medigraphic.com

2024, Number 1

<< Back Next >>

Revista Colombiana de Bioética 2024; 19 (1)

Advance directives in the intensive care unit from a bioethical perspective

Vargas OJL

Language: Spanish
References: 14
Page: 1-9
PDF size: 142.59 Kb.


ABSTRACT

Purpose/Context. Anticipated will is the process by which a patient, in full use of his competences and without any coercion, expresses his preferences about procedures and treatments to be accepted or omitted in case he loses his capacity to decide. In the intensive care unit, emergent actions are performed on critically ill patients, where an advance directive is often not available or is not asked about, a situation that will be decisive at the time of a complication or end-of-life situation.
Methodology/Approach. In this reflection article, the way in which the autonomy and the best interest of the patient in critical condition behaves is discussed. It also describes advance directives from their rationale and their spectrum of application in the critically ill patient, in addition to the knowledge and perception that intensivists have about the process.
Results/Findings. From the respect for the being and his/her preferences (in the case that it is possible to know them), questions are formulated about what is really the best for the patient according to each particular case, from the principled ethics and from the convergent ethics.
Discussion/Conclusions/Contributions. It is necessary to broaden the dissemination of advance directives as patients’ rights and as a tool to delimit treatment objectives and their scope in situations that compromise patient autonomy, in health care settings in general and mainly in intensive care units.


REFERENCES

  1. Álvarez Acuña, Ana Milena, Julián Camilo Riaño Moreno, Jhonatan López Neira,et al. 2023. “Ethical principles and dilemmas in the discourse of healthcarepractitioners involved with end-of-life care based on the Advanced DirectivesDocument.” Colombian Journal of Anesthesiology 51 (1): e1046. https://www.revcolanest.com.co/index.php/rca/article/view/1046

  2. Beauchamp, Tom y Childress, James. 2001. Principles of biomedical ethics. OxfordUniversity Press.

  3. Bolívar Góez, Piedad Lucía y Ana Isabel Gómez Córdoba. 2017. “Voluntades anticipadasen Colombia desde la Resolución 1051.” Revista Latinoamericana deBioética 17 (32-1): 226-33. https://revistas.unimilitar.edu.co/index.php/rlbi/article/view/2664

  4. Broggi, Marc Antoni. 2003. “Las voluntades anticipadas.” Humanitas, humanidadesmédicas 1 (1): 61-70. https://derechoamorir.org/wp-content/uploads/2018/03/voluntades-anticipadas.pdf

  5. Camargo Rubio, Rubén Darío. 2022. “Principio de proporcionalidad terapéuticaen la decisión de intubación orotraqueal y ventilación mecánica invasiva enpaciente COVID-19 grave.” Acta Colombiana de Cuidado Intensivo 22: S62-70.https://doi.org/10.1016%2Fj.acci.2020.12.003

  6. Casas Rodríguez, Javier, Jaime Roberto Zambrano Córdova, José Ricardo VélezMuentes, et al. 2021. “Criterios de patologías que requieren ingreso a la unidadde cuidados intensivo.” RECIMUNDO 5 (especial 1): 172-8. https://recimundo.com/index.php/es/article/view/1485

  7. Gaitán Fernández, Marta. 2013. “Conocimiento y manejo de los documentos devoluntades anticipadas en los servicios de UCI y Urgencias.” Tesis de Maestría,Universidad de Oviedo. http://hdl.handle.net/10651/17340

  8. Gutiérrez Samperio, César. 2013. “Voluntad anticipada en las Unidades de CuidadosIntensivos.” Cirujano General 35 (S2): 171-6. https://www.medigraphic.com/pdfs/cirgen/cg-2013/cgs132q.pdf

  9. Jiménez López, Wendy, Jorge Alberto Amaya Aguilar, Martha Lilia Bernal Becerril,et al. 2019. “La autonomía del paciente ante la voluntad anticipada.” CuidArte 8(16): 44-53. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=93719

  10. Maliandi, Ricardo y Oscar Thüer. 2008. Teoría y praxis de los principios bioéticos. UniversidadNacional de Lanus.

  11. Ministerio de Salud y Protección Social. 2018. “Resolución 2665 de 2018.” Publicadojunio 25, 2018. https://www.minsalud.gov.co/Normatividad_Nuevo/Resoluci%C3%B3n%20No.%202665%20de%202018.pdf

  12. Ministerio de Salud y Protección Social. 2023. “Documento de voluntad anticipada.”Consultado noviembre 10, 2013. https://www.minsalud.gov.co/salud/publica/Paginas/documento-de-voluntad-anticipada.aspx

  13. Pasay-An, Eddieson, Farhan Alshammari, Romeo Mostoles Jr, et al. 2021. “Estudiocualitativo sobre las experiencias de las enfermeras en cuanto a estigma socialen el contexto de la COVID-19.” Enfermería Clínica 32 (2): 75-82. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196320/

  14. República de Colombia. 2014. “Ley 1733 de 2014.” Publicado septiembre 8, 2014.https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=59379




2020     |     www.medigraphic.com