?????? ????? PALLIATIVE CARE - PowerPoint PPT Presentation

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?????? ????? PALLIATIVE CARE

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Title: ?????? ????? PALLIATIVE CARE


1
?????? ????? PALLIATIVE CARE
Inpact 2005
1
2
  • ????
  • ???? ????? ????? ???? ????????? ????????
    ???????? ?????? ???? ?????? ?????, ??????? ?????
    ??????? ?????? ?? ??? ???, ???? ????? ?? ?????.
  • ?????
  • ???? ?????? ????? ?? ??? ??? ???? ???? ??????
    ??????.
  • ???? ???? ?????? ????????, ????? ????????? ??
    ????? ???????.
  • ???? ????? ?????????? ??????? ?????? ??????
    ?????.
  • ????? ??????? ?????? ???????, ????? ??????
    ????????, ?????? ????.
  • ????? ?????? ???? ?????? ?????? ????, ??????
    ????? ?????? ???????? ????? ??????, ????? ?????,
    ????? ????????? ??????? ?????? ??.

2
3
  • ????? ?????
  • 10.15 (5 ????) ???? ????? ????
  • 10.25 (40 ???? ) ??? ???? ?? DNR (WIT)
  • ?????? ????? ???????
    ?? ??? ???? ???? ??????
  • 11.05(30 ????) "???? ?????? ????" ?????
    ??????? - ????? ??? ?????
  • 11.30 ( 15 ????) ?????
  • 11.45 ( 40 ????) ????, ?????, ?????, ????? -
    ????? ????????- ?????
  • BILL OF LAST RIGHTS
  • ( 20 ????) - ?????? ?????? ??????
    ????? - ????? 3 ??????
  • 12.45 (45 ????) 13.30 ????? ??????

3
4
?????? ????? ?????? ????
  • ????? ????? ?????? ???? ???? ???? ??? ???????
    ????? ??????? ???
  • ????? ????? ????? ?? ?????
  • ????? ??? ??????
  • ?????????? ??????? ??????, ??????? ??????? ??
    ?????? ????????
  • ???????? ??? ???? (?????) ?????? (?????)

5
5
?????? ????? ?????? ????
  • ??????? ?????? ???????? ?? ????? ????? ?????,
    ???? ????? ????? ??? ????????? ?????????? ????
    ???? ????? ??????? ??? ??????
  • (Scanlon Flaming, 1989).

6
6
?????? ????? ?????? ????
?????, ???? ???? ?????, ???? ????? ????? ???
????????? ?????, ???? ?"????? ?????", ?? ?????
????????? ??? ?? ???? ???? ????? ???? ?????????
?????? (Hinds, 2004 Calvin,
2004).
7
7
?????? ????? ?????? ????
  • ???? ?????? ???? ???? ????? ??????? ?????? ??
    ????? ????? ?"? ??????? ?? ??????? ?????????
    ??????, ??? ????? ???????? ?????????.
  • ?????? ???? ??????? ????? ????? ?? ???? ?? ????
    ???? ????????? ????????? ???????? ????? ??
    ????????? ?????
  • ((Twycross, 1991 Maloney Preston, 1992

8
8

?????? ????? ??????? ?????? ???? ?????? ??????
???? ????????, ?????? ?? ????
9
9
?????? ????? ?????? ????
  • ???? ???
  • ??????? ???????? ??? ????? ???? - ??? ??,
    ???????, ??? ?????? ??? ??????, ???? ??
  • ????? ????? ?????? ??? ????? ???? ??????
    (?????????, ????? ????')
  • ???? ????? - ???? ?? ??????.
  • ????? ???? ?? ??????
  • ???? ????? ??? ???? ??????/??????

10
10
????? ???? ?????? ????
11
11
????? ??????
  • ?????? ??????? ????? ??????
  • ?????? ???????
  • 4 ??????? ?????? ???????
  • ????? ???????? ????? ?????? ?????

12
12
??????
  • ???
  • ???????
  • ?????
  • ?????

13
13
???? ??????
  • ???????
  • ???? ????? ?? ????? ?? ???? ?????? ??????? ??
    ????.
  • ????? ????? ?? ??? ???? ?????? ???? ?? ????
    ????????.
  • ???? ?? ??????? ??? ?????
  • ????? ???? ?? ????? ?????? ????? ????? ??
    ????? ???.

14
14
????? ?????? ??? ????? ?????
  • ????? ????? ????? ????? ??????
  • ????????? ????? ????? ?????? ?? ????? ??.
  • ????? ?? ?????? ?? ???? ?????? ?????? ??
    ??????? ????????. ????? "??? ????". ??? ????
    ????? ????? ????? ????.
  • ???? ????? ?? ????? ????? ?? ???? ?????.
  • ???? ??? ????? ??????? - ?? ????? ????? ?????? ??
    ????.

15
15
?????? ????? ???? ????????? ?? ????? ??????
  • 1. ?? ????
  • 2. ????? ??????
  • 3. ??????
  • 4. ?????
  • 5. ?????
  • ???? ????
  • ????? "????? ?????" ?????? ??? ????? ?????.

16
16
?????? ????? ???? ????????? ?? ????? ??????
17
17
??????? ???????
  • ??????? ??????? ??????? ?? ?????? ?? ?????? ?????
  • ?? ?? ????? ???? ??? ????? ?????
  • ?? ????? ??? ?? ???????
  • ????? ??? ???? ?????? ????? ????? ?????? ??????.
  • ????? ??????????
  • ??? ?? ????? ???????
  • ??? ?? ????? ????????

