Division of Palliative Medicine, The Ohio State University, Columbus, Ohio, USA.
Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, Ohio, USA.
J Palliat Med. 2021 Apr;24(4):599-604. doi: 10.1089/jpm.2021.0022. Epub 2021 Feb 16.
Palliative care (PC) clinicians treat seriously ill patients who are at increased risk for compromised decision-making capacity (DMC). These patients face profound and complex questions about which treatments to accept and which to decline. PC clinicians, therefore, have the especially difficult task of performing thorough, fair, and accurate DMC assessments in the face of the complex effects of terminal illness, which may be complicated by fluctuating acute medical conditions, mental illness, or cognitive dysfunction. This study, written by a team of clinicians with expertise in PC, ethics, psychiatry, pediatrics, and geriatrics, aims to provide expert guidance to PC clinicians on best practice for complex DMC assessment.
姑息治疗（PC）临床医生治疗患有严重疾病且决策能力受损风险增加的患者。这些患者面临着关于接受哪些治疗和拒绝哪些治疗的深刻而复杂的问题。因此，PC 临床医生面临着一项特别困难的任务，即在面临终末期疾病的复杂影响时，进行全面、公正和准确的决策能力评估，这些影响可能因波动的急性医疗状况、精神疾病或认知功能障碍而变得复杂。这项由具有姑息治疗、伦理学、精神病学、儿科学和老年医学专业知识的临床医生团队撰写的研究旨在为 PC 临床医生提供复杂决策能力评估的最佳实践指南。
