管理疼痛，管理伦理。

Managing pain, managing ethics.

作者信息

Kirk Timothy W

机构信息

Department of Philosophy, Villanova University, Villanova, Pennsylvania 19087, USA.

出版信息

Pain Manag Nurs. 2007 Mar;8(1):25-34. doi: 10.1016/j.pmn.2006.12.004.

DOI:10.1016/j.pmn.2006.12.004

PMID:17336867

Abstract

Noncompliance of family caregivers can present home hospice nurses with difficult ethical choices and powerful feelings about those choices. This is particularly so when family members do not adequately palliate their loved ones, resulting in treatable symptom distress during the dying process. This article presents a case study, moral analysis, and an evidence-based, practical plan of action for engaging family members of palliative care patients on a home hospice service.

摘要

家庭护理人员的不配合会给居家临终关怀护士带来艰难的伦理抉择以及对这些抉择的强烈感受。当家庭成员未能充分减轻其亲人的痛苦，导致在临终过程中出现可治疗的症状困扰时，情况尤其如此。本文介绍了一个案例研究、道德分析，以及一项基于证据的切实可行的行动计划，用于促使接受居家临终关怀服务的姑息治疗患者的家庭成员积极配合。