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临终关怀机构中具备行为能力的患者的起搏器和除颤器停用:一项伦理考量

Pacemaker and defibrillator deactivation in competent hospice patients: an ethical consideration.

作者信息

Ballentine Jennifer M

机构信息

The Iris Project, Denver, Colorado, USA.

出版信息

Am J Hosp Palliat Care. 2005 Jan-Feb;22(1):14-9. doi: 10.1177/104990910502200106.

DOI:10.1177/104990910502200106
PMID:15736602
Abstract

The Denver Community Bioethics Committee (DCBC) is an independent, community-based group that undertakes ethics consultations for any individual or organization. Its members include adult protection professionals, physicians, elder-law attorneys, chaplains, nurses, social workers, and lay persons. In its 11-year history, the Committee has heard numerous cases concerning end-of-life care, futile treatment, and patients' rights. In 2003, a Colorado hospice provider asked the DCBC for assistance in developing a policy on deactivation of pacemakers and defibrillators in competent hospice patients. The hospice had encountered concerns from some physicians and cardiac care clinicians that deactivating such devices treads the fine line between legitimate withdrawal of burdensome treatment and assisted death. Although the specific deliberations of the DCBC are confidential, this article summarizes contributions from the committee's discussion, as well as independent research undertaken by the author.

摘要

丹佛社区生物伦理委员会(DCBC)是一个独立的、基于社区的团体,为任何个人或组织提供伦理咨询服务。其成员包括成人保护专业人员、医生、老年法律律师、牧师、护士、社会工作者和普通民众。在其11年的历史中,该委员会听取了众多关于临终关怀、无效治疗和患者权利的案例。2003年,科罗拉多州的一家临终关怀机构请求DCBC协助制定一项关于在有行为能力的临终关怀患者中停用起搏器和除颤器的政策。该临终关怀机构遇到了一些医生和心脏护理临床医生的担忧,即停用此类设备在合法撤除负担性治疗和协助死亡之间徘徊在微妙的界限上。尽管DCBC的具体审议是保密的,但本文总结了委员会讨论的内容以及作者进行的独立研究。

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Pacemaker and defibrillator deactivation in competent hospice patients: an ethical consideration.临终关怀机构中具备行为能力的患者的起搏器和除颤器停用:一项伦理考量
Am J Hosp Palliat Care. 2005 Jan-Feb;22(1):14-9. doi: 10.1177/104990910502200106.
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EOL considerations in defibrillator deactivation.除颤器停用中的临终关怀考量
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