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: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0102-311XPT130022 http://hdl.handle.net/11449/245109 |
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 deci-sion, 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 inappro-priate 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 carePalliative CareShared Decision MakingConsensus Development ConferenceHealth 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 deci-sion, 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 inappro-priate treatments, besides ratifying its incompatibility with any forms of coercion and conflict of interest foreign to the best interests of patients.Univ Estadual Paulista, Fac Med Botucatu, Av Prof Mario Rubens Guimaraes Montenegro S-N, BR-18618687 Botucatu, SP, BrazilAcad Nacl Cuidados Paliativos, Com Bioet, Sao Paulo, BrazilComissao Permanente Cuidados Paliativos, Soc Brasileira Geriatria & Gerontol, Rio De Janeiro, BrazilUniv Sao Paulo, Inst Psicol, Sao Paulo, BrazilUniv Fed Pernambuco, Ctr Ciencias Mid, Recife, PE, BrazilHosp Santo Antonio, Serv Cuidados Paliativos, Blumenau, BrazilUniv Estadual Campinas, Fac Ciencias Med, Campinas, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Sao Paulo, BrazilUniv Fed Para, Hosp Univ Joao de Barros Barreto, Belem, Para, BrazilReal Hosp Portugues Beneficencia Pernambuco, Recife, PE, BrazilInst Escutha, Fortaleza, Ceara, BrazilUniv Estadual Paulista, Fac Med Botucatu, Av Prof Mario Rubens Guimaraes Montenegro S-N, BR-18618687 Botucatu, SP, BrazilCadernos Saude PublicaUniversidade Estadual Paulista (UNESP)Acad Nacl Cuidados PaliativosComissao Permanente Cuidados PaliativosUniversidade de São Paulo (USP)Universidade Federal de Pernambuco (UFPE)Hosp Santo AntonioUniversidade Estadual de Campinas (UNICAMP)Universidade Federal de São Paulo (UNIFESP)Univ Fed ParaReal Hosp Portugues Beneficencia PernambucoInst EscuthaOliveira Vidal, Edison Iglesias de [UNESP]Kovacs, Maria JuliaSilva, Josimario Joao daSilva, Luciano Maximo daSacardo, Daniele PompeiFigueiredo Bersani, Ana Laura deGalhardi Di Tommaso, Ana BeatrizDias, Laiane de MoraesMoura de Albuquerque Melo, Antonio CarlosOliveira Iglesias, Simone Brasil deLopes, Fernanda Gomes2023-07-29T11:37:25Z2023-07-29T11:37:25Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10http://dx.doi.org/10.1590/0102-311XPT130022Cadernos de Saude Publica. Rio de Janiero: Cadernos Saude Publica, v. 38, n. 9, 10 p., 2022.0102-311Xhttp://hdl.handle.net/11449/24510910.1590/0102-311XPT130022WOS:000870171100007Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporCadernos De Saude Publicainfo:eu-repo/semantics/openAccess2023-07-29T11:37:25Zoai:repositorio.unesp.br:11449/245109Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T17:24:40.992118Repositório 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 Oliveira Vidal, Edison Iglesias de [UNESP] Palliative Care Shared Decision Making Consensus Development Conference |
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 |
Oliveira Vidal, Edison Iglesias de [UNESP] |
author_facet |
Oliveira Vidal, Edison Iglesias de [UNESP] Kovacs, Maria Julia Silva, Josimario Joao da Silva, Luciano Maximo da Sacardo, Daniele Pompei Figueiredo Bersani, Ana Laura de Galhardi Di Tommaso, Ana Beatriz Dias, Laiane de Moraes Moura de Albuquerque Melo, Antonio Carlos Oliveira Iglesias, Simone Brasil de Lopes, Fernanda Gomes |
author_role |
author |
author2 |
Kovacs, Maria Julia Silva, Josimario Joao da Silva, Luciano Maximo da Sacardo, Daniele Pompei Figueiredo Bersani, Ana Laura de Galhardi Di Tommaso, Ana Beatriz Dias, Laiane de Moraes Moura de Albuquerque Melo, Antonio Carlos Oliveira Iglesias, Simone Brasil de 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) Acad Nacl Cuidados Paliativos Comissao Permanente Cuidados Paliativos Universidade de São Paulo (USP) Universidade Federal de Pernambuco (UFPE) Hosp Santo Antonio Universidade Estadual de Campinas (UNICAMP) Universidade Federal de São Paulo (UNIFESP) Univ Fed Para Real Hosp Portugues Beneficencia Pernambuco Inst Escutha |
dc.contributor.author.fl_str_mv |
Oliveira Vidal, Edison Iglesias de [UNESP] Kovacs, Maria Julia Silva, Josimario Joao da Silva, Luciano Maximo da Sacardo, Daniele Pompei Figueiredo Bersani, Ana Laura de Galhardi Di Tommaso, Ana Beatriz Dias, Laiane de Moraes Moura de Albuquerque Melo, Antonio Carlos Oliveira Iglesias, Simone Brasil de Lopes, Fernanda Gomes |
dc.subject.por.fl_str_mv |
Palliative Care Shared Decision Making Consensus Development Conference |
topic |
Palliative Care Shared Decision Making Consensus Development Conference |
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 deci-sion, 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 inappro-priate 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 2023-07-29T11:37:25Z 2023-07-29T11:37:25Z |
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/10.1590/0102-311XPT130022 Cadernos de Saude Publica. Rio de Janiero: Cadernos Saude Publica, v. 38, n. 9, 10 p., 2022. 0102-311X http://hdl.handle.net/11449/245109 10.1590/0102-311XPT130022 WOS:000870171100007 |
url |
http://dx.doi.org/10.1590/0102-311XPT130022 http://hdl.handle.net/11449/245109 |
identifier_str_mv |
Cadernos de Saude Publica. Rio de Janiero: Cadernos Saude Publica, v. 38, n. 9, 10 p., 2022. 0102-311X 10.1590/0102-311XPT130022 WOS:000870171100007 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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.format.none.fl_str_mv |
10 |
dc.publisher.none.fl_str_mv |
Cadernos Saude Publica |
publisher.none.fl_str_mv |
Cadernos Saude Publica |
dc.source.none.fl_str_mv |
Web of Science 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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1808128806057148416 |