Vazquez Lauren D, Santone Michael D
Department of Psychiatry, Ochsner Clinic Foundation, New Orleans, LA.
Ochsner J. 2011 Winter;11(4):317-24.
This article summarizes concepts related to psychosocial issues at the end of life with special attention directed to the rights of the mentally ill, issues related to mental capacity to consent, and suicidality and desire for hastened death in patients with a terminal illness. We discuss assessment tools and clinical decision-making strategies to guide the healthcare provider in dealing effectively with the often difficult situations involving patients facing the end of life.
本文总结了临终时心理社会问题的相关概念,特别关注精神病患者的权利、与同意能力相关的问题,以及绝症患者的自杀倾向和加速死亡的愿望。我们讨论了评估工具和临床决策策略,以指导医疗保健提供者有效应对涉及临终患者的常见困难情况。