Lee M A, Ganzini L, Brummel-Smith K
Department of Medicine, Oregon Health Sciences University, Portland.
West J Med. 1996 Oct;165(4):205-8.
The passage of the Oregon Death With Dignity Act has profound implications for the prevailing model of care for dying patients. Patients are already asking for assisted suicide. Most physicians have not been trained in evaluating these requests in a therapeutic way. We discuss the issues around the needs of dying patients and, regardless of the legal status, what to do when patients ask for a lethal dose of medication. With the tools to explore the meaning of these requests, physicians will be better able to understand and meet the needs of their dying patients.
《俄勒冈尊严死亡法案》的通过对现行临终患者护理模式产生了深远影响。患者已经在请求协助自杀。大多数医生并未接受过以治疗性方式评估此类请求的培训。我们讨论围绕临终患者需求的问题,以及无论法律状况如何,当患者请求给予致死剂量药物时该怎么做。有了探索这些请求含义的工具,医生将能更好地理解并满足临终患者的需求。