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[放射肿瘤学姑息治疗中的伦理问题]

[Ethical stakes in palliative care in radiation oncology].

作者信息

Haaser T, Constantinides Y, Huguet F, De Crevoisier R, Dejean C, Escande A, Ghannam Y, Lahmi L, Le Tallec P, Lecouillard I, Lorchel F, Thureau S, Lagrange J L

机构信息

Service d'Oncologie Radiothérapie, Hôpital Haut Lévêque, Centre Hospitalier Universitaire de Bordeaux, avenue Magellan, 33600 Pessac, France.

Espace Éthique Ile de France, Paris Université Sorbonne Nouvelle, Paris, France.

出版信息

Cancer Radiother. 2021 Oct;25(6-7):699-706. doi: 10.1016/j.canrad.2021.07.004. Epub 2021 Aug 13.

Abstract

In 2021, the Ethics Commission of the SFRO has chosen the issue of the practice of palliative care in radiotherapy oncology. Radiation oncology plays a central role in the care of patients with cancer in palliative phase. But behind the broad name of palliative radiotherapy, we actually find a large variety of situations involving diverse ethical issues. Radiation oncologists have the delicate task to take into account multiple factors throughout a complex decision-making process. While the question of the therapeutic indication and the technical choice allowing it to be implemented remains central, reflection cannot be limited to these decision-making and technical aspects alone. It is also a question of being able to create the conditions for a singularity focused care and to build an authentic care relationship, beyond technicity. It is through this daily ethical work, in close collaboration with patients, and under essential conditions of multidisciplinarity and multiprofessionalism, that our fundamental role as caregiver can be deployed.

摘要

2021年,法国放射肿瘤学会伦理委员会选定了放射肿瘤学中姑息治疗实践的问题。放射肿瘤学在癌症患者姑息治疗中发挥着核心作用。但在姑息性放疗这个宽泛的名称背后,我们实际上发现了各种各样涉及不同伦理问题的情况。放射肿瘤学家在整个复杂的决策过程中要承担考虑多种因素的微妙任务。虽然治疗指征问题以及实现该指征的技术选择仍然是核心问题,但思考不能仅局限于这些决策和技术方面。这也是一个能够为个性化的专注护理创造条件,并建立超越技术层面的真实护理关系的问题。正是通过这种日常的伦理工作,与患者密切合作,并在多学科和多专业的必要条件下,我们作为护理者的基本作用才能得以发挥。

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