病人自主權之損害賠償案：談末期生命照護的為與不為【學習式判解評析】 試閱
Dispute on the Infringement of Patient Autonomy in End-of-Life: Discussing What to Do and What Not to Do in End-of-Life Care
不施行心肺復甦術暨安寧緩和照護意願書的真實意涵不只是一份維生醫療的選單，更是如何對自然死亡過程中品質與尊嚴的價值期待。為了達成病人在臨終階段的自主意願，必須包含一連串的作為與不作為，我們必須更加重視包含了作為與不作為的上位概念—也就是病人所期待的合乎其意願的治療整體。安寧緩和醫療能夠緩解或改善疼痛與受苦—無論是身體上的、心理上的、精神上的還是社會上的，不僅是醫療的自主選擇，更是一種普世的人權價值，奠基在「不受苦」的基本權利。
The true meaning of a Do Not Resuscitate (DNR) and Palliative Care Directive goes beyond merely being an option of life-sustaining. It reflects the values and expectations regarding the quality and dignity of the natural dying process. To respect a patient’s autonomy during the end- of-life stage, it is essential to consider a series of actions and omissions. We must place greater emphasis on the overarching concept that encompasses both actions and omissions – that is, the patient’s overall treatment plan aligned with their wishes. Palliative care can alleviate or improve pain and suffering – whether physical, psychological, spiritual, or social – and is not only a matter of medical autonomy but also a universal human right rooted in the fundamental right to be free from suffering.
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