Deactivation of automatic implantable cardioverter-defibrillators in hospice and home care patients at the end of life.
Deactivation of automatic implantable cardioverter-defibrillators in hospice and home care patients at the end of life.
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DOI：
10.1097/01.nhh.0000326324.09466.97
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发表时间：
2008-07-01
期刊：
影响因子：
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通讯作者：
Kirk, Timothy W
中科院分区：
文献类型：
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作者：
Kirk, Timothy W
对于生命末期的患者，主动自动植入式心律转复除颤器（AICDs）可能不再达到植入时的治疗目标。在诊断为终末期和生命受限的患者中停用aicd是可能的，从而防止非治疗性出院的疼痛和痛苦。这篇文章提出了一个道德上的论点，认为这些病人有权利让他们的艾滋病病毒被停用。然后，它解释了临终关怀和家庭护理机构有义务在政策层面上解决AICD的停用问题，并提供了这样做的建议。
For patients at the end of life, active automatic implantable cardioverter-defibrillators (AICDs) may no longer achieve the treatment goals present at the time of implantation. It is possible to deactivate AICDs in patients with terminal and life-limiting diagnoses, thereby preventing the pain and distress of nontherapeutic discharge. This article presents a moral argument for the right of such patients to have their AICDs deactivated. It then explains that hospice and home care agencies have an obligation to address AICD deactivation at a policy level and offers recommendations for doing so.