Macklin R
Soc Work Health Care. 1984 Summer;9(4):11-20. doi: 10.1300/J010v09n04_02.
Ethical issues in the care and treatment of patients with end-stage renal disease are illustrative of problems that confront social workers who practice in a medical setting. Chief among these are dilemmas of informed consent and dealing with the problem patient. Patient advocacy may pose a conflict between respect for a patient's autonomy and acting in the patient's best medical interest. Pressures of resource allocation on a dialysis unit also require a just resolution.
终末期肾病患者护理与治疗中的伦理问题，体现了在医疗环境中执业的社会工作者所面临的问题。其中最主要的是知情同意的困境以及应对难相处的患者。患者权益倡导可能会在尊重患者自主权与为患者的最佳医疗利益行事之间造成冲突。透析科室资源分配的压力也需要得到公正的解决。
