Sanders A B
Department of Surgery, University of Arizona Health Sciences Center, Tucson, USA.
Emerg Med Clin North Am. 1999 May;17(2):519-26, xiii. doi: 10.1016/s0733-8627(05)70076-6.
Different types of advance directives invite varying interpretation from emergency care professionals. As informed consent of a patient is not always possible to procure in emergency situations, advance directives can provide useful guidelines for clinicians' decision-making processes regarding individual patient care. Specifically communicated instructions establish a course of aggressive or nonaggressive treatment, while general wishes leave the emergency department physician to assume an innate understanding of individual patients while undertaking an active role in decision-making for that patient's care. This article explores the relationship between advance care directives and the emergency department.
不同类型的预立医疗指示会引发急诊护理专业人员的不同解读。由于在紧急情况下并非总能获得患者的知情同意，预立医疗指示可为临床医生针对个体患者护理的决策过程提供有用的指导方针。明确传达的指示确立了积极或非积极的治疗方案，而一般意愿则让急诊科医生在为该患者的护理进行决策时，假定对个体患者有内在的了解并发挥积极作用。本文探讨了预立医疗指示与急诊科之间的关系。
