自杀未遂后撤销生命支持:病例研究与伦理考虑回顾

Q4 Medicine Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI:10.1353/nib.0.a918687
David A. Oxman, Benjamin Richter
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引用次数: 0

摘要

围绕撤销生命支持的伦理问题可能十分复杂。当生命支持疗法是自杀企图的结果时,潜在的伦理问题就会呈现出另一个层面。通常指导临床医生作为护理人员行动的职责和原则可能并不那么容易适用。我们介绍了一个自杀未遂的病例,在这个病例中,围绕撤除生命支持的决定引发了病人家属和医疗团队之间的冲突。我们强调了导致这一冲突的主要未决哲学问题以及关于自杀的相互矛盾的规范性价值观。最后,我们展示了如何将这些考虑因素实际应用到这一特殊案例中。
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Withdrawing Life Support After Attempted Suicide: A Case Study and Review of Ethical Consideration
Ethical questions surrounding withdrawal of life support can be complex. When life support therapies are the result of a suicide attempt, the potential ethical issues take on another dimension. Duties and principles that normally guide clinicians’ actions as caregivers may not apply as easily. We present a case of attempted suicide in which decisions surrounding withdrawal of life support provoked conflict between a patient’s family and the medical team caring for him. We highlight the major unresolved philosophical questions and contradictory normative values about suicide that underlie this conflict. Finally, we show how these considerations were practically applied to this particular case.
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来源期刊
Narrative inquiry in bioethics
Narrative inquiry in bioethics Medicine-Medicine (all)
CiteScore
0.20
自引率
0.00%
发文量
27
期刊介绍: Narrative Inquiry in Bioethics (NIB) is a unique journal that provides a forum for exploring current issues in bioethics through personal stories, qualitative and mixed-methods research articles, and case studies. NIB is dedicated to fostering a deeper understanding of bioethical issues by publishing rich descriptions of complex human experiences written in the words of the person experiencing them. While NIB upholds appropriate standards for narrative inquiry and qualitative research, it seeks to publish articles that will appeal to a broad readership of healthcare providers and researchers, bioethicists, sociologists, policy makers, and others. Articles may address the experiences of patients, family members, and health care workers.
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