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尊重意愿,避免冲突:理解器官捐献和获取的伦理基础。

Respecting wishes and avoiding conflict: understanding the ethical basis for organ donation and retrieval.

机构信息

Brighton and Sussex Medical School, University of Sussex, Brighton N1 9PX, UK.

出版信息

Br J Anaesth. 2012 Jan;108 Suppl 1:i73-9. doi: 10.1093/bja/aer370.

DOI:10.1093/bja/aer370
PMID:22194435
Abstract

Many people care deeply about what happens to their own and their loved ones' bodies after death. It is therefore important to capture individuals' wishes and ensure that they are respected as far as practically possible. At the same time, healthcare professionals need to feel confident that they are morally entitled to do what they need to do to ensure that someone's wishes are fulfilled. This article explores the decision to donate one's organs after death. It attempts to reconcile the way in which people are required to express their wish to donate organs with the need to reassure and support the professionals, who will care for them if they become potential donors. Current donor registration processes leave some professionals feeling that donors have not consented in the usual manner to procedures, which might be necessary before death. It is suggested that this issue could be addressed without imposing information overload on prospective donors, by changing the way in which the wish to donate is understood and expressed.

摘要

许多人非常关心自己和亲人去世后身体的去向。因此,重要的是要了解个人的意愿,并尽可能尊重他们的意愿。与此同时,医疗保健专业人员需要有信心,他们在道德上有权做他们需要做的事情,以确保某人的意愿得到实现。本文探讨了死后捐献器官的决定。它试图调和人们表达捐献器官意愿的方式,以及需要安慰和支持专业人员的方式,如果他们成为潜在的捐献者,专业人员将照顾他们。目前的捐赠者登记程序让一些专业人员感到,在通常情况下,捐献者没有同意在死亡前可能需要进行的程序。有人建议,可以通过改变对捐献意愿的理解和表达方式,在不向潜在捐献者施加信息过载的情况下解决这个问题。

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