Spence Rebecca A, Blanke Charles D, Keating Thomas J, Taylor Lynne P
American Society of Clinical Oncology, Alexandria, VA; SWOG, Portland, OR; New England Cancer Specialists, Scarborough, ME; and Virginia Mason Medical Center, Seattle, WA.
J Oncol Pract. 2017 Oct;13(10):693-699. doi: 10.1200/JOP.2016.019299. Epub 2017 Sep 15.
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.
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。