Position statement of ANCP and SBGG on shared decision-making in palliative care
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0102-311XEN130022 http://hdl.handle.net/11449/246023 |
Resumo: | Health care for patients with serious illnesses usually implies the need to make a large number of decisions, ranging from how information is shared to which diagnostic or therapeutic procedures will be adopted. The method of such decision-making has important implications from an individual and collective point of view and may contribute to either relieving or aggravating suffering. In this consensus document, the Bioethics Committee of the Brazilian National Academy of Palliative Care (ANCP) and the Permanent Committee on Palliative Care of the Brazilian Geriatrics and Gerontology Society (SBGG) adopt the principles of compassionate listening proposed by Saunders, of the nature of suffering proposed by Cassel, of dignity-preserving care proposed by Chochinov, and of cultural humility as a starting point for the construction of an official position of ANCP and SBGG on shared decision-making in palliative care. The position statement posits that, unlike paternalistic and consumerist models, the decision-making process in the sphere of palliative care must follow the mutualistic model of shared decision, where decisions are built based on dialogue between healthcare professionals and patients/family. The document sets forth the assumptions of this process, the limits of autonomy of patients/family and healthcare professionals and the distinction between futile and potentially inappropriate treatments, besides ratifying its incompatibility with any forms of coercion and conflict of interest foreign to the best interests of patients. |
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Position statement of ANCP and SBGG on shared decision-making in palliative careConsensus Development ConferencePalliative CareShared Decision MakingHealth care for patients with serious illnesses usually implies the need to make a large number of decisions, ranging from how information is shared to which diagnostic or therapeutic procedures will be adopted. The method of such decision-making has important implications from an individual and collective point of view and may contribute to either relieving or aggravating suffering. In this consensus document, the Bioethics Committee of the Brazilian National Academy of Palliative Care (ANCP) and the Permanent Committee on Palliative Care of the Brazilian Geriatrics and Gerontology Society (SBGG) adopt the principles of compassionate listening proposed by Saunders, of the nature of suffering proposed by Cassel, of dignity-preserving care proposed by Chochinov, and of cultural humility as a starting point for the construction of an official position of ANCP and SBGG on shared decision-making in palliative care. The position statement posits that, unlike paternalistic and consumerist models, the decision-making process in the sphere of palliative care must follow the mutualistic model of shared decision, where decisions are built based on dialogue between healthcare professionals and patients/family. The document sets forth the assumptions of this process, the limits of autonomy of patients/family and healthcare professionals and the distinction between futile and potentially inappropriate treatments, besides ratifying its incompatibility with any forms of coercion and conflict of interest foreign to the best interests of patients.Faculdade de Medicina de Botucatu Universidade Estadual PaulistaComitê de Bioética Academia Nacional de Cuidados PaliativosComissão Permanente de Cuidados Paliativos Sociedade Brasileira de Geriatria e GerontologiaInstituto de Psicologia Universidade de São PauloCentro de Ciências Médicas Universidade Federal de PernambucoServiço de Cuidados Paliativos Hospital Santo AntônioFaculdade de Ciências Médicas Universidade Estadual de CampinasEscola Paulista de Medicina Universidade Federal de São PauloHospital Universitário João de Barros Barreto Universidade Federal do ParáReal Hospital Português de Beneficência em PernambucoInstituto EscuthaFaculdade de Medicina de Botucatu Universidade Estadual PaulistaUniversidade Estadual Paulista (UNESP)Academia Nacional de Cuidados PaliativosSociedade Brasileira de Geriatria e GerontologiaUniversidade de São Paulo (USP)Universidade Federal de Pernambuco (UFPE)Hospital Santo AntônioUniversidade Estadual de Campinas (UNICAMP)Universidade Federal de São Paulo (UNIFESP)Universidade Federal do Pará (UFPA)Real Hospital Português de Beneficência em PernambucoInstituto Escuthade Oliveira Vidal, Edison Iglesias [UNESP]Kovacs, Maria Júliada Silva, Josimário Joãoda Silva, Luciano MáximoSacardo, Daniele Pompeide Figueiredo Bersani, Ana LauraDi Tommaso, Ana Beatriz Galhardide Moraes Dias, Laianede Albuquerque Melo, Antônio Carlos Mourade Oliveira Iglesias, Simone BrasilLopes, Fernanda Gomes2023-07-29T12:29:36Z2023-07-29T12:29:36Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1590/0102-311XEN130022Cadernos de Saude Publica, v. 38, n. 9, 2022.1678-44640102-311Xhttp://hdl.handle.net/11449/24602310.1590/0102-311XEN1300222-s2.0-85139337183Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCadernos de Saude Publicainfo:eu-repo/semantics/openAccess2023-07-29T12:29:36Zoai:repositorio.unesp.br:11449/246023Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T18:17:32.698995Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Position statement of ANCP and SBGG on shared decision-making in palliative care |
