克制：自主性、福利与老年患者
Exercising restraint: autonomy, welfare and elderly patients.
作者信息
Dodds S
机构信息
Department of Philosophy, University of Wollongong, NSW, Australia.
出版信息
J Med Ethics. 1996 Jun;22(3):160-3. doi: 10.1136/jme.22.3.160.
Despite moves to enhance the autonomy of clients of health care services, the use of a variety of physical restraints on the freedom of movement of frail, elderly patients continues in nursing homes. This paper confronts the use of restraints on two grounds. First, it challenges the assumption that use of restraints is necessary to protect the welfare of frail, elderly patients by drawing on a range of data indicating the limited efficacy of restraints. Secondly, it argues that the duty to respect individual autonomy extends to a duty to respect the autonomy of patients who are elderly, frail and living in nursing homes.
尽管采取了措施来增强医疗保健服务客户的自主权，但养老院中仍继续对体弱的老年患者的行动自由使用各种身体约束措施。本文基于两个理由探讨了约束措施的使用。首先，通过一系列表明约束措施效果有限的数据，它对使用约束措施是保护体弱老年患者福利所必需的这一假设提出了质疑。其次，它认为尊重个人自主权的义务延伸至尊重那些年老体弱且住在养老院的患者的自主权的义务。
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