“DNR意願註記健保IC卡登錄”宣導

Registration of DNR Directive in the National Health Insurance IC Card

陳榮基(Rong-Chi Chen) ； 蘇宛農(Wan-Non Su)

《安寧療護雜誌》 13卷3期 (2008/08) Pp. 343-348

https://doi.org/10.6537/TJHPC.2008.13(3).7

摘要

善生與善終是基本的人權，治癒疾病及解除痛苦是醫者的天職，當疾病已非人力可以挽回時，協助病人接受安寧緩和醫療的人道照顧，以及在病人臨終時，尊重病人安詳往生及DNR的意願，不再以無謂且痛苦的CPR措施面對病人，維護病人善終的權利，應是醫界努力的目標。推動全民簽署『預立選擇安寧緩和醫療意願書』，並作健保IC卡的登錄，符合醫學倫理的規範，並可減少醫療糾紛的困擾。在病人臨終時，生活的品質可能優於生命的延長，醫師在此時，如能尊重病人意願，提供安寧緩和醫療的照顧，並在臨終時協助病人有尊嚴的死或安詳的往生，將是莫大的功德。大孝與大愛應是陪伴臨終家屬，協助其坦然接受疾病，安度餘生，安詳捨報往生。病人的死亡，並非醫療的失敗，未能協助病人安詳往生，才是醫療的失敗。

關鍵字

DNR ； 心肺復甦術 ； 安寧緩和醫療 ； 健保IC卡 ； 善終

並列摘要

Good death or peaceful death is a basic human right. The duty of a physician is to cure the disease or to relieve the suffering. When the patient is suffering from a terminal disease, hospcice palliative care can offer comfort and relieving for the patient. The physician can help the patient to die in peace without the torture of CPR. We should encourage and help people to sign the DNR directive, and register it in the IC card of the National Health Insurance system. We should persuade physicians to honor the patient's DNR wish. Filial duty and love should find its expression in being with the family member at the end of his life, and in encouraging acceptance of disease, quiet life in his last days and peaceful passing. Where it is unavoidable, the death of a patient is not a medical failure. Not being able to facilitate a peaceful and dignified demise is, however.

並列關鍵字

DNR ； CPR ； hospice palliative care ； health insurance ； IC card ； good death