a Dysthanasia, a problem for the medical staff
DOI:
https://doi.org/10.53732/rccsalud/04.02.2022.108Keywords:
physicians, palliative care, palliative medicineAbstract
"The medical profession is at the service of man and society. Consequently, respecting human life and the dignity of the person and caring for the health of the individual and the community are the primary duties of the doctor". But what are the limit and the conditions to do it? A descriptive bibliographic search is carried out on dysthanasia, concepts, bioethical approaches and possible solutions, including learning about bioethics, palliative medicine and doctor-patient communication. Dysthanasia consists of the exaggerated prolongation of the dying process of a patient, resulting from the immoderate use of extraordinary or disproportionate therapeutic means, bordering on cruelty, therapeutic fierceness. Hippocrates formulated the objectives of medicine: relieve the suffering of the sick, minimize the aggressiveness of the disease and refuse to treat when medicine recognizes that it can´t no longer contribute. The medical staff has the duty and responsibility to inform the patient and the person closest to them about the prognosis of their illness and about the benefits and complications of the implemented treatments. Therefore, we must understand that limitation of Therapeutic Effort is not comparable to euthanasia, to the omission of the duty to help, to the denial of assistance or abandonment of the health service. And learn that everything that is technically possible is not always ethically admissible.
References
Martínez P, Vega J. Distanasia: aspectos legales y deontológicos. Bio.etica Red. 2004. https://www.bioeticaweb.com/eutanasia-y-distanasia-aspectos-legales-y-deontolasgicos-p-martasnezbaza-y-j-vega/
González Y. Obstinación terapéutica, una realidad en el ámbito sanitario. Revisión bibliográfica. Tesis de grado en Enfermería. Universidad de Valladolid, Facultad de Enfermería en Soria. España. 2017. https://uvadoc.uva.es/bitstream/handle/10324/28133/TFG-O%201090.pdf?sequence=1&isAllowed=y
Sivila M. El derecho de las personas al Testamento Vital y el respeto a su autonomía. https://biblio.upmx.mx/Estudios/Documentos/distanasia051.asp
Gutiérrez C. ¿Qué es el encarnizamiento terapéutico?. Cir. gen. 2016;38(3):121-122. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1405-00992016000300121&lng=es
De Mestral de Gimenez E, De mestral E, Mazzotti U, Riveros M, Taboada P,
Miranda A, et al. La protección de la persona humana en fase terminal. Corte suprema de justicia, Instituto de investigaciones jurídicas.
Cordero J, Almeida L, Carvalho L, Kleber R. Distanasia y ortotanasia: prácticas médicas bajo la visión de un hospital privado. Rev. bioét. 2014;22(2):360-68. https://revistabioetica.cfm.org.br/index.php/revista_bioetica/article/viewFile/844/1094
Riofrio Martínez-Villalba JC. Eutanasia y distanasia: dos extremos opuestos. RFJ, No. 6, 2019:289-310. http://www.revistarfjpuce.edu.ec/index.php/rfj/article/view/215/131