5. AMAAMA,, Revised PrinciplesRevised Principles
of Medical Ethics, art. 4of Medical Ethics, art. 4
• 醫師應「尊重」法律,但當法律規定與
病人的福祉相違背時,醫師有倫理上
的義務尋求法律的改變。
• A physician shall respect the law and also
recognize a responsibility to seek changes
in those requirements which are contrary
to the best interests of the patients.
趙可式教授 5
13. 安寧緩和醫療的定義安寧緩和醫療的定義
• WHO definition (1990)
– The active total care of those patients whose
disease is not responsive to curative therapy.
– Control of pain, and of other symptoms, and of
psychological and spiritual problems, is
paramount.
– The goal of palliative care is achievement of
the best quality of life for the patients and
their families.
– Many aspects of palliative care are also
applicable earlier in the course of the illness in
conjunction with anticancer treatment. 13
14. 安寧緩和醫療的定義安寧緩和醫療的定義
• WHO definition (2002)
– An approach that improves the quality
of life of patients and their families
facing the problems associated with life-
threatening illness, through the
prevention and relief of suffering by
means of early identification and
impeccable treatment of pain and other
problems, physical, psychological and
spiritual.
14