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照料处于生存极限的家庭:格林医生的教育经历

Caring for Families at the Limits of Viability: The Education of Dr Green.

作者信息

Stokes Theophil A, Kukora Stephanie K, Boss Renee D

机构信息

Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA.

Division of Neonatal-Perinatal Medicine, Department of Pediatrics and Communicable Diseases, Floor 8, 1540 E Hospital Dr SPC 4254, Ann Arbor, MI 48109, USA.

出版信息

Clin Perinatol. 2017 Jun;44(2):447-459. doi: 10.1016/j.clp.2017.01.007. Epub 2017 Mar 18.

Abstract

Resuscitation decisions for infants born at the edges of viability are complicated moral dilemmas, and the process of making these decisions is emotionally exhausting and morally distressful for families and physicians alike. An ethical approach to making these decisions requires input from physicians and parents; individuals tasked with facilitating such decisions must possess the communication and counseling skills needed to assist families with these painful and life-altering decisions. It is incumbent on all of us to continue our investigation into how we can better assist families in this process while providing care that is in their best interest.

摘要

对于处于可存活边缘出生的婴儿,复苏决策是复杂的道德困境,做出这些决策的过程对家庭和医生来说在情感上都是疲惫不堪且在道德上令人痛苦的。做出这些决策的伦理方法需要医生和父母的参与;负责推动此类决策的个人必须具备沟通和咨询技能,以帮助家庭做出这些痛苦且改变生活的决策。我们所有人都有责任继续研究如何在这个过程中更好地帮助家庭,同时提供符合他们最大利益的护理。

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