Health care for terminal patients: between medical practices and religious beliefs
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | RECIIS (Online) |
Texto Completo: | https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/661 |
Resumo: | The new Brazilian Code of Medical Ethics, which became effective as of April 13, 2010, addresses terminal and irreversible clinical situations. In such cases, doctors are advised to provide appropriate palliative care for patients under their responsibility instead of performing unnecessary diagnostic and therapeutic procedures. The Code’s process of approval is examined in this article, as well as the changes occurred in Brazil within a few decades regarding health care for clinical profiles considered as terminal or out of the therapeutic chances of cure. Although the terms orthothanasia, dysthanasia and euthanasia are not used in the new Code of Medical Ethics, they are addressed in this article together with the different points of view of religious groups on the process of dying. A “good death”, with dignity, or the production of a umanized death has received the attention of palliative aregivers, who postulate the need to provide spiritual assistance to ill patients and their families. Surveys with palliative care teams and the medical ethics new code’s text are the background for the debate over the dilemmas faced by all those practically involved in the process of dying. Finally, focus is placed on the doctor/patient/family relationship in this recent kind of care, because such interaction is intertwined with power relations, where different values and religious beliefs can be seen. |
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Health care for terminal patients: between medical practices and religious beliefsAssistência em saúde a situações terminais: entre práticas médicas e crenças religiosasdoctor-patient relationshipspiritual assistancepalliative carehealth-illness processlifedeathrelação médico/pacienteassistência espiritualcuidados paliativosprocesso saúdeThe new Brazilian Code of Medical Ethics, which became effective as of April 13, 2010, addresses terminal and irreversible clinical situations. In such cases, doctors are advised to provide appropriate palliative care for patients under their responsibility instead of performing unnecessary diagnostic and therapeutic procedures. The Code’s process of approval is examined in this article, as well as the changes occurred in Brazil within a few decades regarding health care for clinical profiles considered as terminal or out of the therapeutic chances of cure. Although the terms orthothanasia, dysthanasia and euthanasia are not used in the new Code of Medical Ethics, they are addressed in this article together with the different points of view of religious groups on the process of dying. A “good death”, with dignity, or the production of a umanized death has received the attention of palliative aregivers, who postulate the need to provide spiritual assistance to ill patients and their families. Surveys with palliative care teams and the medical ethics new code’s text are the background for the debate over the dilemmas faced by all those practically involved in the process of dying. Finally, focus is placed on the doctor/patient/family relationship in this recent kind of care, because such interaction is intertwined with power relations, where different values and religious beliefs can be seen.O novo Código de Ética Médica, que passou a vigorar em 13 de abril de 2010, contempla situações clínicas irreversíveis e terminais. Nesses casos é indicado ao médico evitar a realização de procedimentos diagnósticos e terapêuticos desnecessários, prestando os cuidados paliativos apropriados aos pacientes sob sua responsabilidade. O processo de aprovação desse texto é examinado neste artigo, assim como as transformações ocorridas em poucas décadas no Brasil, no que tange à assistência em saúde a quadros clínicos avaliados como fora de possibilidades terapêuticas de cura ou terminais. Os termos ortotanásia, distanásia e eutanásia, apesar de não utilizados no novo código de ética médica, são aqui enfocados, inclusive com o exame dos diferentes posicionamentos de grupos religiosos acerca do processo do morrer. O morrer bem, com dignidade, ou a produção de uma morte humanizada, é objeto da atenção de profissionais de cuidados paliativos, que postulam a necessidade de assistência espiritual aos doentes e a seus familiares. A partir de pesquisas com equipes paliativistas e do texto da nova norma de conduta médica, são debatidos os dilemas que se apresentam, na prática, entre todos os envolvidos no processo do morrer. Por fim, enfoca-se a relação médico/pacientes/familiares nesta recente modalidade de assistência, uma vez que tal interação é perpassada por relações de poder, nas quais também se apresentam diferentes valores e crenças religiosas. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz)2015-03-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfapplication/pdfhttps://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/66110.3395/reciis.v4i3.661Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; Vol. 4 No. 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdesRevista Eletrônica de Comunicação, Informação e Inovação em Saúde; Vol. 4 Núm. 