Decisions to forego life-sustaining treatment.

Virginia medical Pub Date : 1989-11-01
J C Fletcher
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引用次数: 0

Abstract

Decisions not to start or to stop life-sustaining technologies raise the most frequent ethical problems in clinical and long-term care settings in the United States. At the University of Virginia Hospitals, 66% of the requests for ethics consultation concern decisions to forego treatment. The decision is especially hard in cases when death is the only alternative to starting or stopping treatment that is costly in pain and suffering as well as resources. The author presents five maxims, fitting five common dilemmas, to help guide the physician in making such decisions.

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决定放弃维持生命的治疗。
在美国,不启动或停止维持生命技术的决定在临床和长期护理环境中引发了最常见的伦理问题。在弗吉尼亚大学医院,66%的伦理咨询请求涉及放弃治疗的决定。当死亡是开始或停止治疗的唯一选择时,做出这个决定尤其困难,因为这种治疗会带来昂贵的痛苦和资源。作者提出了五条格言,适合五种常见的困境,以帮助指导医生做出这样的决定。
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