McBrien Barry
Centre for Nurse Education, Mater Misercordiae University Hospital, Nelson Street, Dublin 7, Ireland.
Accid Emerg Nurs. 2007 Apr;15(2):94-100. doi: 10.1016/j.aaen.2006.12.007. Epub 2007 Feb 20.
The number of older people using emergency care is increasing steadily and older people account for over half of all emergency admissions. In the emergency setting, nurses caring for older people with Alzheimer's disease can be faced with many complex ethical and legal challenges. Moreover, challenges such as the use of physical restraint can precipitate conflict when the nurse is placed in the precarious position of doing good, respecting autonomy and avoiding paternalism. Although, there is no complete set of "rules" that can provide nurses with an answer to each dilemma, it is of significant value for nurses to have sound knowledge of ethical and legal positions in order to analyse the many complex situations that they may encounter.
使用急诊护理的老年人数量在稳步增加，老年人占所有急诊入院人数的一半以上。在急诊环境中，照顾患有阿尔茨海默病的老年人的护士可能会面临许多复杂的伦理和法律挑战。此外，当护士处于行善、尊重自主权和避免家长作风的不稳定境地时，诸如使用身体约束等挑战可能会引发冲突。虽然没有一套完整的“规则”能为护士应对每一个困境提供答案，但护士掌握扎实的伦理和法律立场知识，对于分析他们可能遇到的许多复杂情况具有重要价值。
