Department of Internal Medicine, Lincoln Medical Center, Room 8-30 234E 149th St. The Bronx, NY, USA.
J Postgrad Med. 2022 Jul-Sep;68(3):152-155. doi: 10.4103/jpgm.jpgm_1146_21.
The term therapeutic privilege is unfamiliar in the medical field and often sparks questions and discomfort about its ethical implications. Therapeutic privilege refers to the act of withholding information by a clinician, with the underlying notion that the disclosure of this information would inflict harm or suffering upon the patient. This is a case of a 56-year-old woman who presented to our facility under critical conditions. She developed sepsis with acute respiratory failure, requiring intubation and mechanical ventilation. Prior to her admission, her husband had been admitted at our facility's intensive care unit. On the same day when our patient was extubated, her husband had died. The palliative care team was consulted to assist with disclosing this information to the patient in light of her emotional fragility, her anxiety, and concerns for her ability to receive such news given her own active illnesses.
治疗特权在医学领域并不熟悉，往往会引发关于其伦理含义的问题和不适。治疗特权是指临床医生隐瞒信息的行为，其基本理念是披露这些信息会给患者带来伤害或痛苦。这是一位 56 岁女性的病例，她因危急情况被送入我们的医疗机构。她患有败血症合并急性呼吸衰竭，需要插管和机械通气。在她入院之前，她的丈夫已经在我们医疗机构的重症监护病房住院。在我们的患者拔管的同一天，她的丈夫去世了。鉴于她的情绪脆弱、焦虑以及担心自己在患有其他疾病的情况下能否接受这样的消息，姑息治疗团队被咨询以协助向患者透露这一信息。
