对痴呆症患者实施安乐死的伦理考虑

B. Gill
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引用次数: 0

摘要

安乐死是一种深思熟虑的干预,包括结束生命的决心,以减轻尴尬和无法忍受的痛苦。只有当这个人在精神上有能力时,才会考虑到这一点。随着医学知识的进步,人们对痴呆症的预后有了更好的了解。被诊断患有痴呆症的人通常表示,随着疾病的发展,他们不希望成为家庭成员的负担,并且经常表示他们希望在无法照顾自己之前结束自己的生命。本文的目的是利用“道德”伦理决策模型来批评痴呆症患者安乐死的可行性和伦理考虑。患者(被诊断为痴呆症的个体)、护理人员、护士和医生应该包括在内,以便更深入地了解安乐死的伦理困境。不同的选择,如可用的治疗,适合痴呆症病例的类型和策略,痴呆症病例中适当的伦理理论(慈善和自主)。然后,有必要对案件进行回顾和“回头看”。为了提高痴呆症患者安乐死的可能性,安乐死的预先指示可能是一种选择。
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Ethical Consideration of Euthanasia for People Diagnosed with Dementia
Euthanasia is a deliberative intervention embracing the determination of ending a life so as to alleviate awkward and unbearable suffering. It is only taken into consideration when by the person is mentally competent. With the advance of medical knowledge, there is a better understanding of the prognosis of dementia. Individuals’ diagnosed with dementia often expresses that they do not want to be a burden to their family members as the disease progress and often expresses they want to end their life before they are not able to take care of themselves. The aim of this paper is to critique the feasibility and ethical considerations of euthanasia among individuals diagnosed with dementia using ‘MORAL’ ethical decision-making model. Patient (individual diagnosed with dementia), caregiver, nurses and physician should be included in order to have a deeper understanding of the euthanasia ethical dilemma. Different options such as treatment available, type and strategies appropriate for the dementia case, appropriate ethical theories in the dementia case (beneficence and autonomy). Then, it is essential to review and “look back” at the case. In order to enhance the possibilities of euthanasia among individual with dementia, advance directives on euthanasia could be an option.
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