The pressure to withhold or withdraw life-sustaining therapy from critically ill patients in the United States.
The pressure to withhold or withdraw life-sustaining therapy from critically ill patients in the United States.
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美国面临停止或撤回危重患者维持生命治疗的压力。
DOI：
10.1164/rccm.200609-1397cp
复制
发表时间：
2007
影响因子：
24.7
通讯作者：
White,DouglasB
中科院分区：
文献类型：
--
作者：
Luce,JohnM;White,DouglasB
医生和护士有时会对危重病人的家属施加压力，要求他们停止或撤销维持生命的治疗。这种压力可能来自预后、专业、社会和经济因素。虽然限制生命维持的压力在某些情况下可能是适当的，但在其他情况下则是不合理的。压力也可能破坏沟通，引起怨恨。如果不能改善沟通，如果不能减轻压力，则可能需要采用涉及其他各方的适当程序方法来解决冲突。
Physicians and nurses sometimes exert pressure on the families of critically ill patients to withhold or withdraw life-sustaining therapy from them. This pressure may stem from prognostic, professional, social, and economic factors. Although the pressure to limit life support may be appropriate in some circumstances, in others it is not justified. The pressure also may damage communications and cause resentment. If communications cannot be improved, and if the pressure cannot be relieved, a due process approach to conflict resolution that involves other parties may be required.