Social work as one type of practical work for pursuing moral practice,ideology and social value play an important restraint role in its professional ethical choice. In the work of social work intervened in the service of elderly dying patients, the realization of owner' s right is subject to institutional regulation, disputes of family interest, conflicts of social value and the alienation of ethical environment, causing that social workers fall into an ethical dilemma in practice. In order to solve this ethical dilemma, medical social workers can work together to reshape the construction of a new ethical system for elderly hospice care by strengthening their own guiding ability, promoting the education of ethics and optimizing the environment of ethical choice.%社会工作作为一种追寻道德实践的实务工作,意识形态与社会价值对该职业的伦理抉择发挥着重要的影响.在社会工作介入老年临终患者的服务工作中,案主权利的实现受制于制度法规限定、家庭利益纠葛、社会价值观念冲突和伦理环境异化等因素的影响,导致社工在实务工作中陷入伦理困境.为破解此种伦理困境,医务社工可通过强化自身引导能力、推进伦理观教育和优化伦理抉择环境等途径协力推进新型老年临终关怀伦理体系的构建.
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