Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: End-of-life issues in the acute and critically ill patient | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access End-of-life issues in the acute and critically ill patient Eric A Savory1 and Catherine A Marco 2 Address University of Toledo College of Medicine Mail Stop 1114 3045 Arlington Avenue Toledo Ohio 43614 USA and 2Professor Department of Surgery Emergency Medicine Director of Medical Ethics Curriculum University of Toledo College of Medicine Mail Stop 1114 3045 Arlington Avenue Toledo Ohio 43614 USA Email Eric A Savory - Catherine A Marco - Corresponding author Published 22 April 2009 Received 13 March 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 21 doi 186 1757-7241-17-21 Accepted 22 April 2009 This article is available from http content 17 1 21 2009 Savory and Marco licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract The challenges of end-of-life care require emergency physicians to utilize a multifaceted and dynamic skill set. Such skills include medical therapies to relieve pain and other symptoms near the end-of-life. Physicians must also demonstrate aptitude in comfort care communication cultural competency and ethical principles. It is imperative that emergency physicians demonstrate a fundamental understanding of end-of-life issues in order to employ the versatile multidisciplinary approach required to provide the highest quality end-of-life care for patients and their families. Ethical issues Patient autonomy beneficence non-maleficence and stewardship of resources comprise the foundation of ethical guidelines for physicians. In recent decades the medical environment has shifted from a paternalistic role of the .
