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Can Doctors Refuse Withholding and Withdrawing Life Support to Critically Ill Patients in Indonesia? Associated with Medical, Bioethic, and Medicolegal Issues

机译:医生可以拒绝扣留并撤回对印度尼西亚的危重病人的生命支持吗? 与医疗,生物肠和药物问题有关

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In medical society, there are controvery issues that called withholding and withdrawing life support. Withholding life support is delaying the provision of new or advanced life support therapy without stopping ongoing life support therapy, and withdrawing life support is stopping some or all of the life support therapy given to patients. This decision was not only decided based on medical aspects but also related to bioethics and medicolegal aspects. For medical practitioners, withholding and withdrawing life support are hard moral dilemmas to be implemented. From the medical aspect, withholding and withdrawing life support is not the same as euthanasia. There is a strong general consensus that withholding and withdrawing life support is a decision that allows the disease to progress naturally. This is not a decision to let the patient die, while euthanasia actively take patients at the end of their lives. In the bioetic aspect, doctors must respect the autonomy of patients and families in deciding the withholding and withdrawing life support. In medicolegal aspects, laws regarding withholding and withdrawing life support are regulated in the regulation of the Minister of Health No. 37 of 2014 chapter III where it is stated that the patient's family can ask the doctor to withholding and withdrawing life support or ask to assess the patient's condition to withholding and withdrawing life support. If there is a discrepancy between the family's request and the recommendations of the medical and ethical committee team, where the family continues to ask for a withholding and withdrawing life support, legal responsibility is with the family. Thus, according to what is regulated in the medical, bioethical and medicolegal aspects, doctors and ethical committee team cannot refuse requests to withholding and withdrawing life support.
机译:在医学会中,存在有争议的问题,称为扣留和撤回生命支持。扣留生命支持正在推迟提供新的或先进的生命支持治疗,而不会停止持续的生活支持治疗,并撤回生命支持正在阻止给予患者的一些或全部生命支持治疗。该决定不仅根据医学方面决定,而且与生物伦理和药物方面有关。对于医学从业者,扣缴和撤回生命支持是要实施的艰难道德困境。从医学方面,扣缴和撤回终身支持与安乐死不同。扣留和撤回生命支持有一项强劲的一般性共识是允许这种疾病自然进步的决定。这不是让患者死亡的决定,而安乐死积极服用生命结束的患者。在生物学方面,医生必须尊重患者和家庭的自治,决定扣留和撤回生命支持。在法医方面,有关扣缴和撤回生命支持的法律是在2014年第三章第37号卫生部长的监管下监管,据说患者的家庭可以要求医生扣留和撤回生命支持或要求评估患者扣留和撤回生命支持的条件。如果家庭请求与医疗和道德委员会团队的建议之间存在差异,那么家庭继续要求扣缴并撤回生命支持,法律责任就是家庭。因此,根据医疗,生物静态和药物方面受到监管的,医生和道德委员会团队不能拒绝扣留和撤回生命支持的要求。

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