Department of Anaesthesia and Intensive Care Medicine, Imperial College, St Mary's Hospital, London, UK.
Minerva Anestesiol. 2010 Mar;76(3):203-8.
The aim of this paper was to review current end of life (EOL) practice in Italy. The authors have made an appraisal of the existing literature in order to understand current end of life care practice in Italy. This manuscript focuses on analyzing the dying process, the transoceanic similarities and differences in the end of life decision-making practice, and the family involvement. The authors acknowledge the importance of the recent Englaro court case verdict on current practice in Italy. Dying has changed as a process over the last century in term of causes of death, costs, communication of the prognosis, and needs of the patient's family. Regardless of national and international guidelines, there is no agreement among Italian doctors regarding the gold standards of daily clinical practice at the EOL.
本文旨在回顾意大利目前的临终关怀实践。作者对现有文献进行了评估，以了解意大利目前的临终关怀实践。本文重点分析了临终过程、跨洋临终决策实践的异同，以及家庭参与度。作者承认最近 Englaro 法庭案件裁决对意大利目前实践的重要性。在过去的一个世纪里，死亡过程在死亡原因、成本、预后沟通和患者家庭需求方面发生了变化。尽管存在国家和国际指南，但意大利医生在临终关怀日常临床实践的黄金标准方面并未达成一致。
