Regulations are introduced in one place: respect the patient's "no rescue will"!

Recently, the tenth meeting of the Standing Committee of the Seventh National People's Congress of Shenzhen passed the amendment of the "Shenzhen Special Economic Zone Medical Regulations". Among them, Article 78 made a bold breakthrough in the "dying decision right", stipulating that if the patient set up pre -pre -pre -pre -pre -pre -pre -pre -pre -pre -pre -pre -pre -decisives pre -pre -pre -decision Instructions, "Don't be a way to do it," the hospital must respect its will and let the patient walk calmly. As a result, Shenzhen became the first region in the country to realize the legislation of life.

What is a life -free decision?

During his lifetime, people signed in advance when consciousness was clear, indicating that at the end of the incurable injury or at the end of dying, 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. , Respect the intention of the patient's life -free aspiration: there is a clear meaning of adopting or not taking creative rescue measures such as intubation, cardiopulmonary resuscitation, use or not using life support system, and continuity treatment of primary diseases. express.

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 the Demonstrate Promotion Association: "Iberampton" only takes effect at the end of the patient's life

According to Yangguang.com, the Shenzhen Municipal Performance Promotion Association was established on March 26, 2021. President Li Ying said in an interview 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."

What do you think of this approach?

Source: Comprehensive Beijing Youth Daily, Daily Economic News

Editor in charge: Yang Yang

Supervisor: Mu so strong

- END -