[案例报告:临终病人行为的法律、心理和伦理方面]。

Harefuah Pub Date : 2022-09-01
Adir Shaulov, Daniel Azoulay, Mayer Brezis, Ofra Golan, Elisheva Levine, Shoshana Zevin
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引用次数: 0

摘要

我们报告了一位肌萎缩性侧索硬化症(ALS)患者,依赖无创通气,其预先指示排除了延长生命的措施。患者发现心脏骤停,并按照其代理决策者的指示,进行了插管和机械通气。后来,另一位代理决策者不同意通气,当断开呼吸机进行支气管吸痰时,她要求护士不要重新连接呼吸机。我们讨论在这个复杂的病人中执行以色列法律的法律、心理和伦理方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[CASE REPORT: LEGAL, PSYCHOLOGICAL AND ETHICAL ASPECTS OF THE DYING PATIENT ACT].

Introduction: We present a patient with amyotrophic lateral sclerosis (ALS), dependent on noninvasive ventilation, whose advance directives precluded life-prolonging measures. The patient was found in cardiac arrest and in accordance with the directives of her surrogate decision maker, underwent intubation and mechanical ventilation. Later, an additional surrogate decision maker disapproved of ventilation and when the ventilator was disconnected for bronchial suctioning, she asked the nurse not to reconnect the patient to the ventilator. We discuss the legal, psychological and ethical aspects of implementation of Israeli law in this complex patient.

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