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[临床实践中的预先指示:生前遗嘱、医疗保健委托书和护理指示]

[Advance directives in clinical practice : Living will, healthcare power of attorney and care directive].

作者信息

Hack J, Buecking B, Lopez C L, Ruchholtz S, Kühne C A

机构信息

Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinika Gießen und Marburg GmbH, Standort Marburg, 35043, Marburg, Deutschland.

Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinika Gießen und Marburg GmbH, Standort Marburg, Marburg, 35043, Deutschland.

出版信息

Internist (Berl). 2017 Dec;58(12):1281-1289. doi: 10.1007/s00108-017-0348-3.

Abstract

In clinical practice, situations continuously occur in which medical professionals and family members are confronted with decisions on whether to extend or limit treatment for severely ill patients in end of life treatment decisions. In these situations, advance directives are helpful tools in decision making according to the wishes of the patient; however, not every patient has made an advance directive and in our experience medical staff as well as patients are often not familiar with these documents. The purpose of this article is therefore to explain the currently available documents (e.g. living will, healthcare power of attorney and care directive) and the possible (legal) applications and limitations in the routine clinical practice.

摘要

在临床实践中,医疗专业人员和家庭成员不断面临在临终治疗决策中是否延长或限制重症患者治疗的决策情况。在这些情况下,预先指示是根据患者意愿进行决策的有用工具;然而,并非每个患者都制定了预先指示,而且根据我们的经验,医务人员和患者通常对这些文件并不熟悉。因此,本文的目的是解释目前可用的文件(如生前遗嘱、医疗委托书和护理指示)以及在常规临床实践中的可能(法律)应用和限制。

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