Joss R, Schüpfer M, Schefer H
Medizinische Klinik, Kantonsspital, Luzern.
Praxis (Bern 1994). 1998 Jan 7;87(1-2):26-32.
A case history of a breast cancer patient is used to exemplify ethical dilemmas in medical oncology: information of a cancer patient and his family, ethical problems with genetic testing, ethical issues with do-not-resuscitate-orders, ethical dilemmas with limited resources, problems with insurance companies, ethical issues in clinical trials and questions in dying patients including physician-assisted suicide and active euthanasia. Medical oncologists have to develop skills in recognizing ethical dilemmas in patient care and must prepare to cope with the many and complex ethical issues in the care of oncology patients.
癌症患者及其家属的信息、基因检测的伦理问题、“不要复苏”医嘱的伦理问题、资源有限的伦理困境、保险公司的问题、临床试验中的伦理问题以及临终患者的问题,包括医生协助自杀和主动安乐死。肿瘤内科医生必须培养识别患者护理中伦理困境的技能,并必须准备好应对肿瘤患者护理中众多复杂的伦理问题。