Análise bioética do uso de protocolos clínicos de oncologia em adolescentes.

• Autor(a) principal: Oliveira, Flávia Gonçalves Coelho de Souza e
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/7732
• topic: Adolescent; Personal autonomy; Bioethics; Cancer; Bone neoplasms; Medical education; Clinical ethics; History of medicine; Adolescent health; Evidence-based medicine; Clinical protocols; Decision making; Adolescente; Autonomia pessoal; Bioética; Câncer; Câncer ósseo; Educação médica; Ética clínica; História da medicina; Saúde do adolescente; Medicina baseada em evidências; Protocolos clínicos; Tomada de decisão; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

Clinical protocols are normative recommendations tied to various therapeutic approaches that have taken the basis of studies that have evidence-based medicine to compose their structures. In this context, clinical protocols in adults are used in several medical specialties, notably in oncology with bioethical conflicts described throughout its history and application. Despite the inherent limitations of their structuring bases, the clinical protocols remain with their incorporated uses incorporated into medical practice, as means to justify the actions bringing them to the field of the doctor-patient relationship in the decision-making. Childhood and adolescent cancer is considered rare, and it is necessary to gather national and international centers for the standardization of specific clinical protocols. There are conflicts related to the use of first-line clinical protocols, linked to situations of vulnerability caused by the social context of inequalities that adolescents and their parents live. In this scenario, the impact of cancer further restricts the exercise of autonomy of these adolescents, in a phase of developing their capacities for their survival in the future. This study has as its objective the bioethical analysis in the application of clinical protocols of first choice in adolescents with solid tumors in the hospital unit of pediatric oncology, with national and international reference books, web sites and scientific articles in specialized journals in the last 5 years. The method used was qualitative semi-structured interviews of eight pediatric oncologists, sixteen parents and five adolescents from ages 14 to 17 years. The results highlight conflicts in the application of clinical protocols that limit the exercise of autonomy of all participants, and that in adolescents is compounded by the impact and treatment of the disease associated with social inequality experience and which compromises your prospect of survival with the quality of life and developing the care of themselves