18
18
??????? ???????
?????
  • ??????? ?? ?????? ?? ?????? ?????
  • ?? ?? ????? ???? ??? ????? ?????
  • )?????? ?????? ?????? ?????? ???????,
    ??????? ??????. (
  • ?? ????? ??? ?? ???????
  • ????? ???????, ????? ????????.
  • ????? ??? ???? ?????? ????? ????? ?????? ??????.
  • ???? ????????? ??? ?? ????? ??????
  • ??????? ?? ????? ???????? ???? ??????
    ???????? ?? ????? ??????? ?????. (???? ??, ???
    ????).
  • ???? ????????? ??? ?? ????? ????????
  • ????? ????? - ?????? "??? ??????, ????
    ??????".

19
19
?????
  • ??? ?????????? ?? ?????.
  • ?????? ???? ??? ?????? ?? ???? ?
  • ?? ???? / ?? ????
  • ?? ??? /?? ??

20
20
????? ??????? "????? ????? ?? ??????? ????? ??
????????, ?????? ???????, ???? ????? ?????? ??
?????? ?????? ??????". (??? ??? 2002)
21
21
4 ??????? ?????? ???????
22
22
4 ??????? ?????? ???????
  • ?????? ?????
  • Beneficence
  • ?? ?? ????? ?????????, ???? ????? ????? ?? ????
    ??????? ??????.
  • ????? ????? ?????? ??? ??????? ??????.

23
23
4 ??????? ?????? ???????
  • ????? ?? ????? ???
  • Non-maleficence
  • ?? ?? ????? ?????????
  • ???? ?? ????? ?????
  • ??????.

24
24
4 ??????? ?????? ???????
  • Justice?????? ???? -
  • ?? ????? ???? ?????? ??, ???? ?????? ???????
    ??????? ???? ????, ????, ?? ????.
  • ????? ??????? ????? ????? ?????? ?????.
  • ??? ????? ?????? ???? ????, ?? ????? ????? ??
    ???? ??????? ????? ??? ????? - FUTILE

25
25
4 ??????? ?????? ???????
  • ?????? ??????????
  • Autonomy
  • ???? ????? ???? ?? ???? ?????? ?????? ?????,
    ???????? ??????? ???????? ??????, ?? ????
    ????????, ?????? ??????, ?? ???? ???? ?????
    ????????? ??????? ?? ?????.

26
26
????? ?????? ???????
  • ????? ?????? ???? ?? ??? ??? ?????? ?????? ??????
  • ?? ??? ?????.
  • ??? ???? ????? ??? ????? ????? ?? ????? ????.
  • ??????, ???????? ??? ????? ?????.
  • ???? ?? ???? ????? ?????? ???? ?????.
  • ?????? ????? ????? ?????? ???????( AIDS )
  • ????? ??????.

27
27
????? ??????? ?????? ?????? ?? ????
???????.........
  • Over treatment----------------Neglect
  • ?? ?? ????? ????? ?????? ????? ?? ?? ??????
    ?????? ?????, ??? ????? ???? ????? ?????? ??????
    ?? ?????.
  • ????? ?????? ?????? ?? ??? ????? ?????? ???????
    ??? ??? ????, ???? ?????? ???????? ?? ???? ??????
    ?????? ???? ?????? ???

28
28
?? ??.....
  • In health care settings,
  • where judgments are made,
  • which affect other people,
  • a subjective form of ethics,
  • or following ones conscience,
  • based on personally held values and beliefs,
  • is inadequate and would be a weak argument
  • in a court of law.

29
29
????? ???????? ???????????? ???? ?? ???????
?????? ?????? ?????
  • ??????? ????????
  • ???????? ?????
  • ?????
  • ????? ???????? ???? ???? ?? ??????
  • ???????? ?????? ?? ??????? ????????

30
30
???????? ???????? ????? ?? ?????? ?????
  • Teleology (Consequentialism)
  • Deontology (Non Consequentialism)

31
31
Consequentialism
  • ????? ????? ????? ??????? ????? ??? ?? ??
    ?????? ????.
  • ??????? ????? ????? ?? ?? ??????.
  • ???? ????? ???? ?? ?? ???? ??, ?? ??? ???? ??
    ?????? ?????
  • ????? ?????? ????? ?? ???? ?? ??? ???? ????
  • ??? ?? ??? ??
  • ?????? ????? ????? ??????? ???????? ?????.

32
32
Deontology( Non Consequentialism)
  • ????? ?? ?? ?? ??????, ?????? ???? ????? ??????
    ?? ?????.
  • ?????? ??? ?????? ?? ??????? ??????.
  • ????? ?????? ??? ????? ?????.
  • ?????? ???????? ????? ???? ????? ?? ???? ????
    ?????? ?? ??????? ???????.

33
33
?????
  • ??? ?????? ?????
  • ???? ???? ??????
  • ???? ???? ??????
  • ???? ???
  • ????? ????? ???? 2002
  • ????? ???????? ??????? ????? ????? ???? (????'
    ????? ????????)
  • 2. "??? ?????? ??????? ???????
  • ADVANCED MEDICAL DIRECTIVES
  • 3. ????? ??-???
  • Bill of Last Rights

34
34
?????? ?????? ?????? ?????
  • Fleetwood J. (1989) Solving bioethical dilemma -
    a practical approach, Nursing. 89 pp.63-64
  • Fletcher J.C., Hite, C.A., Lombardo, P.A.,
    Marshall, M.F. (1997). Introduction to Clinical
    Ethics, 2nd Edition. Frederick, MO University
    Publishing Group.
  • ?????, ?. (1991) "???? ????? ???? ????? ???? ??
    ???? ?????? ????? ??????" ???? ?????? ?????
    ???????? ?????? ??????? ????? (2004) ?????? ???
    ????, ?????? ????? ??????? ????, ????? ?????
    ???????.

35
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