Ethical and Legal Considerations in End-of-Life Care

被引:6
|
作者
Chessa, Frank [1 ]
Moreno, Fernando [2 ,3 ]
机构
[1] Tufts Univ, Maine Med Ctr, Sch Med, 22 Bramhall St, Portland, ME 04102 USA
[2] Tufts Univ, Sch Med, Dept Family Med, Maine Med Ctr,Hosp Southern Maine, 180 US Route One, Scarborough, ME 04074 USA
[3] Tufts Univ, Sch Med, Div Palliat Med, Maine Med Ctr,Hosp Southern Maine, 180 US Route One, Scarborough, ME 04074 USA
来源
PRIMARY CARE | 2019年 / 46卷 / 03期
关键词
Ethics; End of life; Surrogate; Advance care planning; Physician-assisted suicide; Palliative care; Palliative sedation; Futility;
D O I
10.1016/j.pop.2019.05.005
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In caring for dying patients, family medicine practitioners intentionally adopt care plans that affect the manner and timing of death. These decisions are morally weighty. This article provides guidance regarding the ethical and legal appropriateness of practitioner decisions near the end of life. Topics include surrogate decision making, advance care planning, medical nutrition and hydration, double effect, futile care, physician-assisted death, voluntarily stopping eating and drinking, palliative sedation to unconsciousness, and cultural humility.
引用
收藏
页码:387 / +
页数:13
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