Erde E L, Eden A R
Department of Family Practice, University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, Camden 08103.
Soc Sci Med. 1991;32(5):559-63. doi: 10.1016/0277-9536(91)90291-j.
Much of the bioethics literature focuses on dilemmas physicians face involving life and death issues. We articulate and apply a method of bioethics that can help both in resolving such dilemmas and in the appreciation of many situations and conditions. We apply the method to a case of a person with Bell's palsy because such a condition does not involve life and death, has a low cure rate, involves poorly recognized value conflicts, involves several specialties with rival approaches to care and much uncertainty. We show the strengths of the method in the application, and recommend it as generally useful to organize the way one perceives cases and attempts to resolve dilemmas.
许多生物伦理学文献都聚焦于医生面临的涉及生死问题的困境。我们阐述并应用一种生物伦理学方法，这种方法既能帮助解决此类困境，又能增进对许多情况和条件的理解。我们将该方法应用于一位贝尔氏面瘫患者的案例，因为这种病症不涉及生死问题，治愈率低，存在未被充分认识的价值冲突，涉及多个对治疗方法存在竞争的专科，且存在诸多不确定性。我们展示了该方法在应用中的优势，并推荐其作为一种普遍有用的方法，用于组织人们对病例的认知以及尝试解决困境的方式。
