End- of- Life Care: Beneficence Undermines Patient’s Autonomy

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Abstract

End-of-life care is a decision-making process in which health care providers, patients, and their families play a crucial role in easing the suffering of the patients and their families. Usually, end-of-life decision-making takes place in a critical situation of the patient; therefore, health care providers, particularly, physicians and nurses play a major role in making a decision for the patient’s life with regards to updated knowledge and practice. In this view, health care providers face many challenges in end-of-life decision-making due to controversy among equally unfavorable solutions; particularly between two ethical principles i.e., patient autonomy and beneficence. Health care providers often overweigh beneficence over autonomy regarding less suffering for the patient and his/her family. This approach of health care providers raises a question for undermining patients' autonomy and violating the basic ethical right of a patient. To overcome these kinds of ethical challenges, it is imperative to equip health care providers with updated knowledge of advance directives for patients. In addition, patients and their families should be well informed from the beginning to the end stage of the patient stay in the hospital. Besides, each hospital should have an ethical expert committee including nurses to analyze the entire situation and to make the decision in the best interest of the patient and his/her family.
临终关怀:慈善破坏了病人的自主权
临终关怀是一个决策过程,在这个过程中,医疗保健提供者、患者及其家属在减轻患者及其家属的痛苦方面发挥着至关重要的作用。通常,临终决定发生在病人的危急情况下;因此,卫生保健提供者,特别是医生和护士在决定患者的生命方面发挥着重要作用,涉及最新的知识和实践。在这种观点下,由于同样不利的解决方案之间的争议,医疗保健提供者在临终决策中面临许多挑战;特别是在两个伦理原则之间,即病人自主和慈善。在减轻病人及其家属的痛苦方面,卫生保健提供者往往过于看重善行而不是自主权。医疗服务提供者的这种做法令人质疑,它破坏了患者的自主权,侵犯了患者的基本道德权利。为了克服这些类型的伦理挑战,它是必要的装备卫生保健提供者与患者的预先指示的最新知识。此外,从患者住院的开始到结束阶段,都应该充分告知患者及其家属。此外,每家医院都应该有一个包括护士在内的伦理专家委员会来分析整个情况,并做出符合患者及其家庭最佳利益的决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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