Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34632/cadernosdesaude.2023.11780 |
Resumo: | Introduction: Communication is a fundamental competence in palliative medicine and allows a trust-based relationship. The suspension of a therapy that does not have benefit to the patient is an ethical challenge and must be based on the principles of bioethics. Aim: To develop a reflection based on the principles of bioethics about a clinical case with omission of the truth and therapeutic futility. Materials and methods: Case based ethical discussion with a literature review. Results: The case based ethical discussion was based on the use of placebo, communication of the truth, medical futility and management of family and healthcare team emotions. Conclusions: The practice of medical futility arises ethical problems. The therapeutic benefit must be individualized for each patient as a human being, and respect the ethical principles of non-maleficence, autonomy and justice. Conflicts are avoided by establishing a good patient-physician relationship, with honest and empathic communication. |
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Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflectionOmitir a verdade para aliviar sofrimento em situações de fim de vida: uma reflexão éticaIntroduction: Communication is a fundamental competence in palliative medicine and allows a trust-based relationship. The suspension of a therapy that does not have benefit to the patient is an ethical challenge and must be based on the principles of bioethics. Aim: To develop a reflection based on the principles of bioethics about a clinical case with omission of the truth and therapeutic futility. Materials and methods: Case based ethical discussion with a literature review. Results: The case based ethical discussion was based on the use of placebo, communication of the truth, medical futility and management of family and healthcare team emotions. Conclusions: The practice of medical futility arises ethical problems. The therapeutic benefit must be individualized for each patient as a human being, and respect the ethical principles of non-maleficence, autonomy and justice. Conflicts are avoided by establishing a good patient-physician relationship, with honest and empathic communication.Introdução: A comunicação é uma competência fundamental em cuidados paliativos que permite estabelecer uma relação de confiança. A suspensão de uma terapêutica que não traga benefício para o doente constitui um desafio ético e deve ser ponderada com base nos princípios da bioética. Objetivo: Desenvolver uma reflexão com base nos princípios éticos sobre uma situação de omissão da verdade e futilidade terapêutica. Materiais e métodos: Reflexão ética com base num caso clínico, assente em pesquisa bibliográfica. Resultados: Os conflitos éticos presentes no caso exposto foram analisados com base na utilização de placebo, comunicação da verdade, futilidade terapêutica e gestão das emoções da família e equipa. Conclusões: A prática de atos terapêuticos fúteis colide com os princípios éticos. O benefício terapêutico deve ser individualizado para cada doente enquanto pessoa e deve respeitar os restantes princípios éticos de não maleficência, autonomia e justiça. Os conflitos são evitados estabelecendo uma relação médico-doente baseada numa comunicação eficaz, honesta e empática.Universidade Católica Portuguesa2023-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34632/cadernosdesaude.2023.11780https://doi.org/10.34632/cadernosdesaude.2023.11780Cadernos de Saúde; Vol 15 No 1 (2023); 45-50Cadernos de Saúde; v. 15 n. 1 (2023); 45-502795-43581647-055910.34632/cadernosdesaude.2023.15.1reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.ucp.pt/index.php/cadernosdesaude/article/view/11780https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/11780/12371Direitos de Autor (c) 2023 Maria Bairos Menezes, Mara Arruda, Joana Cardoso, Natacha Meira, Bernardo Marques da Costahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBairos Menezes, MariaArruda, MaraCardoso, JoanaMeira, NatachaMarques da Costa, Bernardo2023-10-03T15:48:11Zoai:ojs.revistas.ucp.pt:article/11780Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:33:14.367844Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection Omitir a verdade para aliviar sofrimento em situações de fim de vida: uma reflexão ética |
title |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection |
spellingShingle |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection Bairos Menezes, Maria |
title_short |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection |
title_full |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection |
title_fullStr |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection |
title_full_unstemmed |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection |
title_sort |
Hiding the truth to alleviate suffering in end-of-life situations: an ethical reflection |
author |
Bairos Menezes, Maria |
author_facet |
Bairos Menezes, Maria Arruda, Mara Cardoso, Joana Meira, Natacha Marques da Costa, Bernardo |
author_role |
author |
author2 |
Arruda, Mara Cardoso, Joana Meira, Natacha Marques da Costa, Bernardo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Bairos Menezes, Maria Arruda, Mara Cardoso, Joana Meira, Natacha Marques da Costa, Bernardo |
description |
Introduction: Communication is a fundamental competence in palliative medicine and allows a trust-based relationship. The suspension of a therapy that does not have benefit to the patient is an ethical challenge and must be based on the principles of bioethics. Aim: To develop a reflection based on the principles of bioethics about a clinical case with omission of the truth and therapeutic futility. Materials and methods: Case based ethical discussion with a literature review. Results: The case based ethical discussion was based on the use of placebo, communication of the truth, medical futility and management of family and healthcare team emotions. Conclusions: The practice of medical futility arises ethical problems. The therapeutic benefit must be individualized for each patient as a human being, and respect the ethical principles of non-maleficence, autonomy and justice. Conflicts are avoided by establishing a good patient-physician relationship, with honest and empathic communication. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34632/cadernosdesaude.2023.11780 https://doi.org/10.34632/cadernosdesaude.2023.11780 |
url |
https://doi.org/10.34632/cadernosdesaude.2023.11780 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/11780 https://revistas.ucp.pt/index.php/cadernosdesaude/article/view/11780/12371 |
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http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Católica Portuguesa |
publisher.none.fl_str_mv |
Universidade Católica Portuguesa |
dc.source.none.fl_str_mv |
Cadernos de Saúde; Vol 15 No 1 (2023); 45-50 Cadernos de Saúde; v. 15 n. 1 (2023); 45-50 2795-4358 1647-0559 10.34632/cadernosdesaude.2023.15.1 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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