Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities

Detalhes bibliográficos
Autor(a) principal: Lima, Éfren Paulo Porfírio de Sá
Data de Publicação: 2023
Outros Autores: Santos, Lucas Emmanuel Fortes dos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Jurídica Cesumar - Mestrado (Online)
Texto Completo: https://periodicos.unicesumar.edu.br/index.php/revjuridica/article/view/11038
Resumo: The Law n° 13.146/2015 has given full capacity to people with disabilities, promoting the re-reading of the doctor-patient relationship. Under the ideal of reducing the interference of third parties and medical paternalism in the decision-making of these individuals in health matters, this law restricted the institute of guardianship, in art. 85, caput, to the economic and financial dimensions, excluding from its scope the exercise of existential rights, as is the case of the right to health. In this scenario, the problem of informed consent involving patients with neurocognitive and psychiatric impairment is verified, since the assessment of their will constitutes a complex task. The limited discernment of patients with this profile sometimes supplants the normative aspiration of giving them full autonomy to practice existential acts. A systematic interpretation would allow the harmonization of article 85, caput, of the Statute of the Person with Disability, with the United Nations Convention on the Rights of Persons with Disabilities, recognizing the comprehensiveness of the scope of application of the guardianship regarding the exercise of the right to health, in the cases of the cited patients. Thus, this article seeks to analyze informed consent in medical interventions performed on these individuals, in light of the aforementioned Convention.
id UNICESU-0_31b3822e3b34e4b58c5777244257fa78
oai_identifier_str oai:ojs.pkp.sfu.ca:article/11038
network_acronym_str UNICESU-0
network_name_str Revista Jurídica Cesumar - Mestrado (Online)
repository_id_str
spelling Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilitiesEl consentimiento informado en las intervenciones médicas involucrando pacientes con comprometimiento neurocognitivo y psiquiátrico bajo la óptica de la Convención de la ONU sobre los derechos de las personas con discapacidadO consentimento informado nas intervenções médicas envolvendo pacientes com comprometimento neurocognitivo e psiquiátrico sob a ótica da Convenção da ONU sobre os direitos das pessoas com deficiênciaConsentimento informadoRelação médico-pacientePessoa com deficiênciaIntervenção médicaThe Law n° 13.146/2015 has given full capacity to people with disabilities, promoting the re-reading of the doctor-patient relationship. Under the ideal of reducing the interference of third parties and medical paternalism in the decision-making of these individuals in health matters, this law restricted the institute of guardianship, in art. 85, caput, to the economic and financial dimensions, excluding from its scope the exercise of existential rights, as is the case of the right to health. In this scenario, the problem of informed consent involving patients with neurocognitive and psychiatric impairment is verified, since the assessment of their will constitutes a complex task. The limited discernment of patients with this profile sometimes supplants the normative aspiration of giving them full autonomy to practice existential acts. A systematic interpretation would allow the harmonization of article 85, caput, of the Statute of the Person with Disability, with the United Nations Convention on the Rights of Persons with Disabilities, recognizing the comprehensiveness of the scope of application of the guardianship regarding the exercise of the right to health, in the cases of the cited patients. Thus, this article seeks to analyze informed consent in medical interventions performed on these individuals, in light of the aforementioned Convention. La Ley n° 13.146/2015 concedió plena capacidad a las personas con discapacidad, promoviendo verdadera relectura de la relación médico-paciente. Bajo el ideal de disminución de la injerencia de terceros y del paternalismo médico en la toma de decisiones de estos individuos en materia de salud, tal diploma restringió el instituto de la curatela, en el art. 85, caput, a las dimensiones económica y financiera, excluyendo de su alcance el ejercicio de derechos existenciales, como es el caso del derecho a la salud. En este escenario, se verifica la problemática del consentimiento informado involucrando pacientes con comprometimiento neurocognitivo y psiquiátrico, vez que la avaluación de la voluntad de estos constituye tarea complexa. La limitación en el discernimiento de los pacientes con este perfil sobrepasa, por veces, la aspiración normativa de atribuirles plena autonomía para la práctica de actos existenciales. Una interpretación sistemática permitiría armonizar el art. 85, caput, del Estatuto de la Persona con Discapacidad, con la Convención de la Organización de las Naciones Unidas sobre los derechos de las personas con discapacidad, reconociéndose el alcance del campo de aplicación de la curatela en relación al ejercicio del derecho a la salud, en los casos de los pacientes citados. Así, en este artículo se busca analizar el consentimiento informado en las intervenciones médicas realizadas en estos individuos, a la luz de la referida Convención. A Lei n° 13.146/2015 conferiu plena capacidade às pessoas com deficiência, promovendo verdadeira releitura da relação médico-paciente. Sob o ideal de diminuição da ingerência de terceiros e do paternalismo médico na tomada de decisões destes indivíduos em matéria de saúde, tal diploma restringiu o instituto da curatela, no art. 85, caput, às dimensões econômica e financeira, excluindo de sua abrangência o exercício de direitos existenciais, como é o caso do direito à saúde. Neste cenário, verifica-se a problemática do consentimento informado envolvendo pacientes com comprometimento neurocognitivo e psiquiátrico, vez que a aferição da vontade destes constitui tarefa complexa. A limitação no discernimento dos pacientes com este perfil, suplanta, por vezes, a aspiração normativa de lhes atribuir