Wasson K
Palliative Care Centre, Camden and Islington Community Health Services NHS Trust, London, UK.
Int J Palliat Nurs. 2000 Feb;6(2):66-70. doi: 10.12968/ijpn.2000.6.2.8946.
Palliative care professionals have begun to address the issues surrounding the provision of palliative care to non-cancer patients. Yet the situation remains inconsistent and morally unjustifiable. The duty to provide care, non-maleficence, beneficence, protecting the patient's best interests and respecting patient autonomy are key responsibilities which palliative care professionals have for all their patients, regardless of their diagnosis. On the grounds of justice as fairness, equality and equity, the current inconsistencies in the provision of palliative care to non-cancer patients are unfair unequal and inequitable. Professionals can no longer ignore their moral responsibility to address these issues and change their practice to include the provision of care for dying patients regardless of their diagnoses.
姑息治疗专业人员已开始着手解决围绕向非癌症患者提供姑息治疗的相关问题。然而，情况仍然不一致且在道德上站不住脚。提供护理的责任、不伤害原则、行善原则、保护患者的最大利益以及尊重患者自主权，是姑息治疗专业人员对所有患者应尽的关键责任，无论其诊断结果如何。基于公平、平等和公正的原则，目前在向非癌症患者提供姑息治疗方面存在的不一致情况是不公平、不平等且不公正的。专业人员再也不能忽视解决这些问题的道德责任，不能再忽视改变其做法以将为临终患者提供护理纳入其中，无论这些患者的诊断结果是什么。
