Good Care of Dying Patients: The Alternative to Physician‐Assisted Suicide and Euthanasia
Good Care of Dying Patients: The Alternative to Physician‐Assisted Suicide and Euthanasia
复制标题
照顾好临终病人：医生协助自杀和安乐死的替代方案
DOI：
10.1111/j.1532-5415.1995.tb06106.x
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发表时间：
1995
影响因子：
6.3
通讯作者：
J. Lynn
中科院分区：
文献类型：
--
作者：
G. Sachs;J. Ahronheim;J. Rhymes;L. Volicer;J. Lynn
在美国老年医学协会(AGS)1992年年会上，一次不寻常的聚会发生了。AGS道德委员会组织了一个公开论坛，允许成员讨论医生协助死亡(PAD)，包括医生帮助自杀和自愿主动安乐死，这是一个在非专业媒体和专业媒体中越来越受到关注的有争议的话题。公开论坛如此引人注目的地方，与其说是关于PAD的讨论，不如说是人们一致认为PAD在某种意义上是不适合谈论的事情。许多年度会议的与会者都来了，他们中的大多数人认为，当务之急应该是改善临终病人的姑息治疗。会议的感觉是，如果医疗保健社区在为临终病人提供细心和同情的护理方面做得更好，对PAD合法化的兴趣和需求将大幅下降，即使不是几乎消失。作为对这一公开论坛讨论的回应，AGS道德委员会开展了两项活动。其中一份是起草了一份关于善待临终病人的新立场文件。这份立场文件在1994年5月的年度会议上得到了AGS董事会的批准，并在本期第一期会议的其他地方发表。1另一项活动是为1993年11月的年度会议组织一次关于同一主题的专题讨论会。研讨会上的发言构成了本论文的基础。这篇论文涉及五个与临终病人护理有关的主题。乔安妮·林恩讨论了为什么老年医生需要在关于PAD的辩论中发挥积极作用，支持将改善临终病人的护理作为优先事项。朱迪思·艾伦海姆回顾了在当今的急性护理医院中为临终病人提供良好护理的挑战。Jill Rhymes描述了一些有效护理临终病人的障碍，尽管在过去几年里美国出现了临终关怀。Ladislav Volier解释了如何有效地为严重痴呆症患者提供姑息治疗，这一群体通常不被称为临终关怀。最后，格雷格·萨克斯概述了照顾老年人的人可以通过几种方式为改善临终病人的护理做出贡献。
t the 1992 annual meeting of the American Geriatrics A Society (AGS), an unusual gathering occurred. The AGS Ethics Committee had organized an open forum to allow members to discuss physician-assisted dying (PAD), including physician-assisted suicide and voluntary active euthanasia, a controversial topic receiving increasing attention in both the lay and professional media. What was so striking about the open forum was not so much what was said about PAD, but rather the consensus that PAD was, in a sense, the wrong thing to be talking about. Many of the annual meeting attendees came, and most of them contended that the priority should lie with improving the palliative care of dying patients. The sense of the meeting was that the interest in and demand for legalization of PAD would dramatically decline, if not nearly disappear, if the health care community did a better job of providing attentive and compassionate care to dying patients. In response to this open forum discussion, the AGS Ethics Committee undertook two activities. One was drafting a new position paper on good care of dying patients. This position paper was approved by the AGS Board of Directors at the annual meeting in May 1994 and is published elsewhere in this issue of1AGS.l The other activity was organizing a symposium for the November 1993 annual meeting on the same topic. The presentations at that symposium form the basis of this paper. Five topics relating to the care of dying patients are covered in this paper. Joanne Lynn discusses why geriatricians need to take an active role in the debate over PAD, supporting improved care of dying patients as the priority issue. Judith Ahronheim reviews the challenges of providing good care to dying patients in today’s acute care hospitals. Jill Rhymes describes some of the barriers to effective care of dying patients despite the advent of hospices in the United States in the last several years. Ladislav Volicer explains how palliative care can be provided effectively for patients with severe dementia, a group not often referred to hospices. Finally, Greg Sachs outlines several ways in which those who care for older people can contribute to the effort to improve the care of dying patients.
影响因子：
158.5
作者：
CLEELAND, CS;GONIN, R;PANDYA, KJ
通讯作者：
PANDYA, KJ