Autonomy of the elderly patient in the context of medical health care and its relational aspect
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Direito Sanitário (Online) |
Texto Completo: | https://www.revistas.usp.br/rdisan/article/view/148123 |
Resumo: | The aim of this article is to discuss the autonomy of elderly patients in the context of medical health care from a relational perspective. Although national and international laws establish the need to stimulate and respect the autonomy of the elderly, few achievements are seen in this area, especially in the field of medical relations. From the conceptual study of autonomy under different lines of thought, namely, the traditional biomedical autonomy, autonomy seen from a sociological perspective and the relational autonomy defended by human rights, we sought to reflect on the situation of elderly patients, doubly vulnerable due to age and illness, and whose autonomy is not generally appreciated by health professionals and family members. The conclusion was that the most appropriate theoretical framework to characterize elderly patients' autonomy is relational autonomy, because only from the recognition of their special vulnerability and taking into account their values, culture, relationships and social context it is possible to understand them as a whole, to integrate them to the care process and motivate them to participate in the treatment. Human rights of patients endorse relational autonomy and acknowledge that to ensure the rights of elderly patients it is necessary to establish a network of social protection through public policies that make them visible to all, preserve their dignity, as well as motivate them to exercise their autonomy by making decisions that involve their health. |
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Autonomy of the elderly patient in the context of medical health care and its relational aspectA autonomia do paciente idoso no contexto dos cuidados em saúde e seu aspecto relacionalAutonomia RelacionalAutonomia TradicionalDireitos Humanos dos PacientesPaciente IdosoVulnerabilidade.Elderly PatientsHuman Rights of PatientsRelational AutonomyTraditional AutonomyVulnerability.The aim of this article is to discuss the autonomy of elderly patients in the context of medical health care from a relational perspective. Although national and international laws establish the need to stimulate and respect the autonomy of the elderly, few achievements are seen in this area, especially in the field of medical relations. From the conceptual study of autonomy under different lines of thought, namely, the traditional biomedical autonomy, autonomy seen from a sociological perspective and the relational autonomy defended by human rights, we sought to reflect on the situation of elderly patients, doubly vulnerable due to age and illness, and whose autonomy is not generally appreciated by health professionals and family members. The conclusion was that the most appropriate theoretical framework to characterize elderly patients' autonomy is relational autonomy, because only from the recognition of their special vulnerability and taking into account their values, culture, relationships and social context it is possible to understand them as a whole, to integrate them to the care process and motivate them to participate in the treatment. Human rights of patients endorse relational autonomy and acknowledge that to ensure the rights of elderly patients it is necessary to establish a network of social protection through public policies that make them visible to all, preserve their dignity, as well as motivate them to exercise their autonomy by making decisions that involve their health. O objetivo do presente artigo é analisar a autonomia do paciente idoso no contexto dos cuidados em saúde sob a perspectiva relacional. Embora normas nacionais e internacionais estabeleçam a necessidade de se estimular e respeitar a autonomia da pessoa idosa, poucas conquistas podem ser verificadas nessa seara, em especial no âmbito das relações médicas. A partir do estudo conceitual de autonomia sob diferentes pensamentos – quais sejam, a autonomia tradicional biomédica, a autonomia vista sob um prisma sociológico e a autonomia relacional defendida pelos direitos humanos –, procurou-se refletir sobre a situação do paciente idoso, duplamente fragilizado pela idade e pela doença, e cujo exercício da autonomia geralmente não é respeitado pelos profissionais da saúde e pelos familiares. Concluiu-se que o marco teórico mais adequado para caracterizar a autonomia do paciente idoso é o da autonomia relacional, pois só a partir do reconhecimento de sua especial vulnerabilidade e levando-se em conta seus valores, cultura, relacionamentos e contexto social é possível entendê-lo como um todo, integrá-lo ao processo de cuidados e, assim, motivá-lo a participar do tratamento. Os direitos humanos dos pacientes endossam a autonomia relacional e, para assegurar os direitos do paciente idoso, faz-se necessário o estabelecimento de uma rede de proteção social instituída por políticas públicas que tornem o paciente idoso visível e preservem sua dignidade, bem como motivem o exercício e o respeito de sua autonomia nas decisões que envolvam sua saúde.Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário2018-07-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresPeer-reviewed articleapplication/pdfhttps://www.revistas.usp.br/rdisan/article/view/14812310.11606/issn.2316-9044.v19i1p32-49Revista de Direito Sanitário; v. 19 n. 1 (2018); 32-49Journal of Health Law; Vol. 19 No. 1 (2018); 32-49Revista de Direito Sanitário; Vol. 19 Núm. 1 (2018); 32-492316-9044reponame:Revista de Direito Sanitário (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rdisan/article/view/148123/141735Copyright (c) 2018 Revista de Direito Sanitárioinfo:eu-repo/semantics/openAccessPARANHOS, Denise G. A. M.ALBUQUERQUE, Aline2020-09-29T15:58:03Zoai:revistas.usp.br:article/148123Revistahttps://www.revistas.usp.br/rdisanPUBhttp://www.revistas.usp.br/rdisan/oaisdallari@usp.br||revdisan@usp.br2316-90441516-4179opendoar:2020-09-29T15:58:03Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Autonomy of the elderly patient in the context of medical health care and its relational aspect A autonomia do paciente idoso no contexto dos cuidados em saúde e seu aspecto relacional |
title |
Autonomy of the elderly patient in the context of medical health care and its relational aspect |
spellingShingle |
Autonomy of the elderly patient in the context of medical health care and its relational aspect PARANHOS, Denise G. A. M. Autonomia Relacional Autonomia Tradicional Direitos Humanos dos Pacientes Paciente Idoso Vulnerabilidade. Elderly Patients Human Rights of Patients Relational Autonomy Traditional Autonomy Vulnerability. |
title_short |
Autonomy of the elderly patient in the context of medical health care and its relational aspect |
title_full |
Autonomy of the elderly patient in the context of medical health care and its relational aspect |
title_fullStr |
Autonomy of the elderly patient in the context of medical health care and its relational aspect |
title_full_unstemmed |
Autonomy of the elderly patient in the context of medical health care and its relational aspect |
title_sort |
Autonomy of the elderly patient in the context of medical health care and its relational aspect |
author |
PARANHOS, Denise G. A. M. |
author_facet |
PARANHOS, Denise G. A. M. ALBUQUERQUE, Aline |
author_role |
author |
author2 |
ALBUQUERQUE, Aline |
author2_role |
author |
dc.contributor.author.fl_str_mv |
PARANHOS, Denise G. A. M. ALBUQUERQUE, Aline |
dc.subject.por.fl_str_mv |
Autonomia Relacional Autonomia Tradicional Direitos Humanos dos Pacientes Paciente Idoso Vulnerabilidade. Elderly Patients Human Rights of Patients Relational Autonomy Traditional Autonomy Vulnerability. |
topic |
Autonomia Relacional Autonomia Tradicional Direitos Humanos dos Pacientes Paciente Idoso Vulnerabilidade. Elderly Patients Human Rights of Patients Relational Autonomy Traditional Autonomy Vulnerability. |
description |
The aim of this article is to discuss the autonomy of elderly patients in the context of medical health care from a relational perspective. Although national and international laws establish the need to stimulate and respect the autonomy of the elderly, few achievements are seen in this area, especially in the field of medical relations. From the conceptual study of autonomy under different lines of thought, namely, the traditional biomedical autonomy, autonomy seen from a sociological perspective and the relational autonomy defended by human rights, we sought to reflect on the situation of elderly patients, doubly vulnerable due to age and illness, and whose autonomy is not generally appreciated by health professionals and family members. The conclusion was that the most appropriate theoretical framework to characterize elderly patients' autonomy is relational autonomy, because only from the recognition of their special vulnerability and taking into account their values, culture, relationships and social context it is possible to understand them as a whole, to integrate them to the care process and motivate them to participate in the treatment. Human rights of patients endorse relational autonomy and acknowledge that to ensure the rights of elderly patients it is necessary to establish a network of social protection through public policies that make them visible to all, preserve their dignity, as well as motivate them to exercise their autonomy by making decisions that involve their health. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-07-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares Peer-reviewed article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rdisan/article/view/148123 10.11606/issn.2316-9044.v19i1p32-49 |
url |
https://www.revistas.usp.br/rdisan/article/view/148123 |
identifier_str_mv |
10.11606/issn.2316-9044.v19i1p32-49 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rdisan/article/view/148123/141735 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Direito Sanitário info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Direito Sanitário |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário |
publisher.none.fl_str_mv |
Universidade de São Paulo. Núcleo de Pesquisa em Direito Sanitário. Centro de Estudos e Pesquisas de Direito Sanitário |
dc.source.none.fl_str_mv |
Revista de Direito Sanitário; v. 19 n. 1 (2018); 32-49 Journal of Health Law; Vol. 19 No. 1 (2018); 32-49 Revista de Direito Sanitário; Vol. 19 Núm. 1 (2018); 32-49 2316-9044 reponame:Revista de Direito Sanitário (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Direito Sanitário (Online) |
collection |
Revista de Direito Sanitário (Online) |
repository.name.fl_str_mv |
Revista de Direito Sanitário (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
sdallari@usp.br||revdisan@usp.br |
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1787713914137477120 |