The first domestic!To rescue the patient's calculation
Author:Hangzhou Traffic Economic Broa Time:2022.07.04
On the afternoon of June 23, the tenth meeting of the Standing Committee of the 7th People's Congress of Shenzhen approved the revised draft of the "Shenzhen Special Economic Zone Medical Regulations". Among them, Article 78 has made a bold breakthrough in the "dying decision right". If the patient sets up the aspiration, "Do not do unreasonable rescue", the hospital must respect its will and let the patient walk calmly. Shenzhen has also become the first region in the country to achieve legislative legislation. Respect the "life -free bonus": "Do you want to rescue, the patient has the final say" During his lifetime, it refers to people in advance, that is, when consciousness, it means that in the end of the incurable injury or at the end of life, or no medical care document. Article 78 of the "Medical Regulations of the Shenzhen Special Economic Zone" stipulates that: those who receive patients with the following conditions with the following conditions of patients or their close relatives will implement medical measures at the end of the patient's irreparable injury or at the end of life. , Should respect the intention of the patient's life aspirations: (1) There are traumatic rescue measures such as adopting or not adopting or not adopting intubation, cardiopulmonary resuscitation such as cardiopulmonary resuscitation, and using or not using life support systems, continuing treatment for primary diseases, etc. Clear expressions. It is worth mentioning that the "Medical Regulations of the Shenzhen Special Economic Zone" before the revision shall be implemented on January 1, 2017. It is the first local medical regulations in the country. This revision five years later will be described as version 2.0. The date of January 1. According to the Beijing Youth Daily, the prefecture of the predecessor was written to the local regulations, and the end of the death of the end of the suffering of overly rescue was a great gospel. Patients enter the last stage of life, and individuals are willing to be difficult to express and be more respected. Especially when various catheters are inserted into the patient's body, the opportunity for patients to speak and communicate is lost. It is almost impossible to express their ideas. Even if the patient is very painful due to excessive rescue, he can only endure passively until the end of life. With the different life -free aspirations, the patients can make arrangements in advance whether they take traumatic rescue measures such as intubation, cardiopulmonary resuscitation, and whether to use life support systems. During his lifetime, he has legal effect, and do not worry about doctors and family members will change at will. A problem that has been troubled by the family members of the end of the dying for a long time is expected to be resolved. Although the elderly are already dying, if the children do not "do their best to rescue", they will regret their fear of fear, and they will blame themselves in the future "I have harmed the old man"; they are worried that they will leave a handle, fearing that people will not be filial, and they will not be willing to spend money. If the elderly have multiple children, the children who advocate "abandon rescue" may be blamed by other children. Affected by this, excessive rescue, even "never given up in the end", became a common phenomenon. Deciding from the patient himself and getting the support of the law, the family members no longer face dilemma. The doctor was entered into the law during his lifetime, and the doctor also ate peace of mind. In recent years, the relevant parties have vigorously promoted their lifetime aspirations. For example, the Beijing Demonstration Promotion Association is widely known in the industry. The "five wishes" launched by the choice and dignity website have more than 50,000 people in China. However, the people advocate that they do not have legal effects. Once the patient's relatives have objections, medical institutions and doctors may face civil infringement claims, or the administrative penalties of the competent authority, and the huge risk makes the doctor dare not make a decision. Through legislation, after the life -oriented bill of life has legal effect, the doctor will make choices under the framework of the law and will no longer worry about it. Shenzhen During the During Demonstration Promotion Association: In Shenzhen, as long as it is over 18 years old Healthy adult You can fill in the "Daily Book" According to Yangguang.com, the Shenzhen Municipal Performance Promotion Association was established on March 26, 2021. President Li Ying said in an interview with the "News of the News" that the association played an important role in the legislative proposal. The purpose of the establishment of the association is to use folk forces to spread the concept of the "life -free" in citizens. During the preparation of the proposal, the association discussed with the old age and regulations of the Shenzhen Health and Health Commission. Image source: The official website Li Ying introduced that in Shenzhen, as long as it is an adult who is more than 18 years old, it can fill in the "During the Daily Book". It only takes effect at the end of the patient's life. The government will link the "Daily Bench" filled out by electronics to my medical insurance card through the form of electronic signing. If the parties really reach the end of their lives, the hospital will check whether my medical insurance card has been filled in the "life of the life". Medical arrangements are performed according to the wishes of the patient himself. Under emergencies such as acute medical care, the "During the Daily Book" will not be enabled. Legislation is to protect the interests of the signing. Li Ying believes that "the preparation of the last mile of life in the last mile of life, the arrangement of the major death of ourselves, is a kind of responsibility for our lives", it is very important. She said: "Each of us can enjoy the benefits that it brings to us on the last day." Medical ethics legal expert: "During his lifetime" is a manifestation of a civilized society Establish a healthy and correct view of life and death According to the previous report, Wang Yue, a professor at the Department of Medical Ethics and Law of Peking University, said that now everyone has misunderstandings about the "During the During the Origin". The "desire for life" is actually a way of dying naturally for patients who do not actively rescue and naturally die for the end and end of the disease. It is not the same as euthanasia (euthanasia often accelerates the death of patients in a way or inaction). He said that in developed countries, the "bonus" is common and has become a manifestation of the patient's self -decision right, that is, in the end of the patient, he has the right to choose the final treatment and rescue plan. According to Wang Yue, the new "The Code of the People's Republic of China" has specially established a "intended monitoring system", that is, allowing a person with civil behavior to entrust his monitoring right to his most trusted individual or organization, and in the When his own consciousness is lost, individuals or organizations will give priority to his legal guardians (parents, spouses, etc.) to express the expression of various civil acts at the end of the end. The "Basic Standards and Management Specifications (Trial)" issued by the National Health and Health Commission (trial) has also been concerned about this field. Traditional medical education pays more attention to saving people, while modern medicine emphasizes help to help patients. For patients who are in the end, repeated salvation and death will only be torture. "So, medicine must give away at a certain time, and sending a person to leave with dignity is the manifestation of a civilized society." Wang Yue said that in fact, these are to admire the more correct and healthier concept of life and death. More than more people reached consensus. Source: Daily Economic News (NBDNEWS) Integrated Southern China Guangwang, Beijing Youth Daily, Public Information Will you set up a "bonus"? The point that will be considered No point Bleak - END -As early as the end of June 2021, the Second Meeting of the Standing Committee of the Seventh People's Congress held in Shenzhen reviewed the "Shenzhen Special Economic Zone Medical Regulations (Revised Draft)". It is mentioned that the establishment of a "life -oriented will" system stipulates whether a natural person with complete civil behavior can set up a pre -lifetime aspiration to clarify whether it takes traumatic rescue measures such as intubation or use at the end of the irreparable injury or at the end of his life. Life support systems, etc., when medical institutions and medical and health personnel provide medical services, they should respect the patient's wishes.
Facing the embarrassment of actual communication with Chinese medicine, Wang Yue believes that "the pass has no forward move" is the biggest problem. He suggested that when the patient's consciousness is awake, the patient, family members, and doctors may open a three -party meeting to jointly agree with the treatment plan of the patient at the end of the disease or when the consciousness is lost.
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