伦理圆桌辩论：患者及其代理人希望“竭尽全力”——“一切”意味着什么？
Ethics roundtable debate: patients and surrogates want 'everything done'--what does 'everything' mean?
作者信息
Doig Christopher, Murray Holt, Bellomo Rinaldo, Kuiper Michael, Costa Rubens, Azoulay Elie, Crippen David
机构信息
Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada.
出版信息
Crit Care. 2006;10(5):231. doi: 10.1186/cc5016.
Highly complex and specialized care plans sometimes overwhelm the comprehension of patients and families. Many optimistic surrogates of critically ill patients err on the side of desiring that everything be done but with a nebulous idea of what 'everything' entails. Physicians must work closely to educate surrogates as to the benefits versus the risks of treatment. Our roundtable experts ponder the question of whether providers possess the authority to interpret unilaterally the nature of requests for everything.
高度复杂和专业化的护理计划有时会超出患者及其家属的理解能力。许多危重病患者的乐观替代决策者往往倾向于希望采取一切可能的措施，但对于“一切”具体包括什么却只有模糊的概念。医生必须紧密合作，向替代决策者说明治疗的利弊。我们的圆桌专家们思考了一个问题：医疗服务提供者是否有权单方面解读“采取一切措施”这一要求的性质。
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