Karnik Sameera, Kanekar Amar
American Public University, 111 West Congress Street, Charles Town, WV 25414, USA.
School of Counseling, Human Performance and Rehabilitation, University of Arkansas at Little Rock, 2801 South University Avenue, Little Rock, AR 72204, USA.
Healthcare (Basel). 2016 May 5;4(2):24. doi: 10.3390/healthcare4020024.
End-of-life care decision making carries paramount importance due to the advancements in medical sciences. Since medical science has evolved over the time and now has a potentiality to reshape the circumstances during death and in turn prolong lives, various ethical issues surround end-of-life care. The purpose of this narrative review is to discuss issues such as autonomous decision making, importance of advance directives, rationing of care in futile treatments and costs involved in providing end-of-life care. Even though much progress has been made in this area continued advancement in medical science demands further research into this topic.
由于医学科学的进步,临终关怀决策具有至关重要的意义。随着时间的推移,医学科学不断发展,如今已具备重塑死亡过程中的各种情况进而延长生命的潜力,围绕临终关怀产生了诸多伦理问题。本叙述性综述的目的是讨论诸如自主决策、预立医疗指示的重要性、无效治疗中的医疗资源分配以及提供临终关怀所涉及的成本等问题。尽管在这一领域已经取得了很大进展,但医学科学的持续进步仍需要对该主题进行进一步研究。