plena autonomia para a prática de atos existenciais. Uma interpretação sistemática permitiria harmonizar o art. 85, caput, do Estatuto da Pessoa com Deficiência, com a Convenção da Organização das Nações Unidas sobre os direitos das pessoas com deficiência, reconhecendo-se a abrangência do campo de aplicação da curatela quanto ao exercício do direito à saúde, nos casos dos pacientes citados. Assim, este artigo busca analisar o consentimento informado nas intervenções médicas realizadas nestes indivíduos, à luz da referida Convenção. Universidade Cesumar - UniCesumar2023-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado por Parestextoapplication/pdfhttps://periodicos.unicesumar.edu.br/index.php/revjuridica/article/view/1103810.17765/2176-9184.2023v23n1.e11038Revista Jurídica Cesumar - Mestrado; v. 23 n. 1 (2023): jan./abr.2176-91841677-6402reponame:Revista Jurídica Cesumar - Mestrado (Online)instname:Centro Universitário de Maringá (UNICESUMAR)instacron:UNICESUporhttps://periodicos.unicesumar.edu.br/index.php/revjuridica/article/view/11038/7322Copyright (c) 2023 Revista Jurídica Cesumar - Mestradohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima, Éfren Paulo Porfírio de Sá Santos, Lucas Emmanuel Fortes dos 2023-11-27T17:03:07Zoai:ojs.pkp.sfu.ca:article/11038Revistahttp://periodicos.unicesumar.edu.br/index.php/revjuridicaPRIhttp://periodicos.unicesumar.edu.br/index.php/revjuridica/oai||naep@unicesumar.edu.br2176-91841677-6402opendoar:2023-11-27T17:03:07Revista Jurídica Cesumar - Mestrado (Online) - Centro Universitário de Maringá (UNICESUMAR)false
dc.title.none.fl_str_mv Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
El consentimiento informado en las intervenciones médicas involucrando pacientes con comprometimiento neurocognitivo y psiquiátrico bajo la óptica de la Convención de la ONU sobre los derechos de las personas con discapacidad
O consentimento informado nas intervenções médicas envolvendo pacientes com comprometimento neurocognitivo e psiquiátrico sob a ótica da Convenção da ONU sobre os direitos das pessoas com deficiência
title Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
spellingShingle Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
Lima, Éfren Paulo Porfírio de Sá
Consentimento informado
Relação médico-paciente
Pessoa com deficiência
Intervenção médica
title_short Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
title_full Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
title_fullStr Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
title_full_unstemmed Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
title_sort Informed consent in medical interventions involving patients with neurocognitive and psychiatric impairment from the perspective of the un Convention on the rights of persons with disabilities
author Lima, Éfren Paulo Porfírio de Sá
author_facet Lima, Éfren Paulo Porfírio de Sá
Santos, Lucas Emmanuel Fortes dos
author_role author
author2 Santos, Lucas Emmanuel Fortes dos
author2_role author
dc.contributor.author.fl_str_mv Lima, Éfren Paulo Porfírio de Sá
Santos, Lucas Emmanuel Fortes dos
dc.subject.por.fl_str_mv Consentimento informado
Relação médico-paciente
Pessoa com deficiência
Intervenção médica
topic Consentimento informado
Relação médico-paciente
Pessoa com deficiência
Intervenção médica
description The Law n° 13.146/2015 has given full capacity to people with disabilities, promoting the re-reading of the doctor-patient relationship. Under the ideal of reducing the interference of third parties and medical paternalism in the decision-making of these individuals in health matters, this law restricted the institute of guardianship, in art. 85, caput, to the economic and financial dimensions, excluding from its scope the exercise of existential rights, as is the case of the right to health. In this scenario, the problem of informed consent involving patients with neurocognitive and psychiatric impairment is verified, since the assessment of their will constitutes a complex task. The limited discernment of patients with this profile sometimes supplants the normative aspiration of giving them full autonomy to practice existential acts. A systematic interpretation would allow the harmonization of article 85, caput, of the Statute of the Person with Disability, with the United Nations Convention on the Rights of Persons with Disabilities, recognizing the comprehensiveness of the scope of application of the guardianship regarding the exercise of the right to health, in the cases of the cited patients. Thus, this article seeks to analyze informed consent in medical interventions performed on these individuals, in light of the aforementioned Convention.
publishDate 2023
dc.date.none.fl_str_mv 2023-03-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado por Pares
texto
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.unicesumar.edu.br/index.php/revjuridica/article/view/11038
10.17765/2176-9184.2023v23n1.e11038
url https://periodicos.unicesumar.edu.br/index.php/revjuridica/article/view/11038
identifier_str_mv 10.17765/2176-9184.2023v23n1.e11038
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.unicesumar.edu.br/index.php/revjuridica/article/view/11038/7322
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Jurídica Cesumar - Mestrado
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Jurídica Cesumar - Mestrado
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Cesumar - UniCesumar
publisher.none.fl_str_mv Universidade Cesumar - UniCesumar
dc.source.none.fl_str_mv Revista Jurídica Cesumar - Mestrado; v. 23 n. 1 (2023): jan./abr.
2176-9184
1677-6402
reponame:Revista Jurídica Cesumar - Mestrado (Online)
instname:Centro Universitário de Maringá (UNICESUMAR)
instacron:UNICESU
instname_str Centro Universitário de Maringá (UNICESUMAR)
instacron_str UNICESU
institution UNICESU
reponame_str Revista Jurídica Cesumar - Mestrado (Online)
collection Revista Jurídica Cesumar - Mestrado (Online)
repository.name.fl_str_mv Revista Jurídica Cesumar - Mestrado (Online) - Centro Universitário de Maringá (UNICESUMAR)
repository.mail.fl_str_mv ||naep@unicesumar.edu.br
_version_ 1798042384838164480

Registros relacionados