Hosp Ethics. 1994 Jul-Aug;10(4):10-1.
Applying the principles of decision making to end-of-life situations has been discussed at length in the medical ethics literature, but published accounts of actual experiences encountered when life-sustaining interventions are withdrawn have been limited. Once the decision is made to withdraw treatment and the goal of care shifts from cure to palliation, attention must be given to the clinical and ethical processes involved in extricating patients from their high-tech dependencies. The following articles summarize the work of several groups that are trying to define what ought to be done on behalf of these patients.
在医学伦理文献中,已对将决策原则应用于临终情况进行了详尽讨论,但关于撤除维持生命干预措施时实际经历的公开报道却很有限。一旦做出撤除治疗的决定,且护理目标从治愈转向姑息治疗,就必须关注将患者从高科技依赖中解脱出来所涉及的临床和伦理过程。以下文章总结了几个小组的工作,这些小组试图明确应该为这些患者做些什么。