEDIATRICS IN REVIEW, 2008, 29 (03) :E15-E22

[10] Pediatric End-of-Life Issues and Palliative Care [J].

Michelson, Kelly Nicole ;

Steinhorn, David M. .

CLINICAL PEDIATRIC EMERGENCY MEDICINE, 2007, 8 (03) :212-219

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