PATIENT AUTONOMY AND DEATH WITH DIGNITY - SOME CLINICAL CAVEATS

被引:107
作者
JACKSON, DL [1 ]
YOUNGNER, S [1 ]
机构
[1] CASE WESTERN RESERVE UNIV HOSP, DEPT PSYCHIAT, CONSULTAT LIAISON SERV, CLEVELAND, OH 44106 USA
关键词
D O I
10.1056/NEJM197908233010804
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
THE rapid advance in medical technology over the past two decades has raised serious questions about patient autonomy and the right to die with dignity. This article will attempt to examine psychologic issues affecting decision making in these areas. Attempts to answer these questions have come from many quarters: legal, ethical and religious, as well as medical. The lay public and press have also participated actively in this dialogue. Both legislatures and the courts have attempted to clarify these issues. Many states have enacted laws providing for “living wills” — legal documents that give patients the right to refuse heroic. © 1979, Massachusetts Medical Society. All rights reserved.
引用
收藏
页码:404 / 408
页数:5
相关论文
共 16 条
[1]  
[Anonymous], 1976, NEW ENGL J MED, V295, P362, DOI [10.1056/NE-JM197608122950704, DOI 10.1056/NEJM197608122950704]
[2]  
BLACK PM, 1978, NEW ENGL J MED, V299, P338, DOI 10.1056/NEJM197808172990705
[3]  
BLACK PM, 1978, NEW ENGL J MED, V299, P393, DOI 10.1056/NEJM197808242990805
[4]   STATUTORY DEFINITION OF STANDARDS FOR DETERMINING HUMAN DEATH - APPRAISAL AND A PROPOSAL [J].
CAPRON, AM ;
KASS, LR .
UNIVERSITY OF PENNSYLVANIA LAW REVIEW, 1972, 121 (01) :87-118
[5]  
CASSEM NH, 1979, PSYCHIAT ANN, V9, P38
[6]   LAW-MEDICINE NOTES - SAIKEWICZ DECISION [J].
CURRAN, WJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1978, 298 (09) :499-500
[7]   CESSATION OF THERAPY IN TERMINAL ILLNESS AND BRAIN DEATH [J].
GRENVIK, A ;
POWNER, DJ ;
SNYDER, JV ;
JASTREMSKI, MS ;
BABCOCK, RA ;
LOUGHHEAD, MG .
CRITICAL CARE MEDICINE, 1978, 6 (04) :284-291
[8]   AUTONOMY FOR BURNED PATIENTS WHEN SURVIVAL IS UNPRECEDENTED [J].
IMBUS, SH ;
ZAWACKI, BE .
NEW ENGLAND JOURNAL OF MEDICINE, 1977, 297 (06) :308-311
[9]   ORDERS NOT TO RESUSCITATE [J].
RABKIN, MT ;
GILLERMAN, G ;
RICE, NR .
NEW ENGLAND JOURNAL OF MEDICINE, 1976, 295 (07) :364-366
[10]   SAIKEWICZ DECISION - JUDGES AS PHYSICIANS [J].
RELMAN, AS .
NEW ENGLAND JOURNAL OF MEDICINE, 1978, 298 (09) :508-509