Miller Pamela J, Hedlund Susan C, Soule Ann B
Graduate School of Social Work, Portland State University, Portland, OR 97207, USA.
J Soc Work End Life Palliat Care. 2006;2(2):25-43. doi: 10.1300/J457v02n02_03.
Oregon's Death with Dignity Act (ODWDA) has been in effect for eight years. The United States Supreme Court recently decided that Oregon's law did not violate the Controlled Substances Act. Other states may consider a law similar to Oregon's through legislative process or ballot measures. Although social work is not mentioned in the law, our profession interfaces with the terminally ill, particularly in hospice. Eighty-seven percent of those who have used the law were enrolled in a hospice program. As a pilot project, this article explores conversations that the authors have had with patients, families, team members and health systems in hospices and oncology settings under Oregon's unique environment. The following four themes emerged from these conversations: (1) mental health, education, choice; (2) team concerns; (3) family issues; and (4) values, ethics, restricted conversations and professional struggles.
俄勒冈州的《尊严死亡法案》（ODWDA）已实施八年。美国最高法院最近裁定，俄勒冈州的法律并未违反《管制物质法》。其他州可能会通过立法程序或投票措施来考虑制定类似俄勒冈州的法律。尽管该法律未提及社会工作，但我们这个职业与绝症患者有接触，尤其是在临终关怀领域。使用该法律的人中有87%参加了临终关怀项目。作为一个试点项目，本文探讨了作者在俄勒冈州独特环境下，与临终关怀机构和肿瘤治疗机构中的患者、家属、团队成员及医疗系统进行的对话。这些对话中出现了以下四个主题：（1）心理健康、教育、选择；（2）团队关切；（3）家庭问题；（4）价值观、伦理、受限对话及职业困境。
