Etična vprašanja v zvezi z reanimacijo

diplomsko delo

Jasmina Salkić (Author), Robert Sotler (Reviewer), Darja Ovijač (Mentor)

Abstract

Uvod: Srčni zastoj je eden najpogostejših vzrokov smrti po vsem svetu in predstavlja enega izmed največjih izzivov v nujni medicinski pomoči. Kljub napredku v medicini ostajajo številne etične dileme, povezane z odločanjem o reanimaciji, predvsem pri bolnikih z nizko možnostjo preživetja ali pri bolnikih v terminalni fazi bolezni. Namen: Namen diplomskega dela je bil raziskati etična vprašanja, povezana z reanimacijo. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo dela. Pregledali smo strokovno in znanstveno literaturo, ki smo jo poiskali v bibliografskih zbirkah: CINAHL Ultimate, MEDLINE, ScienceDirect in COBIB.si ter v spletnem iskalniku Google Scholar. Rezultati: Etične dileme se pojavljajo pri odločanju o reanimaciji, predvsem glede spoštovanja avtonomije pacienta, smiselnosti reanimacije in vloge družinskih članov. Prisotnost družinskih članov med reanimacijo lahko prinaša koristi, kot so čustvena podpora ter boljša komunikacija, lahko pa povzroča tudi dodaten stres za zdravstveno osebje. Razprava in zaključek: Odločanje o reanimaciji zahteva tehtanje več dejavnikov, vključno z avtonomijo pacienta, klinično smiselnostjo in pravnimi vidiki. Pomembno je, da se pacientove želje, če je le mogoče, izrazijo že vnaprej. K upoštevanju pacientovih želja pripomore njegova vnaprej izražena volja, zlasti v zvezi z odredbo o prepovedi oživljanja (Do Not Resuscitate). Sicer te prakse pogosto ovirajo nejasnosti in pomanjkanje strokovnega izpopolnjevanja zdravstvenih delavcev. S tega vidika je treba vzpostaviti jasnejše smernice, izboljšati strokovno izpopolnjevanje zdravstvenega osebja in zagotoviti boljšo komunikacijo med zdravstvenimi delavci, pacienti in svojci.

Keywords

diplomska dela;zdravstvena nega;kardiopulmonalno oživljanje;ne oživljaj;etične dileme v nujni medicinski pomoči;prisotnost svojcev;

Data

Language:	Slovenian
Year of publishing:	2025
Typology:	2.11 - Undergraduate Thesis
Organization:	UL ZF - University College of Health Studies
Publisher:	[J. Salkić]
UDC:	616-083
COBISS:	237735939
Views:	12
Downloads:	5
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Ethical issues related to resuscitation
Secondary abstract:	Introduction: Cardiac arrest is one of the most common causes of death worldwide and represents one of the greatest challenges in emergency medical care. Despite advances in medicine, many ethical dilemmas remain associated with resuscitation decision-making, particularly for patients with a low chance of survival or for patients in the terminal phase of the disease. Purpose: The purpose of this diploma work was to explore the ethical issues related to resuscitation. Methods: We reviwed the professional and scintific literature, which we searched in the bibliographic databases CINAHL Ultimate, MEDLINE, ScienceDirect and COBIB.si., as well as in the Google Scholar search engine. Results: Ethical dilemmas arise in the decision to resuscitate, especially regarding respect for patient autonomy, the reasonableness of resusictation and the role of relatives. The presence of relatives during resuscitation may bring benefits such as emotional support and better communication, but it may also cause additional stress for healthcare staff. Discussion and conclusion: Deciding on resuscitation requires weighing several factors, including patient autonomy, clinical expediency and legal considerations. It is important that the patient's wishes are taken into account beforehand. Advance wishes and Do-not-resusciate orders help to ensure that the patient's wishes are respected. Otherwise, these practices are often hampered by lack of clarity and educaton. From this perspective, clearer guidelines need to be established, education of healthcare staff needs to be improved and better comunication between healthcare professionals, patients and relatives needs to be ensured.
Secondary keywords:	diploma theses;nursing care;cardiopulmonary resuscitation;do not resuscitate;ethical dilemmas in emergency care;presence of relatives;
Type (COBISS):	Bachelor thesis/paper
Study programme:	0
Thesis comment:	Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages:	26 str.
ID:	26471687