Percepção de enfermeiras intensivistas de hospital regional sobre distanásia, eutanásia e ortotanásia. Article (PDF Available) · December with 32 Reads. Nenhum enfermeiro soube conceituar eutanásia, metade conceituou distanásia e apenas um terço a ortotanásia. Do total, 65,39% reconhecem algum desses. Eutanasia e distanasia. In Costa, S. I. F., G. Oselka and V. Bottle, eds., Iniciacao a Bioetica. Brasilia: Conselho Federal de Medicina, pp. Mello, A. G.
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End-of-life care in the intensive care unit state of art in Author information Copyright and License information Disclaimer. This is particularly true in Brazil with regard to the position of wutanasia Catholic Church, recognized as an intransigent advocate of the sacredness of life.
Cuidado y Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder’s express written permission. There are a number of respected attorneys and dostanasia who defend the notion that any suspension or limitation of treatment, even in patients clearly incapable of recovering, constitutes dereliction of medical duty, with all the legal consequences this implies.
Total and irreversible arrest of brain functions are equivalent to death, according to well established criteria by the global scientific community. Rev Bras Terap Inten.
There are also other important aspects addressed in the resolution. Gabriel Oselka 1 and Reinaldo Ayer eutanasiw Oliveira 2. This is an exceptional situation amidst the numerous ethical dilemmas in our milieu.
The key point is to assess — and this is a joint decision between the doctor and the patients or those representing them — over whether a given intervention prolonging life in that case will benefit the patient.
In the context of organ donation for organ and tissue transplant this presents no great obstacle: For instance, a recent study 3 within Pediatric Intensive Care Units Diwtanasia revealed that the time period for withdrawal of vital support following brain death was 1. Thus there seems to be a curious dichotomy among Brazilian doctors, with clear acceptance of the criteria in cases of organ donation for organ transplants, yet reluctance to accept them in other situations.
Find articles by Reinaldo Ayer de Oliveira. Any discussion on brain death must take into account the first Brazilian law on transplants which clearly stated that the criteria for defining brain death were to be determined by the Federal Medical Council FMC.
Silva Nei Moreira da. Doctors and patients often believe the Catholic Church would never accept any manner of treatment limitation, on the understanding that this is a Divine prerogative. Fears grounded in possible administrative Regional Medical Councils or legal repercussions, as well as ambiguous interpretations ee religious precepts, partially explain this reluctance which often results in unnecessary prolonging of patient suffering.
Journal List Dement Neuropsychol distanaasia. Moritz RD, Pamplona F. Find articles by Gabriel Oselka. No warranty is given about the accuracy of the copy. For example, assisted reproduction also has a normative resolution by the FMC, but ethical debates on the issue remain extremely heated, yet no laws provide for norms governing procedures related to assisted reproduction.
The FMC enacted a Resolution in which, upon establishing the criteria for brain death took into consideration that:. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. There is a psychological and material burden caused by prolonging the use of extraordinary resources to support vegetative functions in patients with total and irreversible arrest of brain activity.
This situation is not peculiar to Brazil, it does however appear to be more common among us than in many developed countries. Support Center Support Center.
Likewise, issues surrounding end-of-life have no specific legislation, and as will become apparent, the ethical discussion on this matter is also heated. The Resolution also stipulates that brain death must have resulted from an irreversible process and a known cause, and that the clinical parameters to be observed in ascertaining brain death are: Attempting to understand the factors behind doctors not offering patients in terminal phases of severe and incurable sickness the options the doctors deem best, constitutes part of the absolutely indispensable process of involving not only doctors and other health professionals, but also society as a whole, in discussing a situation which is currently clearly not rutanasia in the best interests of our patients.
Palliative care; Nursing care; Bioethics; Intensive care units.
Despite the evident ethical and legal agreement regarding brain death, in practice these cases continue to be a source of doubt and controversy in Brazil. Remote access to EBSCO’s databases is permitted to patrons of subscribing institutions accessing from remote locations for personal, non-commercial use. In such cases, ejtanasia of brain death is often not followed by suspension of ventilation support and other life-prolonging measures.
Copyright of Revista de Pesquisa: Enactment of this resolution created a rare situation in Brazil whereby a clear definition by the organ responsible for medical ethics on what constitutes brain death exists in parallel with a legal position establishing brain death to euutanasia that determined by the FMC.
Bioética – Eutanásia, Distanásia e Ortotnásia by Verónica Salvador on Prezi
Users should refer to the original published version of the material for the full abstract. An exploratory and descriptive study of a qualitative nature was carried out through questionnaires applied to eight nurses working in Intensive Care Units. Conselho Federal de Medicina. This is apparently the perception of a large proportion of Brazilian doctors. J Ped Rio J ; The answer is not straightforward.
Services on Demand Journal. The selected studies eutajasia not address only euthanasia but included the end of one’s life, palliative care, dystanasia, orthothanasia, and other actors involved in the decision-making process about one’s death.