Martone M
Annu Soc Christ Ethics. 2000;20:309-27.
When the author's daughter was hit by a car and remained unconscious for seven months, she found that there were certain factors where traditional ethical theory was not sufficiently nuanced to guide her practical decision making in regard to her daughter's health care. This article concentrates on three of those factors. They are: (1) no reliable prognosis can be offered for many brain-injured individuals; (2) a patient's age and the relationship between the patient and the caregiver affect the context of caring; and (3) there are severe difficulties in obtaining and sustaining chronic care and accessing scarce resources.
当作者的女儿被车撞后昏迷了七个月时,她发现某些因素使得传统伦理理论在指导她关于女儿医疗护理的实际决策时不够细致入微。本文着重探讨其中三个因素。它们是:(1)对于许多脑损伤患者无法给出可靠的预后;(2)患者的年龄以及患者与护理者之间的关系会影响护理的背景;(3)在获得和维持长期护理以及获取稀缺资源方面存在严重困难。