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当复苏无效时,同意还有用吗?

Is consent useful when resuscitation isn't?

作者信息

Scofield G R

机构信息

Department of Psychology, Craig Hospital, Englewood, Co.

出版信息

Hastings Cent Rep. 1991 Nov-Dec;21(6):28-36.

PMID:1765461
Abstract

A Do Not Resuscitate order reflects a considered judgment that a physician can no longer stave off death. Why, then, have a patient consent to such an order? The primary point is that physicians should share with patients their judgment about what medicine can and cannot do. Because we cannot make death go away, we must make decisions about when to withhold or limit resuscitation openly, in honest and trusting conversation between doctor and patient.

摘要

“不要复苏”医嘱反映了医生的一种深思熟虑的判断,即医生已无法再延缓死亡。那么,为什么还要让患者同意这样的医嘱呢?主要原因是医生应该与患者分享他们对于医学所能做到和无法做到之事的判断。因为我们无法消除死亡,所以我们必须在医生与患者坦诚且相互信任的对话中,公开地做出关于何时停止或限制复苏的决定。

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