Donohue S J
Vascular Unit, John Radcliffe Hospital, Oxford Radcliffe Hospitals Trust.
Br J Nurs. 1997;6(22):1311-4. doi: 10.12968/bjon.1997.6.22.1311.
For some people the prospect of amputation may offer an escape from the constant pain, infection and disability which have been part of their lives for many years. However, other may regard death as a preferable option. Denying treatment when the alternative prognosis is death causes much debate among healthcare professionals, families and carers. Ultimately, however, healthcare professionals must listen to the person in need of the amputation. The first article in this series illustrated the care pathway of a vascular patient, the second studied the surgical process of amputation and the third highlighted the importance of the nurse's role in the amputee's physiological, psychological and social care. This article, the last in the series, discusses the issues surrounding the person's decision not to have an amputation.
对一些人来说，截肢的前景或许能让他们摆脱多年来一直困扰生活的持续疼痛、感染和残疾。然而，另一些人可能认为死亡是更好的选择。当另一种预后是死亡时拒绝治疗，这在医疗专业人员、患者家属和护理人员之间引发了诸多争论。然而，最终医疗专业人员必须倾听需要截肢者的意见。本系列的第一篇文章阐述了血管疾病患者的护理路径，第二篇研究了截肢的手术过程，第三篇强调了护士在截肢者生理、心理和社会护理中的作用。本文作为该系列的最后一篇，讨论了围绕患者决定不进行截肢的相关问题。
