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首页> 外文期刊>BMJ: British medical journal >The relentless therapeutic imperative
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The relentless therapeutic imperative

机译：无情的治疗必须

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摘要

This is a story about the experience of making decisions about when to choose interventions near the end of life. It is about the difficulty of making those decisions for a close relative. It is not a story about good and bad doctors, though their recognition of the difficulties can make a difference. And it is about a special difficulty faced by people with a long term progressive neurological illness and their close relatives. As relatives, we have been caring for people with illnesses whose potentially lethal complications can be managed medically so that the person stays alive with ever increasing disability. We fear that dying will be drawn out interminably, past our capacity to care. Ideas of autonomous decision making by the ill person are not sufficiently helpful—nor is there just one choice to make about whether to accept interventions, but many decisions, each one closely related to particular circumstances. We would be helped by doctors and nurses who were prepared to advise when further treatment might be too burdensome.
机译：这个故事是关于制造的经验决定什么时候选择附近的干预措施生命的终结。这些决策的近亲。不是一个好的和坏的医生,故事吗他们可以识别的困难的区别。人所面临的长期进步神经系统疾病和他们的近亲。作为亲戚,我们照顾的人疾病的潜在的致命并发症可以管理医学上的人保持吗充满更多的残疾。死亡将无限地,过去我们的护理能力。病人不决策足够helpful-nor有只有一个选择是否接受干预,但许多决策,每一个密切相关特定的情况下。医生和护士准备建议当进一步治疗可能太繁琐。

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