Looking Behind the Fear of Becoming a Burden.

IF 1.3 4区 哲学 Q3 ETHICS
Brandy M Fox
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引用次数: 2

Abstract

As they age, many people are afraid that they might become a burden to their families and friends. In fact, fear of being a burden is one of the most frequently cited reasons for individuals who request physician aid in dying. Why is this fear so prevalent, and what are the issues underlying this concern? I argue that perceptions of individual autonomy, dependency, and dignity all contribute to the fear of becoming a burden. However, this fear is misplaced; common conceptions of these values should be re-framed and re-examined. Practices that support a more community-centered type of autonomy can be found in dependency and dignity. This paper offers some practical examples of how to address common end-of-life situations that may cause anxiety to patients who are worried about being a burden. These practices include discussing expectations, both for care and how the relationship among the participants might change, and modeling respectful caregiving behaviors. Most difficult of all, though, includes cultural and societal attitude changes so that people recognize the good in receiving care and get used to the idea that they do not need to do anything to be valuable.

从害怕成为负担的背后看问题。
随着年龄的增长,许多人担心自己会成为家人和朋友的负担。事实上,害怕成为负担是人们请求医生帮助结束生命的最常见的原因之一。为什么这种恐惧如此普遍?这种担忧背后的问题是什么?我认为,对个人自主、依赖和尊严的认知都导致了对成为负担的恐惧。然而,这种担心是多余的;这些价值观的共同概念应该重新构架和重新审视。支持以社区为中心的自治的实践可以在依赖和尊严中找到。本文提供了一些实际的例子,说明如何处理常见的临终情况,这些情况可能会导致担心成为负担的患者焦虑。这些实践包括讨论对护理的期望,以及参与者之间的关系可能如何变化,并建立尊重护理行为的模型。然而,最困难的是文化和社会态度的改变,以便人们认识到接受护理的好处,并习惯他们不需要做任何事情就有价值的想法。
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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来源期刊
Hec Forum
Hec Forum ETHICS-
CiteScore
3.70
自引率
13.30%
发文量
34
期刊介绍: HEC Forum is an international, peer-reviewed publication featuring original contributions of interest to practicing physicians, nurses, social workers, risk managers, attorneys, ethicists, and other HEC committee members. Contributions are welcomed from any pertinent source, but the text should be written to be appreciated by HEC members and lay readers. HEC Forum publishes essays, research papers, and features the following sections:Essays on Substantive Bioethical/Health Law Issues Analyses of Procedural or Operational Committee Issues Document Exchange Special Articles International Perspectives Mt./St. Anonymous: Cases and Institutional Policies Point/Counterpoint Argumentation Case Reviews, Analyses, and Resolutions Chairperson''s Section `Tough Spot'' Critical Annotations Health Law Alert Network News Letters to the Editors
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