Mirarchi Ferdinando L
Department of Emergency Medicine, Hamot Medical Center, Erie, Pennsylvania 16550, USA.
J Emerg Med. 2007 Oct;33(3):299-305. doi: 10.1016/j.jemermed.2007.02.026. Epub 2007 Jul 20.
Living wills are thought to protect the medical decision-making capacity of patients. Presented are three case scenarios of patients with living wills presenting to health care facilities for treatment, and their hospital courses. Living wills have never been thought to compromise patient care or safety, but their use has not been adequately studied with respect to risks, benefits, or consequences. This case series will define a scenario as well as how that scenario was affected by the presence of a living will. In addition, existing data regarding the care provided to patients with a code status designation of DNR (do not resuscitate) are reviewed.
生前预嘱被认为可以保护患者的医疗决策能力。本文呈现了三名持有生前预嘱的患者前往医疗机构接受治疗的病例情况及其住院过程。生前预嘱从未被认为会损害患者护理或安全，但就其风险、益处或后果而言，对其使用情况尚未进行充分研究。本病例系列将定义一种情形以及该情形如何受到生前预嘱的影响。此外，还对有关为指定了“不要复苏”（DNR）代码状态的患者提供护理的现有数据进行了综述。
