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首页> 外文期刊>AJOB Primary Research >Medical Decisions Made by Surrogates for Persons with Advanced Dementia Within Weeks or Months of Death
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Medical Decisions Made by Surrogates for Persons with Advanced Dementia Within Weeks or Months of Death

机译：代孕者在数周或数月内对晚期痴呆症患者做出的医疗决定

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Background:Surrogates make all medical decisions for persons with advanced dementia. This study describes the types of medical decisions that surrogates faced prior to the person's death and their perceived difficulty and satisfaction with those decisions. Methods: Seventy-six surrogates of nursing home residents meeting hospice criteria for dementia were followed longitudinally and interviewed following the death of the person with dementia. Results: The most common decisions made were related to transfer to hospital, diagnostic testing, and placement of a feeding tube. Surrogates perceived decisions to not treat to be more difficult than decisions to treat. Conclusions: Surrogates frequently are faced with making medical decisions for persons with advanced dementia near the end of life. Clinicians can help surrogates by acknowledging the difficulty of making decisions to not treat.
机译：背景：代孕者对老年痴呆症患者做出所有医疗决定。这项研究描述了在人死亡之前代孕的医疗决定的类型，以及他们对这些决定的感知困难和满意度。方法：纵向追踪了符合临终关怀标准的老年痴呆症患者的76名替代者，并在痴呆症患者死亡后进行了访谈。结果：做出的最常见的决定与转移到医院，诊断测试以及放置饲管有关。代之以不认为要处理的决策比要对待的决策更困难的决策。结论：在生命快要结束时，代孕者经常要面对晚期痴呆症患者的医疗决策。临床医生可以通过承认做出不治疗决定的难度来帮助代孕。

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