How Should Physicians Care for Dying Patients with Amyotrophic Lateral Sclerosis?
How Should Physicians Care for Dying Patients with Amyotrophic Lateral Sclerosis?
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DOI：
10.1001/amajethics.2018.690
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发表时间：
2018-08-01
影响因子：
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通讯作者：
Dzeng, Elizabeth
中科院分区：
文献类型：
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作者：
Craig, Alexander;Dzeng, Elizabeth
我们讨论了医生在死亡、安乐死和姑息治疗决策的其他方面的援助，并定义了华盛顿州一名患有肌萎缩侧索硬化症的临终患者无法自行开出致命处方的案例中提出的相关术语。然后，我们提出了一个具体的框架，临床医生在面对像这样的困难病例时可以直接应用。我们概述了探索动机、获得知情同意、确定目标和检查替代方案如何帮助指导像本例中的医生那样的医生。最后，我们总结了一种方法，医生可以在不超出法律限制的情况下平衡这些问题。
We discuss physician aid in dying, euthanasia, and other dimensions of palliative care decision making and define relevant terms raised by this case of a dying patient with amyotrophic lateral sclerosis in Washington State who is unable to self-administer a lethal prescription. We then present a concrete framework that clinicians can directly apply when faced with difficult cases such as this one. We outline how exploring motivations, obtaining informed consent, defining goals, and examining alternatives can help guide physicians like the one in this case. We conclude by summarizing one way in which physicians might balance these issues while still remaining within the constraints of the law.