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“不要复苏”(DNR)医嘱与智障患者的案例。

The case of Do-Not-Resuscitate (DNR) orders and the intellectually disabled patient.

作者信息

Leever Martin G, Richter Kenneth, Nelson Peg, Allman Christopher J, Wyeth Duncan

机构信息

Department of Philosophy, University of Detroit Mercy, Detroit, MI, USA.

出版信息

HEC Forum. 2012 Jun;24(2):83-90. doi: 10.1007/s10730-011-9166-5.

Abstract

In the case of an intellectually disabled patient, the attending physician was restricted from writing a Do-Not-Resuscitate (DNR) order. Although the rationale for this restriction was to protect the patient from an inappropriate quality of life judgment, it resulted in a worse death than the patient would have experienced had he not been disabled. Such restrictions that are intended to protect intellectually disabled patients may violate their right to equal treatment and to a dignified death.

摘要

对于智障患者,主治医生被限制开具“不要复苏”(DNR)医嘱。尽管实施这一限制的理由是保护患者免受不恰当的生活质量判断,但这导致患者的死亡比他未残疾时所经历的更加糟糕。此类旨在保护智障患者的限制可能侵犯他们获得平等治疗以及尊严死的权利。

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