End-of-life decisions in a developmental center: a retrospective study.

G. Lohiya, L. Tan-Figueroa, Hugh Kohler
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引用次数: 10

Abstract

Residents of developmental centers deserve care at the end of their lives that is consistent with their wishes. When their wishes are unknown, as is often the case, the care that they receive should be in their best interests. One way of determining whether care is in a resident's best interests is to hold a formal discussion leading to a decision about end-of-life care, known as an “end-of-life decision.”1 We investigated the prevalence of end-of-life decisions in a modern developmental center. Our center provides long-term care, from youth to death, to 850 people with severe developmental disabilities, whose demographic features have previously been published.2 All residents are unmarried and childless; 20% have a family involved in their welfare decisions. The center's annual budget is $115 million, or $135,000 per resident.
发展中心的临终决定:一项回顾性研究。
发展中心的居民应该在他们生命的最后得到符合他们愿望的照顾。当他们的愿望不为人所知时(通常是这种情况),他们得到的照顾应该符合他们的最大利益。确定护理是否符合住院医生的最大利益的一种方法是举行正式讨论,以做出关于临终护理的决定,即“临终决定”。我们调查了现代发展中心中临终决定的流行程度。我们的中心为850名患有严重发育性残疾的人提供从青年到死亡的长期护理,这些人的人口特征以前已经发表过所有居民未婚无子女;20%的人有家人参与他们的福利决定。该中心的年度预算为1.15亿美元,即每位居民13.5万美元。
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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