生命终结时的尊严:从哲学到保健实践——立陶宛案例。

IF 1.6 Q2 ETHICS
Žydrūnė Luneckaitė, Olga Riklikienė
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引用次数: 0

摘要

关于人类生命终结护理的法规和临床实践在不同的国家和地区有所不同。这些差异反映了国家卫生系统发展的历史、不同的社会价值观以及对尊严的不同理解以及保护或尊重尊严的含义。其结果是在伦理、法律和实际处理临终问题的方法上发生了变化。本文分析了加强绝症患者生命结束时尊严的战略的多样性,并强调了在独立的立陶宛实施这些战略的法律前提和限制,作为前苏联的一个国家。它基于对哲学文献、国内和国际法律文件以及与该问题相关的科学证据的批判性分析。提交人认为,立陶宛的法律制度不足以确保病人在生命结束时的尊严,远远落后于其他西欧国家。立陶宛的法律法规不保障患者表达其对未来治疗的意愿的权利,包括拒绝复苏,也不规范终止患者不希望的负担,不可行和无意义的治疗,并且限制了姑息治疗的必要质量和舒适性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dignity at the end of life: from philosophy to health care practice - Lithuanian case.

Regulation and clinical practices regarding end of human life care differ among the nations and countries. These differences reflect the history of the development of state health systems, different societal values, and different understandings of dignity and what it means to protect or respect dignity. The result is variation in the ethical, legal, and practical approaches to end-of-life issues. The article analyzes the diversity of strategies to strengthen dignity at the end of life of terminally ill patients and to highlight the legal preconditions and limitations for implementing these strategies in independent Lithuania, as a former state of the Soviet Union. It is based on the critical analysis of philosophical literature, legal national and international documents and scientific evidence related to the issue. The author argues that the legal system in Lithuania is not sufficient to ensure the patient's dignity at the end of life and remains far behind other Western European countries. Legal regulations in Lithuania do not guarantee the right of the patient to express his or her will regarding the future treatment, including the refusal of resuscitation, do not regulate the termination of burdensome, non-viable and meaningless treatment that is undesired by the patient, and limit the accessibility of palliative care with its necessary quality and comfort.

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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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