临床伦理死于癌症是最好的死亡方式吗?

Is Dying of Cancer the Best Way to Die?

  • 摘要: 前任BMJ(《英国医学杂志》)主编曾提出“死于癌症是最好的死亡方式”这一观点,作为医生,笔者并不认可。结合亲人罹患癌症去世的经历,笔者认为好的死亡方式需要满足如下条件: (1)临终阶段身体的疼痛最小化;(2)患者本人及家属均对死亡抱有预期,并尽量减少心理痛苦;(3)没有未尽的愿望;(4)提前与家属告别;(5)提前安排好后事。罹患癌症可能只是实现上述部分条件的一个契机,如果能提前询问临终患者的需求和愿望并尽量满足和实现,即使无罹患癌症这一契机,临终患者也能够按照自己希望的方式,有尊严地离开。

     

    Abstract: The former editor-in-chief of the British Medical Journal once claimed the view that "dying of cancer is the best death". As a physician, the author harbors reservations concerning the unqualified acceptance of the stated perspective. Drawing upon personal experience with the death of family members from cancer, the author asserts that a good way of death should meet the following criteria: (1) minimal physical pain during the end-of-life phase; (2) presentiments of death from both the patient and their family along with minimal psychological suffering; (3) no unfulfilled desires; (4) the opportunity to bid farewell to family in advance; (5) prior arrangement of posthumous affairs. Suffering from cancer may merely serve as an opportunity to fulfill some of these conditions. If the needs and wishes of terminally ill patients can be inquired about in advance and efforts are made to meet and realize them, even without the occasion of cancer, terminally ill patients can depart with dignity in the manner they desire.

     

/

返回文章
返回