Yıl 2018, Cilt 3, Sayı 1, Sayfalar 72 - 76 2018-04-12

Sağlıkta bir tabu; son dönem yaşam destek kararları
A taboo in healthcare; life support decisions at the terminal stage

Turgay Albayrak [1] , Hilal Aksoy [2] , Esra Meltem Koc [3] , Irfan Sencan [4] , Adem Ozkara [5]

23 21

Sağlık sisteminin daha etkin işlemesi için sağlık hizmetinin hedef kitlesi olan halkın da sisteme aktif olarak dâhil olması gerekmektedir. Tedavi kararlarına katılımın örneklerinden birisi olan gelişmiş sağlık direktifleri çok ciddi bir hastalık durumunda kişinin kendisine verilecek olan sağlık hizmeti ile ilgili taleplerini içeren veya hastanın kendi kararlarını alamayacak duruma geldiğinde, yerine karar alacak kişiyi tayin ettiği yazılı belgelerdir. Yaşam vasiyeti, yasal sağlık yetkilisi, resusitasyon etmeme direktifi, yaşam desteğinin kısıtlanması, yaşam desteğinin sonlandırılması bu direktifler içerisinde yer alır. Gelişmiş sağlık direktifleri, başta Amerika Birleşik Devletleri (ABD) ve Avrupa’nın bazı ülkelerinde uygulanmaktadır. Gelişmiş sağlık direktiflerinin ülkelere göre hukuki durumları farklılık göstermektedir. Ülkemizde ise gelişmiş sağlık direktifi kullanımına ve yazımına ilişkin herhangi bir veri yoktur. Son dönem hasta bakımının hem bireysel hem de toplumsal anlamda getirdiği maddi ve manevi yükler dikkatli analiz edilip, ülkemizde de artık kişilerin son dönemleri hakkında önceden karar verebilmesi ile bu kararların uygulanabilmesi konusu tartışılmaya başlanmalıdır.

Public who are the target audience of health care system need to be actively involved in the system for more effective health care provision. Advance directives which are the important examples of participation in treatment decisions are written documents that, in the situation of a serious illness, either clarify an individual's wishes for health care or determine a person to make health care decisions for that individual who becomes unable to do so. Living wills, health care power of attorney, directive of do-not-resuscitate, withholding of life support and withdrawing of life support are included in advance directives. Advance directives are being implemented in the United States of America (USA) and some European countries. The legal status of advance directives vary by country. There is no data on the use and writing of advanced directives in our country. It is necessary to start discussing about people's decisions on terminal care and implementations by analyzing the material and moral broughts of patient care at the end of life in both individual and social terms.

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Birincil Dil en
Konular Sağlık Bilimleri
Yayımlanma Tarihi Apr 2018
Dergi Bölümü Derleme Makale (Review Article)
Yazarlar

Orcid: 0000-0001-8280-574X
Yazar: Turgay Albayrak
E-posta: turalbayrak@gmail.com
Kurum: Yenimahalle Cigdemtepe Family Health Center, Ankara
Ülke: Turkey


Orcid: 0000-0002-3330-9317
Yazar: Hilal Aksoy (Sorumlu Yazar)
E-posta: hilal.aksoy35@gmail.com
Kurum: General Directorate of Health Services, Ministry of Health, Ankara
Ülke: Turkey


Orcid: 0000-0003-3620-1261
Yazar: Esra Meltem Koc
E-posta: meltemnuzumlali@yahoo.com
Kurum: Katip Celebi University, School of Medicine, Department of Family Medicine, Izmir
Ülke: Turkey


Orcid: 0000-0003-2008-8700
Yazar: Irfan Sencan
E-posta: isencan@gmail.com
Kurum: Etimesgut Topcu Family Health Center, Ankara
Ülke: Turkey


Orcid: 0000-0003-1658-3071
Yazar: Adem Ozkara
E-posta: ademozkara@yahoo.com
Kurum: Hitit University, School of Medicine, Department of Family Medicine, Corum
Ülke: Turkey


Bibtex @derleme { fppc337752, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, address = {Yusuf Haydar ERTEKİN}, year = {2018}, volume = {3}, pages = {72 - 76}, doi = {10.22391/fppc.337752}, title = {A taboo in healthcare; life support decisions at the terminal stage}, key = {cite}, author = {Albayrak, Turgay and Sencan, Irfan and Aksoy, Hilal and Koc, Esra Meltem and Ozkara, Adem} }
APA Albayrak, T , Aksoy, H , Koc, E , Sencan, I , Ozkara, A . (2018). A taboo in healthcare; life support decisions at the terminal stage. Family Practice and Palliative Care, 3 (1), 72-76. DOI: 10.22391/fppc.337752
MLA Albayrak, T , Aksoy, H , Koc, E , Sencan, I , Ozkara, A . "A taboo in healthcare; life support decisions at the terminal stage". Family Practice and Palliative Care 3 (2018): 72-76 <http://www.fppc.com.tr/issue/36461/337752>
Chicago Albayrak, T , Aksoy, H , Koc, E , Sencan, I , Ozkara, A . "A taboo in healthcare; life support decisions at the terminal stage". Family Practice and Palliative Care 3 (2018): 72-76
RIS TY - JOUR T1 - A taboo in healthcare; life support decisions at the terminal stage AU - Turgay Albayrak , Hilal Aksoy , Esra Meltem Koc , Irfan Sencan , Adem Ozkara Y1 - 2018 PY - 2018 N1 - doi: 10.22391/fppc.337752 DO - 10.22391/fppc.337752 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 72 EP - 76 VL - 3 IS - 1 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.337752 UR - http://dx.doi.org/10.22391/fppc.337752 Y2 - 2017 ER -
EndNote %0 Family Practice and Palliative Care A taboo in healthcare; life support decisions at the terminal stage %A Turgay Albayrak , Hilal Aksoy , Esra Meltem Koc , Irfan Sencan , Adem Ozkara %T A taboo in healthcare; life support decisions at the terminal stage %D 2018 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 3 %N 1 %R doi: 10.22391/fppc.337752 %U 10.22391/fppc.337752