A Framework for Ethical Decision Making in the Rehabilitation of Patients with Anosognosia
A Framework for Ethical Decision Making in the Rehabilitation of Patients with Anosognosia
复制标题
失认症患者康复中的道德决策框架
DOI：
10.1086/jce2017281057
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
A. Egbert
中科院分区：
文献类型：
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作者：
A. Egbert
目前，被诊断为脑损伤后对自身缺陷的自我意识受损的患者数量正在增加。原因之一是人们越来越了解这一多方面的现象。另一个是替代测量方法的开发和可用性，可以进行更详细的诊断。病感失认症会对成功的康复产生不利影响，因为患者通常对治疗的需要缺乏信心。规划这种治疗可能成为一个充满伦理困境的复杂过程。到目前为止，还没有系统的方法来处理不同方面的病感失认症康复计划。这是第一篇文章提出了一个框架，在建立康复计划，重点是增加病人的自我意识，他们自己的缺陷后，脑损伤的伦理决策。它特别集中于解决可能出现的伦理困境，并描述了可以应用于不同的理论方法，以及诊断和康复方法的逐步程序。为了显示使用这个框架的灵活性，替代方法进行了讨论。
Currently, the number of patients diagnosed with impaired self-awareness of their own deficits after brain injury—anosognosia— is increasing. One reason is a growing understanding of this multifaceted phenomenon. Another is the development and accessibility of alternative measurements that allow more detailed diagnoses. Anosognosia can adversely affect successful rehabilitation, as often patients lack confidence in the need for treatment. Planning such treatment can become a complex process full of ethical dilemmas. To date, there is no systematic way to deal with different aspects of anosognosia rehabilitation planning. This is the first article to present a framework for ethical decision making in establishing rehabilitation plans that are focused on increasing patients’ self-awareness of their own deficits after brain injury. It concentrates especially on addressing the ethical dilemmas that may arise, and describes stepwise procedures that can be applied to distinct theoretical approaches, as well as diagnostic and rehabilitation methods. To show the flexibility of the use of this framework, alternative approaches are discussed.