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Volume 12 Issue 6
Nov.  2021
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BAI Qiong, TANG Wen, WANG Yue. Analyze Clinical Ethical Issues in the Treatments of Chronic Renal Failure Based on Four Topics Theory: An Example of a Patient with Chronic Renal Failure Refusing Hemodialysis[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 1034-1038. DOI: 10.12290/xhyxzz.20200169
Citation: BAI Qiong, TANG Wen, WANG Yue. Analyze Clinical Ethical Issues in the Treatments of Chronic Renal Failure Based on Four Topics Theory: An Example of a Patient with Chronic Renal Failure Refusing Hemodialysis[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 1034-1038. DOI: 10.12290/xhyxzz.20200169
shu

Analyze Clinical Ethical Issues in the Treatments of Chronic Renal Failure Based on Four Topics Theory: An Example of a Patient with Chronic Renal Failure Refusing Hemodialysis

  • Department of Nephrology, Peking University Third Hospital, Beijing 100191, China

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  • Corresponding author:

    WANG Yue  Tel: 86-10-82265026, E-mail: bjwangyue@163.com

  • Received Date: June 22, 2020
  • Accepted Date: August 16, 2020
  • Issue Publish Date: November 29, 2021
    Graphical Abstract
    • Abstract
  • For the treatment of chronic renal failure, nephrologists should avoid the "one-size-fits-all" dialysis program, consider the patients' quality of life, contextual features, respect patients' preference, and recognize the importance of patients' participation in determining the goal and clinical decision. Based on the "Four Topics Theory" of clinical ethics and the medical ethical principles through an example of a patient that refused hemodialysis for chronic renal failure, this article explores the ethical issues related to the choice of treatment for patients with chronic renal failure. The clinical decision should combine the patient's preference and the best quality of medical care, which ultimately achieves a medical model of patient-centered and shared decisionmaking.
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    • References (26)
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