法學期刊
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論著名稱: 自主善終或延命醫療(Autonomy of Life or Medical Treatments for Life Expectancy)
編著譯者: 張麗卿
出版日期: 2017.11
刊登出處: 台灣/月旦醫事法報告第 13 期 /87-96 頁
頁  數: 6 點閱次數: 306
下載點數: 24 點 銷售明細: 權利金查詢 變更售價
授 權 者: 張麗卿
關 鍵 詞: 病人自主權利法善終自主權
中文摘要: 本文說明一位罹患漸凍人症狀的病人,因為病情迅速惡化,必須仰賴維生系統,病人表明拒絕醫療,希望醫師拔除維生設施,實現善終權利的程序。實現善終,無須獲得家人的同意,但是病人須在具有完全行為能力的情況下,透過「預立醫療照護諮商」,事先立下書面形式的「預立醫療決定」,自主選擇接受或拒絕相關的醫療處置,才能享有善終之權益。由於病人自主權利法設立明確且嚴謹的程序規範,當醫師協助病人實踐善終的權利時,原則上,並無承擔法律責任的風險。
英文關鍵詞: Patient Autonomy Acta patient's autonomy right to a good death
英文摘要: This article explains the procedure which a patient fulfilled the right of autonomy of life. The patient who had amyotrophic lateral sclerosis (ALS) seriously and lived with life support systems refused taking any medical treatment and asked for the physician to take off the systems. Fulfilling the autonomy doesn't need any confirmation from the memberships in the family except the advance directives (AD) in writing which was made by the patient with full capacities after taking AD-consulting. By doing so, the patient could take medical treatments by self-willing and have the true autonomy. Because of the clear and serious regulations of procedure, the physician doesn't have any risk of taking legal responsibilities, when fulfilling the right of autonomy for the patient.
目  次: 壹、案例
貳、爭點
參、解析
  一、冰桶挑戰的省思
  二、拒絕治療不需經過家人同意
  (一)符合五項臨床條件之一
  (二)完成預立醫療決定的簽署程序
  三、醫師協助病人實踐善終權,並無承擔法律責任的風險
肆、結語
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