Position statement of ANCP and SBGG on shared decision-making in palliative care

Detalhes bibliográficos
Autor(a) principal: Oliveira Vidal, Edison Iglesias de [UNESP]
Data de Publicação: 2022
Outros Autores: 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
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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spelling 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
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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
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repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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