Davison Sara N, Holley Jean L
University of Alberta, Edmonton, Alberta, Canada.
Adv Chronic Kidney Dis. 2008 Apr;15(2):177-85. doi: 10.1053/j.ackd.2008.01.004.
Numerous ethical issues such as the appropriate initiation or withdrawal of dialysis are inherent when one cares for patients with chronic kidney disease (CKD). Conflicts concerning decisions to withhold or withdraw dialysis often involve particularly vulnerable CKD patients such as the elderly, those with cognitive impairment, or those who come from different cultural backgrounds. Issues related to renal replacement therapy in vulnerable or special CKD populations will be explored within an ethical framework based on the principles of autonomy (self-determination), beneficence (to maximize good), nonmaleficence (to not cause harm), and justice (what is due or owed).
在照顾慢性肾脏病（CKD）患者时，存在许多伦理问题，例如透析的适当启动或停止。关于停止或撤回透析的决定所产生的冲突，往往涉及特别脆弱的CKD患者，如老年人、认知障碍者或来自不同文化背景的人。将在基于自主（自我决定）、行善（使利益最大化）、不伤害（不造成伤害）和公正（应得或应尽之物）原则的伦理框架内，探讨弱势或特殊CKD人群中与肾脏替代治疗相关的问题。
