回应蔡甫昌教授‘临床伦理新视野’ 病床边的自我关注技术.pptVIP

回應蔡甫昌教授「臨床倫理新視野」 病床邊的倫理技術 國立中山大學哲學研究所 助教授 龔卓軍 克利夫蘭醫院(Ohio)的例子：何謂Ethics Consultation?/bioethics/policies/consult.html An Ethics Consultation is a process by which trained consultants or an Ethics Consultation Sub-Committee of the Ethics Committee responds to requests for help to resolve ethical conflicts, issues, or questions involving patient care. An Ethics Consultation is advisory. 建議性質Patients, family members, and health care providers remain responsible for their own decisions. 留予尋求諮商協助者自我決定與負責 Clarification of the ethically accepted course of action can help the health care providers and patients navigate difficult clinical circumstances.釐清矛盾，提供行動路徑 何謂Ethics Consultation Service? The Ethics Consultation Service is staffed by clinical bioethicists. Typically, the Ethics Consultation Service is able to respond quickly to requests for assistance.專家/在求助下快速回應 The Ethics Consultation Service is primarily intended as a resource when patients, family members or health professionals may feel that they have reached the limits of their own personal or professional ability to address ethical questions. 面對倫理問題時之自我能力之限制 The Cleveland Clinic Foundation offers this advisory service free to patients, family members and health care providers. The patient and anyone involved in caring for that patient can request an Ethics Consultation without fear of intimidation or reprisal. All discussions are confidential.無恫赫、報復之恐懼，討論過程完全保密 When Should an Ethics Consultation be Requested? A patient, a family member or health care provider wants to “talk through” important ethical dimensions of the patient‘s care;想談談 Efforts by the patient, family and professional staff to resolve a problem have reached an impasse; 試圖解決僵局時 There is serious ethical disagreement among health care providers or within the patient/family relationship; 倫理不一致時，立場釐清 The case is ethically unusual, unprecedented or very complex; 獨特 In decisions about life-sustaining medical treatment for patients un