Communication Gaps in Georgian Palliative Medicine: Ethical and Legal Review

N. Tebidze, G. Kazhashvili
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Abstract

Introduction: Difficulties in communication, decision-making, and end-of-life management have emerged in the implementation of palliative care in recent decades. The imperfection of ethical issues was also highlighted. This fact is confirmed once again by a study conducted by the oncology department of the Batumi High-technology Hospital, which aimed to study the adequate perception of existing oral pathologies by patients under palliative care and their impact on the quality of life. Aim: We aimed to discuss the mentioned problem within the framework of bioethics and Georgian legislation. Methods: Despite the few amount of literary sources, we tried to discuss the mentioned issue based on Georgian legislation and also existing literature. Conclusion: Thus, as we mention in medical activities there are cases when the real diagnosis is not told to the patient for ,,his favor'', also there are cases when an inappropriate diagnosis is made, which can lead the patient to a fatal condition. In this case, the patient can civilly protect his rights. The best option is to provide the patient with information in the correct form so that it does not mean the end of the world and does not cause depression in him. The patient should be able to pass the last stage of life peacefully and with dignity.
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格鲁吉亚缓和医疗中的沟通障碍:伦理与法律审查
简介近几十年来,在实施姑息关怀的过程中,出现了沟通、决策和临终管理方面的困难。伦理问题的不完善也凸显出来。巴统高科技医院肿瘤科开展的一项研究再次证实了这一事实,该研究旨在研究接受姑息治疗的患者对现有口腔病症的充分认识及其对生活质量的影响。目的:我们的目的是在生物伦理学和格鲁吉亚立法的框架内讨论上述问题。方法:尽管文献资料很少,但我们还是试图在格鲁吉亚立法和现有文献的基础上讨论上述问题。结论:因此,正如我们所提到的,在医疗活动中,有时为了病人的利益而不告诉病人真正的诊断,也有 时做出了不恰当的诊断,这可能会导致病人死亡。在这种情况下,患者可以通过民事诉讼保护自己的权利。最好的办法是以正确的形式向患者提供信息,这样既不意味着世界末日,也不会导致患者抑郁。病人应该能够平静而有尊严地度过生命的最后阶段。
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