title |
Position statement of ANCP and SBGG on shared decision-making in palliative care |
spellingShingle |
Position statement of ANCP and SBGG on shared decision-making in palliative care de Oliveira Vidal, Edison Iglesias [UNESP] Consensus Development Conference Palliative Care Shared Decision Making |
title_short |
Position statement of ANCP and SBGG on shared decision-making in palliative care |
title_full |
Position statement of ANCP and SBGG on shared decision-making in palliative care |
title_fullStr |
Position statement of ANCP and SBGG on shared decision-making in palliative care |
title_full_unstemmed |
Position statement of ANCP and SBGG on shared decision-making in palliative care |
title_sort |
Position statement of ANCP and SBGG on shared decision-making in palliative care |
author |
de Oliveira Vidal, Edison Iglesias [UNESP] |
author_facet |
de Oliveira Vidal, Edison Iglesias [UNESP] Kovacs, Maria Júlia da Silva, Josimário João da Silva, Luciano Máximo Sacardo, Daniele Pompei de Figueiredo Bersani, Ana Laura Di Tommaso, Ana Beatriz Galhardi de Moraes Dias, Laiane de Albuquerque Melo, Antônio Carlos Moura de Oliveira Iglesias, Simone Brasil Lopes, Fernanda Gomes |
author_role |
author |
author2 |
Kovacs, Maria Júlia da Silva, Josimário João da Silva, Luciano Máximo Sacardo, Daniele Pompei de Figueiredo Bersani, Ana Laura Di Tommaso, Ana Beatriz Galhardi de Moraes Dias, Laiane de Albuquerque Melo, Antônio Carlos Moura de Oliveira Iglesias, Simone Brasil Lopes, Fernanda Gomes |
author2_role |
author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Academia Nacional de Cuidados Paliativos Sociedade Brasileira de Geriatria e Gerontologia Universidade de São Paulo (USP) Universidade Federal de Pernambuco (UFPE) Hospital Santo Antônio Universidade Estadual de Campinas (UNICAMP) Universidade Federal de São Paulo (UNIFESP) Universidade Federal do Pará (UFPA) Real Hospital Português de Beneficência em Pernambuco Instituto Escutha |
dc.contributor.author.fl_str_mv |
de Oliveira Vidal, Edison Iglesias [UNESP] Kovacs, Maria Júlia da Silva, Josimário João da Silva, Luciano Máximo Sacardo, Daniele Pompei de Figueiredo Bersani, Ana Laura Di Tommaso, Ana Beatriz Galhardi de Moraes Dias, Laiane de Albuquerque Melo, Antônio Carlos Moura de Oliveira Iglesias, Simone Brasil Lopes, Fernanda Gomes |
dc.subject.por.fl_str_mv |
Consensus Development Conference Palliative Care Shared Decision Making |
topic |
Consensus Development Conference Palliative Care Shared Decision Making |
description |
Health care for patients with serious illnesses usually implies the need to make a large number of decisions, ranging from how information is shared to which diagnostic or therapeutic procedures will be adopted. The method of such decision-making has important implications from an individual and collective point of view and may contribute to either relieving or aggravating suffering. In this consensus document, the Bioethics Committee of the Brazilian National Academy of Palliative Care (ANCP) and the Permanent Committee on Palliative Care of the Brazilian Geriatrics and Gerontology Society (SBGG) adopt the principles of compassionate listening proposed by Saunders, of the nature of suffering proposed by Cassel, of dignity-preserving care proposed by Chochinov, and of cultural humility as a starting point for the construction of an official position of ANCP and SBGG on shared decision-making in palliative care. The position statement posits that, unlike paternalistic and consumerist models, the decision-making process in the sphere of palliative care must follow the mutualistic model of shared decision, where decisions are built based on dialogue between healthcare professionals and patients/family. The document sets forth the assumptions of this process, the limits of autonomy of patients/family and healthcare professionals and the distinction between futile and potentially inappropriate treatments, besides ratifying its incompatibility with any forms of coercion and conflict of interest foreign to the best interests of patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 2023-07-29T12:29:36Z 2023-07-29T12:29:36Z |
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 |
http://dx.doi.org/10.1590/0102-311XEN130022 Cadernos de Saude Publica, v. 38, n. 9, 2022. 1678-4464 0102-311X http://hdl.handle.net/11449/246023 10.1590/0102-311XEN130022 2-s2.0-85139337183 |
url |
http://dx.doi.org/10.1590/0102-311XEN130022 http://hdl.handle.net/11449/246023 |
identifier_str_mv |
Cadernos de Saude Publica, v. 38, n. 9, 2022. 1678-4464 0102-311X 10.1590/0102-311XEN130022 2-s2.0-85139337183 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Cadernos de Saude Publica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128917551185920 |