The neurologist and the dying patient.

摘要: In this issue and in the April 1996 of Neurology, two position papers from American Academy Neurology (AAN) Ethics Humanities Subcommittee highlight ethical responsibilities neurologists to their chronically ill dying patients. [1,2] These supplement three previous published over past 7 years by AAN Subcommittee. [3-5] Together they constitute a set guidelines for management ill, critically On basis learned opinion medical ethics, here we present current recommendations practices treating patients at end lives. One dominant themes late 20th century ethics jurisprudence is that have legal right refuse lifesustaining therapy even if will die as result treatment refusal. This grounded concepts respect personal autonomy self-determination. Respect selfdetermination form foundation doctrine informed consent. Except emergencies, should not order tests or prescribe therapies without first obtaining patients' free Patients retain ultimate consent neurologist's suggested therapies. [6] When lose capacity make decisions, provide refusal transferred surrogate decision-maker. The decision-maker attempt reproduce decision patient would made situation, thereby respecting patient's absence information about what made, …