Vanlaere Linus, Bouckaert Filip, Gastmans Chris
Centre for Biomedical Ethics and Law, Katholic University of Leuven, Kapucijnenvoer 35, 3000 Leuven, Belgium.
J Med Ethics. 2007 Jul;33(7):376-81. doi: 10.1136/jme.2006.017897.
This article opens by reviewing the state of the knowledge on the most current worldwide facts about suicide in older people. Next, a number of values that have a role in this problem are considered. Having a clear and current understanding of suicide and of the related self-held and social values forms the framework for a number of clinical-ethical recommendations for care practice. An important aspect of caring for older people with suicidal tendencies is to determine whether their primary care fosters self-esteem and affirms their dignity. In addition to providing a timely and appropriate diagnosis and treatment of suicidality, the caregiver is responsible for helping the patient to cope with stressful conditions, and for treating the patient with respect and consideration, thereby supporting the patient's dignity and giving the patient a reason to live. Paying attention to these central points will foster caring contact with suicidal older people.
本文开篇回顾了有关老年人自杀的最新全球现状的知识状况。接下来,探讨了在这一问题中起作用的一些价值观。对自杀以及相关的个人和社会价值观有清晰且最新的理解,构成了护理实践中一系列临床伦理建议的框架。照顾有自杀倾向的老年人的一个重要方面是确定他们的初级护理是否能促进自尊并维护他们的尊严。除了及时、适当地诊断和治疗自杀倾向外,护理人员还负责帮助患者应对压力状况,并以尊重和体贴的方式对待患者,从而维护患者的尊严并给患者一个活下去的理由。关注这些要点将促进与有自杀倾向的老年人进行关爱性接触。