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Law and ethics in intensive care最新文献

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Diagnosing Death 诊断死亡
Law and ethics in intensive care Pub Date : 2020-09-01 DOI: 10.1093/med/9780198817161.003.0007
D. Gardiner, A. McGee
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引用次数: 0
Doing What’s Best 做最好的事
Law and ethics in intensive care Pub Date : 2020-09-01 DOI: 10.1093/med/9780198817161.003.0008
Louise Austin, J. Coggon
{"title":"Doing What’s Best","authors":"Louise Austin, J. Coggon","doi":"10.1093/med/9780198817161.003.0008","DOIUrl":"https://doi.org/10.1093/med/9780198817161.003.0008","url":null,"abstract":"This chapter explores whether controlled non-heart-beating organ donation (NHBOD) can be in the best interests of an intensive care patient who has expressed a wish to become an organ donor. It begins with an acknowledgment of the concerns health professionals may have about NHBOD before providing an analysis of medical law in the context of decision making and best interests. It concludes that the law’s interpretation of best interests means there will be some situations where NHBOD will be in the best interests of patients in intensive care. It also considers the lack of legal certainty regarding the necessary observation time between the cessation of heart beat and the commencement of organ retrieval.","PeriodicalId":167551,"journal":{"name":"Law and ethics in intensive care","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129841766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DNAR: To Resuscitate or Not to Resuscitate? 德纳尔:复苏还是不复苏?
Law and ethics in intensive care Pub Date : 2020-09-01 DOI: 10.1093/med/9780198817161.003.0003
H. Biggs
{"title":"DNAR: To Resuscitate or Not to Resuscitate?","authors":"H. Biggs","doi":"10.1093/med/9780198817161.003.0003","DOIUrl":"https://doi.org/10.1093/med/9780198817161.003.0003","url":null,"abstract":"‘Do not attempt resuscitation (DNAR)’ or ‘do not attempt cardiopulmonary resuscitation (DNACPR)’ orders have been regarded as the best way to ensure that patients are not resuscitated in clinically inappropriate circumstances, or against their wishes. However, the use of DNAR orders has become contentious in situations where individuals have not been informed or consulted before an order has been made, and recent legal cases have highlighted the need for good communication and record keeping. This chapter considers the legal and ethical issues associated with DNAR and DNACPR orders, including the rights of patients, ethical guidance and policies associated with their use, and regional and national variations in practices surrounding their use and implementation. After discussing evidence of misinterpretation and misunderstandings of the implications of such orders in clinical practice, which have an impact on patients’ autonomy and well-being, the chapter will conclude that compliance with ethical and professional guidance must be consistent and mandatory, and suggest the introduction of legal sanctions for non-compliance.","PeriodicalId":167551,"journal":{"name":"Law and ethics in intensive care","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117122933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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