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdesRevue de la Communication, de l'Information et de l'Innovation en santé; Vol. 4 No 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdesRevista Eletrônica de Comunicação, Informação & Inovação em Saúde; v. 4 n. 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdes1981-6278reponame:RECIIS (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/661/1309https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/661/1806Menezes, Rachel Aisengartinfo:eu-repo/semantics/openAccess2019-05-30T13:17:15Zoai:www.reciis.icict.fiocruz.br:article/661Revistahttps://www.reciis.icict.fiocruz.br/index.php/reciishttps://www.reciis.icict.fiocruz.br/index.php/reciis/oaireciis@icict.fiocruz.br1981-62781981-6278opendoar:2019-05-30T13:17:15RECIIS (Online) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Health care for terminal patients: between medical practices and religious beliefs Assistência em saúde a situações terminais: entre práticas médicas e crenças religiosas |
title |
Health care for terminal patients: between medical practices and religious beliefs |
spellingShingle |
Health care for terminal patients: between medical practices and religious beliefs Menezes, Rachel Aisengart doctor-patient relationship spiritual assistance palliative care health-illness process lifedeath relação médico/paciente assistência espiritual cuidados paliativos processo saúde |
title_short |
Health care for terminal patients: between medical practices and religious beliefs |
title_full |
Health care for terminal patients: between medical practices and religious beliefs |
title_fullStr |
Health care for terminal patients: between medical practices and religious beliefs |
title_full_unstemmed |
Health care for terminal patients: between medical practices and religious beliefs |
title_sort |
Health care for terminal patients: between medical practices and religious beliefs |
author |
Menezes, Rachel Aisengart |
author_facet |
Menezes, Rachel Aisengart |
author_role |
author |
dc.contributor.author.fl_str_mv |
Menezes, Rachel Aisengart |
dc.subject.por.fl_str_mv |
doctor-patient relationship spiritual assistance palliative care health-illness process lifedeath relação médico/paciente assistência espiritual cuidados paliativos processo saúde |
topic |
doctor-patient relationship spiritual assistance palliative care health-illness process lifedeath relação médico/paciente assistência espiritual cuidados paliativos processo saúde |
description |
The new Brazilian Code of Medical Ethics, which became effective as of April 13, 2010, addresses terminal and irreversible clinical situations. In such cases, doctors are advised to provide appropriate palliative care for patients under their responsibility instead of performing unnecessary diagnostic and therapeutic procedures. The Code’s process of approval is examined in this article, as well as the changes occurred in Brazil within a few decades regarding health care for clinical profiles considered as terminal or out of the therapeutic chances of cure. Although the terms orthothanasia, dysthanasia and euthanasia are not used in the new Code of Medical Ethics, they are addressed in this article together with the different points of view of religious groups on the process of dying. A “good death”, with dignity, or the production of a umanized death has received the attention of palliative aregivers, who postulate the need to provide spiritual assistance to ill patients and their families. Surveys with palliative care teams and the medical ethics new code’s text are the background for the debate over the dilemmas faced by all those practically involved in the process of dying. Finally, focus is placed on the doctor/patient/family relationship in this recent kind of care, because such interaction is intertwined with power relations, where different values and religious beliefs can be seen. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-03-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/661 10.3395/reciis.v4i3.661 |
url |
https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/661 |
identifier_str_mv |
10.3395/reciis.v4i3.661 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/661/1309 https://www.reciis.icict.fiocruz.br/index.php/reciis/article/view/661/1806 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz) |
publisher.none.fl_str_mv |
Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz) |
dc.source.none.fl_str_mv |
Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; Vol. 4 No. 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdes Revista Eletrônica de Comunicação, Informação e Inovação em Saúde; Vol. 4 Núm. 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdes Revue de la Communication, de l'Information et de l'Innovation en santé; Vol. 4 No 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdes Revista Eletrônica de Comunicação, Informação & Inovação em Saúde; v. 4 n. 3 (2010): Temático | Processos comunicacionais, religiosidades e saúdes 1981-6278 reponame:RECIIS (Online) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
RECIIS (Online) |
collection |
RECIIS (Online) |
repository.name.fl_str_mv |
RECIIS (Online) - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
reciis@icict.fiocruz.br |
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1798942462839881728 |