Stagno S J, Zhukovsky D S, Walsh D
Department of Psychiatry and Hematology/Oncology, The Harry R. Horvitz Center for Palliative Medicine, and the Taussig Cancer Center Cleveland Clinic Foundation, OH, USA.
Semin Oncol. 2000 Feb;27(1):94-100.
Effective communication is the cornerstone of excellence in patient care, and breakdown in communication is a common problem leading to requests for bioethics consultation. In palliative medicine, issues involving end-of-life decisions inherently involve many potential ethical concerns. Ensuring good communication among the physician, health care professionals, patient, and family will facilitate care, and avoid ethical problems. This chapter will address communication with patients, families, and health care professionals. Common ethical concerns such as withholding and withdrawing treatment modalities, medical futility, euthanasia, and assisted suicide will be discussed.
有效的沟通是优质患者护理的基石，而沟通障碍是导致寻求生物伦理咨询的常见问题。在姑息医学中，涉及临终决策的问题本身就涉及许多潜在的伦理问题。确保医生、医护人员、患者及其家属之间的良好沟通将有助于护理，并避免伦理问题。本章将探讨与患者、家属和医护人员的沟通。还将讨论诸如停止和撤销治疗方式、医疗无效、安乐死和协助自杀等常见的伦理问题。
