Brugger Christian, Breschi Louis C, Hart Edith Mary, Kummer Mark, Lane John I, Morrow Peter T, Smith Franklin L, Toffler William L, Beffel Marisa, Brehany John F, Buscher Sara, Marker Rita L
St. John Vianney Theological Seminary Denver, CO, USA.
Franklin Square Medical Center, Baltimore, MD, USA.
Linacre Q. 2013 May;80(2):103-38. doi: 10.1179/0024363913Z.00000000027.
This white paper, prepared by a working group of the Catholic Medical Association, provides a commentary on a new type of end-of-life document called a POLST form (Physician Orders for Life-Sustaining Treatment) as well as on its model (or "paradigm") for implementation across the United States. After an introductory section reviewing the origin, goals, and standard defenses of the POLST paradigm and form, the paper offers a critical analysis of POLST, including an analysis of the risks that POLST poses to sound clinical and ethical decision-making. The paper ends with several recommendations to help Catholic healthcare professionals and institutions better address the challenges of end-of-life care with alternatives to POLST.
这份由天主教医学协会工作小组撰写的白皮书，对一种名为“维持生命治疗医生医嘱”（POLST）表格的新型临终文件及其在美国各地的实施模式（或“范例”）进行了评论。在引言部分回顾了POLST范例和表格的起源、目标及标准辩护后，本文对POLST进行了批判性分析，包括分析POLST对合理临床和伦理决策所构成的风险。本文最后提出了几项建议，以帮助天主教医疗专业人员和机构通过POLST的替代方案更好地应对临终关怀的挑战。
