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回应患者对加速死亡的请求：医生协助死亡与临床肿瘤学家

Responding to Patient Requests for Hastened Death: Physician Aid in Dying and the Clinical Oncologist.

作者信息

Spence Rebecca A, Blanke Charles D, Keating Thomas J, Taylor Lynne P

机构信息

American Society of Clinical Oncology, Alexandria, VA; SWOG, Portland, OR; New England Cancer Specialists, Scarborough, ME; and Virginia Mason Medical Center, Seattle, WA.

出版信息

J Oncol Pract. 2017 Oct;13(10):693-699. doi: 10.1200/JOP.2016.019299. Epub 2017 Sep 15.

DOI:10.1200/JOP.2016.019299
PMID:28915075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5946710/
Abstract

Physician aid in dying (PAD) or assisted suicide is becoming legal in more US jurisdictions. Meanwhile, the needs of terminally ill patients with cancer are receiving greater attention, including the integration of palliative care into oncology practice. This article highlights a case vignette of a patient with advanced cancer who requests PAD from her oncologist, as a backdrop to help the practicing oncologist examine his or her moral stance regarding participation in aid in dying. The article concludes by offering a framework within which the practicing oncologist can receive and process a patient's request for PAD.

摘要

医生协助死亡（PAD）或协助自杀在美国越来越多的司法管辖区正变得合法化。与此同时，晚期癌症患者的需求受到了更多关注，包括将姑息治疗纳入肿瘤学实践。本文突出展示了一位晚期癌症患者向其肿瘤学家请求医生协助死亡的病例小插曲，以此作为背景，帮助执业肿瘤学家审视其对于参与协助死亡的道德立场。文章最后提供了一个框架，执业肿瘤学家可以在此框架内接受并处理患者的医生协助死亡请求。

相似文献

1
Responding to Patient Requests for Hastened Death: Physician Aid in Dying and the Clinical Oncologist.回应患者对加速死亡的请求：医生协助死亡与临床肿瘤学家
J Oncol Pract. 2017 Oct;13(10):693-699. doi: 10.1200/JOP.2016.019299. Epub 2017 Sep 15.
2
Exploring the option of voluntarily stopping eating and drinking within the context of a suffering patient's request for a hastened death.在一名痛苦的患者请求加速死亡的背景下，探讨自愿停止进食和饮水的选择。
J Palliat Med. 2007 Dec;10(6):1288-97. doi: 10.1089/jpm.2007.0027.
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Redefining physicians' role in assisted dying.重新定义医生在协助死亡中的角色。
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The law regarding assisted dying for the terminally ill in the UK.英国关于绝症患者协助死亡的法律。
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Physician-assisted death with limited access to palliative care.在姑息治疗资源有限的情况下的医生协助死亡。
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Beyond autonomy and beneficence: the moral basis of euthanasia in the Netherlands.超越自主与善行：荷兰安乐死的道德基础。
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本文引用的文献

1
Why Physicians Should Oppose Assisted Suicide.医生为何应反对协助自杀。
JAMA. 2016 Jan 19;315(3):247-8. doi: 10.1001/jama.2015.16194.
2
Responding to Patients Requesting Physician-Assisted Death: Physician Involvement at the Very End of Life.回应患者对医生协助死亡的请求：医生在生命尽头的介入。
JAMA. 2016 Jan 19;315(3):245-6. doi: 10.1001/jama.2015.16210.
3
Tools to Promote Shared Decision Making in Serious Illness: A Systematic Review.促进重症患者共同决策的工具：一项系统综述。
JAMA Intern Med. 2015 Jul;175(7):1213-21. doi: 10.1001/jamainternmed.2015.1679.
4
The changing legal climate for physician aid in dying.医生协助死亡方面不断变化的法律环境。
JAMA. 2014 May 21;311(19):1961-2. doi: 10.1001/jama.2014.4117.
5
Clinical decisions. Physician-assisted suicide--polling results.临床决策。医生协助自杀——民意调查结果。
N Engl J Med. 2013 Sep 12;369(11):e15. doi: 10.1056/NEJMclde1310667.
6
Implementing a Death with Dignity program at a comprehensive cancer center.在综合癌症中心实施尊严死计划。
N Engl J Med. 2013 Apr 11;368(15):1417-24. doi: 10.1056/NEJMsa1213398.
7
American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care.美国临床肿瘤学会临时临床意见：姑息治疗融入标准肿瘤治疗。
J Clin Oncol. 2012 Mar 10;30(8):880-7. doi: 10.1200/JCO.2011.38.5161. Epub 2012 Feb 6.
8
American society of clinical oncology statement: toward individualized care for patients with advanced cancer.美国临床肿瘤学会声明：为晚期癌症患者实现个体化护理。
J Clin Oncol. 2011 Feb 20;29(6):755-60. doi: 10.1200/JCO.2010.33.1744. Epub 2011 Jan 24.
9
Early palliative care for patients with metastatic non-small-cell lung cancer.转移性非小细胞肺癌患者的早期姑息治疗。
N Engl J Med. 2010 Aug 19;363(8):733-42. doi: 10.1056/NEJMoa1000678.
10
Dealing with requests for euthanasia: a qualitative study investigating the experience of general practitioners.应对安乐死请求：一项调查全科医生经历的定性研究
J Med Ethics. 2008 Mar;34(3):150-5. doi: 10.1136/jme.2007.020909.