Dempsey Timothy M, DeMartino Erin Sullivan
A fellow and assistant professor of medicine in the Division of Pulmonary and Critical Care at Mayo Clinic in Rochester, Minnesota.
An assistant professor of medicine and a physician in the Division of Pulmonary and Critical Care Medicine at Mayo Clinic in Rochester, Minnesota.
AMA J Ethics. 2019 Jul 1;21(7):E559-565. doi: 10.1001/amajethics.2019.559.
Caring for patients who lack decision-making capacity is common in health care and presents numerous practical and ethical challenges. Unrepresented patients are vulnerable in part because they do not have anyone to help articulate their values and preferences, and they cannot do so themselves. This commentary suggests a deliberative approach to responding to these patients' needs.
在医疗保健中，照顾缺乏决策能力的患者是常见的，并且带来了许多实际和伦理挑战。没有代言人的患者之所以脆弱，部分原因是他们没有人帮助阐明自己的价值观和偏好，而且他们自己也无法做到这一点。本评论提出了一种协商性方法来满足这些患者的需求。
