Specialized Nutritional Support and its Ethical Issues

  • Arianna Omaña- Covarrubias Universidad Autónoma del Estado de Hidalgo
  • Adrián Moya-Escalera Universidad Autónoma del Estado de Hidalgo
  • Sócrates López-Noguerola Universidad Autónoma del Estado de Hidalgo
Keywords: Palliative care, assisted death, vital support, critical and end-stage patient

Abstract

The chronic condition of some pathology may lead the patient to a critical condition or even to an end-stage, putting the multidisciplinary group in an ethical conflict; as well as the family. Considering that the objective of healthcare staff has always been the well-being through prevention and correction of the clinical condition, avoiding, at all times, to relief pain and suffer, now having to address the therapeutic help to a “good death” of the patient. The cultural conditions have changed and death is not perceived the same way it used to be, nor by the society nor the group providing attention and care to the critical or end-stage patient, generating expectations for each case, separating the patient from reason and reality (1). Today, science has had a technological advance having a direct impact on the vital function of the patient, having a direct influence on the time, but mainly on the way of death, focusing the attention on the possible decisions of the seriously sick patient, starting the era of an “assisted death”, as opposed to a natural death (1,2).

References

Sociedad Española de Cuidados Paliativos (SECPAL). Guía de Cuidados Paliativos [monografía en Internet]. Madrid: SECPAL; [citado 4 jul 2009]. Disponible en: http://www.secpal.com/guiacp/guiacp.pdf

Gracia D. La deliberación moral: el método de la ética clínica. Med Clin (Barc) 2001; 117: 18-23.

Sorokin P. Análisis bioético del esfuerzo terapéutico en los pacientes críticos.Tesis aprobada para la maestría en Salud Publica de la Universidad de Buenos Aires. 1999

Gherardi Carlos R. La muerte intervenida. De la muerte cerebral a la abstención o retiro del soporte vital. Medicina (Buenos Aires) 2002; 62:279-290.

Jonsen A.R., Siegler M. Winslade W.J. Clinical Ethics. 3rd.Ed. Mc.Graw-Hill 1992.

Beauchamp T.L. Childress J.F. Principios de Etica Biomédica. Masson 1999; 270.

Orgogozo JM, Dartigues JF, Lafont S, Letenneur L, Commenges D, Salomon R et al. Wine consumption and the elderly: a prospective community study in the Bordeaux area. Revue Neurologique 1997; 153: 185-192.

Lavados M, Serani A. Suspensión y limitación de tratamientos. En: Ética

Clínica. Fundamentos y Aplicaciones. Eds. Univ. Católica de Chile, 1993

Gherardi C.R. Encarnizamiento terapéutico y muerte digna. Mitos y realidades. Medicina 1998; 58: 755-762.

Gracia D. La deliberación moral: el método de la ética clínica. Med Clin (Barc) 2001; 117: 18-23.

Hopkins K. BAPEN Symposium 2: Nutrition in palliative care. Food for life, love and hope: An exemplar of the philosophy of palliative care in action. Proc Nutr Soc 2004;63:427-429.

Acreman S. Nutrition in palliative care. Br J. Community Nurs 2009;14(10):427-431.

Del Cañizo Fernández-Roldán. La Nutrición en el paciente terminal. Punto de vista ético. Nutr Hosp 2005;20(2).

Published
2019-07-05