Rosoff Philip M
Duke University Hospital, the Trent Center for Bioethics, Humanities and History of Medicine, Durham, NC 27710, USA.
Soc Work Health Care. 2008;47(1):49-59. doi: 10.1080/00981380801970814.
Many healthcare organizations and government agencies are making detailed preparations for the possibility of a pandemic of highly virulent influenza. All plans to date have recognized that there will undoubtedly be a greater need for medical resources than will be available. Thus, we will be faced with a situation in which not all will be offered curative care, even if they could benefit from it. Even if there were sufficient amounts of vaccines, hospital beds, ventilators, and antibiotics, there are still expected to be large numbers of deaths as well as stress due to the overwhelming nature of the pandemic. The challenges of caring for the incurable, the uncured, healthcare workers, and the survivors and their families will place almost unprecedented demands on mental health workers. In this article, I discuss these ethical and medical challenges and the role that social workers will be called on to play.
许多医疗保健机构和政府机构正在为高致病性流感大流行的可能性做详细准备。迄今为止，所有计划都认识到，对医疗资源的需求无疑将远远超过可获得的资源。因此，我们将面临一种情况，即并非所有人都能得到治愈性治疗，即使他们可能从中受益。即使有足够数量的疫苗、病床、呼吸机和抗生素，由于大流行的压倒性性质，预计仍会有大量死亡以及压力。照顾绝症患者、未治愈者、医护人员以及幸存者及其家人所面临的挑战，将对心理健康工作者提出几乎前所未有的要求。在本文中，我将讨论这些伦理和医学挑战以及社会工作者将被要求发挥的作用。
