Schwarz Judith, Coyle Nessa
Compassion and Choices of New York, 450 West End Avenue, New York, NY 10023, USA.
Palliat Support Care. 2006 Jun;4(2):129-33. doi: 10.1017/s1478951506060184.
What would Terri Schiavo have wanted? That remains an unanswered question for many who followed the media frenzy that attended the extraordinary court and legislative battles that preceded her death 13 days after her feeding tube was removed for the last time. What would she have directed her physicians to do if she had "miraculously" regained capacity and awareness of the consequences of her cardiac arrest that left her in a persistent vegetative state? Who would she have wanted to make that decision for her if she were unable to do so? How are we to understand the meaning of statements that she purportedly made about life-sustaining treatments approximately 20 years ago, and how can we apply them to the current situation? This article reflects on those questions from the perspective of two small exploratory studies. These studies considered the meanings and interpretation of statements by terminally ill patients concerning desire for hastened death and the relevance of previously made statements to their current clinical situation.
特丽·夏沃（Terri Schiavo）想要什么？对于许多关注那场媒体狂热的人来说，这仍是个未解之谜。那场狂热伴随着非凡的法庭和立法斗争，而这一切都发生在她最后一次拔掉喂食管13天后去世之前。如果她“奇迹般地”恢复了行为能力，并意识到心脏骤停导致她处于持续植物人状态的后果，她会指示医生怎么做？如果她无法自己做决定，她会希望谁为她做这个决定？我们该如何理解她大约20年前据称就维持生命治疗所做的声明的含义，又如何将其应用于当前的情况？本文从两项小型探索性研究的角度对这些问题进行了思考。这些研究探讨了绝症患者关于加速死亡愿望的声明的含义和解读，以及先前声明与他们当前临床状况的相关性。
