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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Orthothanasia | definition of orthothanasia by Medical dictionary
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: Certainly, there are a dostanasia of contributing factors, but three seem to be fundamental; fear of judicial repercussions, fear of administrative consequences in the Eutaanasia Council ambit, and religious beliefs.
Likewise, issues surrounding end-of-life have no specific legislation, and as will become apparent, the ethical discussion on this matter is also heated. Occasionally there are objections to limiting treatment in terminal patients distanqsia religious reasons. Total and irreversible arrest of brain functions are equivalent to death, according to well established criteria by the global scientific community. The selected studies did 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.
In the context of organ donation for organ and tissue transplant this presents no great obstacle: Find articles by Gabriel Oselka. 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.
Another situation linked to end-of-life raises even more complex questions. The answer is not straightforward. 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.
The themes that emerged from the responses were identified and analyzed based on literature. J Ped Rio J ; There are also other important aspects addressed in the resolution. Clearly, however, the manner in which the article is worded leads to ambiguous interpretation.
There are a number of respected attorneys and jurists who defend the notion that any suspension or limitation of treatment, even didtanasia patients clearly incapable of recovering, constitutes dereliction of medical duty, with all the legal consequences this implies. This is an exceptional situation amidst the numerous ethical dilemmas in our milieu.
Rev Bras Terap Inten. This law was promulgated in February and states that removal post mortemof tissues, organs or parts of the human body destined for transplant or treatment must be preceded by diagnosed brain death, according to the clinical and technological criteria set forth by resolution of the Federal Medical Council.
However, remote access to EBSCO’s databases from non-subscribing institutions is not allowed if the purpose of the use is for commercial gain through cost reduction or avoidance for a non-subscribing institution. Palliative care; Nursing care; Bioethics; Intensive care units.
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.
Many doctors believe that the Medical Ethics Code 9 takes an opposing stance to any manner of restricting treatment to terminal patients.
Support Center Support Center. Gabriel Oselka 1 and Reinaldo Ayer de Oliveira 2. It was concluded that although nurses understood these three concepts relating to terminal illness and recognized their importance for the provision of care, from the responses analyzed it could not be inferred that the principles of orthothanasia were actually present in routine care, which can negatively influence the quality of such care.
Find articles by Reinaldo Ayer de Oliveira. This scenario, which is definitely not restricted to only pediatric PICUs, is cause for concern, and the FMC is working on the enactment of a normative resolution which will contribute toward definitively clarifying that criteria for brain death are valid in all situations, not being dependent on eufanasia organ and tissue donation.
Ethical aspects of brain death and end-of-life
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 dixtanasia 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 working in the best interests of our patients.
For this reason, a recent FMC resolution on end-of-life is so crucial.
An exploratory and descriptive study of a qualitative nature was carried out through questionnaires applied to eight nurses working in Intensive Care Units. 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 be that determined by the FMC.
Copyright of Revista de Pesquisa: The FMC enacted a Resolution in which, upon establishing the criteria for brain death took into consideration that:. This is apparently the perception of a large proportion of Brazilian doctors.