A request for hospice admission from hospital to withdraw ventilation
A request for hospice admission from hospital to withdraw ventilation
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DOI：
10.1136/jme.2004.010777
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发表时间：
2005-07-01
影响因子：
4.1
通讯作者：
Gannon, C
中科院分区：
文献类型：
--
作者：
Gannon, C
一名患有运动神经元疾病的住院病人被要求收治入院，这引起了不同寻常的不安。值得注意的是，停止通气已经计划好了。转移后将停止通气的假设提出了一个两难的选择。临终关怀医院应该接受入院吗？如果是这样，临终关怀人员是否应该停止通气，然后何时以及如何停止？争论的焦点是最大利益的连续性和撤回通风的后勤工作。使该请求引起争议的因素确定了临终关怀入院决策中的竞争利益，这可能会对患者护理产生不利影响。
A request to admit a hospital inpatient with motor neurone disease to the hospice generated unusual unease. Significantly, withdrawal of ventilation had already been planned. The presumption that ventilation would be withdrawn after transfer presented a dilemma. Should the hospice accept the admission? If so, should the hospice staff stop the ventilation, and then when and how? Debate centred on the continuity of best interests and the logistics of withdrawing ventilation. The factors making the request contentious identified competing interests within hospice admission decision making that could detrimentally impact on patient care.