Ethics roundtable debate: Patients and surrogates want 'everything done' - what does 'everything' mean?

被引：9

作者：

Doig, Christopher

Murray, Holt

Bellomo, Rinaldo

Kuiper, Michael

Costa, Rubens

Azoulay, Elie

Crippen, David ^{[1
]}

机构：

[1] Univ Pittsburgh, Med Ctr, Dept Crit Care Med, Pittsburgh, PA 15260 USA

[2] Univ Calgary, Dept Crit Care Med, Calgary, AB, Canada

[3] Univ Pittsburgh, Dept Crit Care Med, Pittsburgh, PA USA

[4] Univ Melbourne, Dept Med, Dept Intens Care, Melbourne, Vic, Australia

[5] Med Ctr Leeuwarden, Dept Intens Care Med, Leeuwarden, Netherlands

[6] Hosp Pro Cardiaco, Crit Care Dept, Rio De Janeiro, Brazil

[7] Hop St Louis, Serv Reanimat Med, Paris, France

[8] Univ Paris 07, Paris, France

来源：

CRITICAL CARE | 2006年 / 10卷 / 05期

关键词：

D O I：

10.1186/cc5016

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Highly complex and specialized care plans sometimes overwhelm the comprehension of patients and families. Many optimistic surrogates of critically ill patients err on the side of desiring that everything be done but with a nebulous idea of what 'everything' entails. Physicians must work closely to educate surrogates as to the benefits versus the risks of treatment. Our roundtable experts ponder the question of whether providers possess the authority to interpret unilaterally the nature of requests for everything.

引用

页数：7

共 9 条

[1]

[Anonymous], 1995, CMAJ, V153, p1652A

[2] Expert testimony by persons trained in ethical reasoning: The case of Andrew Sawatzky [J].