Tan Daniel Y B, Ter Meulen Bastiaan C, Molewijk Albert, Widdershoven Guy
Department of Neurology, OLVG Locatie West, Amsterdam, The Netherlands.
Department of Neurology, Zaans Medical Center, Zaandam, The Netherlands.
Pract Neurol. 2018 Jun;18(3):181-186. doi: 10.1136/practneurol-2017-001740. Epub 2017 Dec 20.
Ethical dilemmas in general are characterised by a choice between two mutually excluding options neither of which is satisfactory, because there always will be a form of moral damage. Within the context of medicine several ethics support services have been developed to support healthcare professionals in dealing with ethical dilemmas, including moral case deliberation. In this article, we describe how moral case deliberation works in daily practice, illustrated with a case example from the neurology ward. The article is meant as an introduction to moral case deliberation according to the dilemma method. We show its relevance to the clinic and the context needed to put it into practice.
一般来说,伦理困境的特点是在两个相互排斥的选项之间进行选择,而这两个选项都不尽人意,因为总会有一种形式的道德损害。在医学背景下,已经开发了几种伦理支持服务,以帮助医疗保健专业人员处理伦理困境,包括道德案例审议。在本文中,我们描述了道德案例审议在日常实践中的运作方式,并以神经科病房的一个案例为例进行说明。本文旨在作为根据困境方法进行道德案例审议的介绍。我们展示了它与临床的相关性以及将其付诸实践所需的背景。