Adequacy of clinical interventions in patients with advanced and complex disease. Proposed algorithm for decision making

被引:6
作者
Ameneiros-Lago, E. [1 ]
Carballada-Rico, C. [2 ]
Garrido-Sanjuan, J. A. [3 ]
Garcia Martinez, A. [4 ]
机构
[1] Serv Med Interna, Comite Etica Asistencial, Xerencia Integrada Ferrol, Coruna, Spain
[2] Comite Etica Asistencial, Unidad Hosp Domicilio, Xerencia Integrada Ferrol, Coruna, Spain
[3] Serv Med Interna, Comis Gallega Bioet, Xerencia Integrada Ferrol, Coruna, Spain
[4] Unidad Hosp Domicilio, Comis Nacl Cuidados Paliativos, Xerencia Integrada Lugo, Lugo, Spain
关键词
Chronic disease; Decision making; Palliative care; Bioethics;
D O I
10.1016/j.cali.2014.12.010
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Decision making in the patient with chronic advanced disease is especially complex. Health professionals are obliged to prevent avoidable suffering and not to add any more damage to that of the disease itself. The adequacy of the clinical interventions consists of only offering those diagnostic and therapeutic procedures appropriate to the clinical situation of the patient and to perform only those allowed by the patient or representative. In this article, the use of an algorithm is proposed that should serve to help health professionals in this decision making process. (C) 2014 SECA. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:38 / 43
页数:6
相关论文
共 13 条
[1]  
Ameneiros Lago E, 2006, MED PALIATIVA, V13, P174
[2]  
Lago EA, 2011, GALICIA CLIN, V72, P121
[3]  
Cantalejo IMB, 2006, REV ESP SALUD PUBLIC, V80, P303
[4]   Development of a new predictive model for polypathological patients. The PROFUND index [J].
Bernabeu-Wittel, M. ;
Ollero-Baturone, M. ;
Moreno-Gavino, L. ;
Baron-Franco, B. ;
Fuertes, A. ;
Murcia-Zaragoza, J. ;
Ramos-Cantos, C. ;
Aleman, A. ;
Fernandez-Moyano, A. .
EUROPEAN JOURNAL OF INTERNAL MEDICINE, 2011, 22 (03) :311-317
[5]  
Casariego-Vales E., 2013, REV CLIN ESP, V7, P336
[6]  
Comision Gallega de Bioetica, 2012, CUID FIN VID
[7]  
Couceiro Azucena, 2012, Educ. méd., V15, P79
[8]  
Garrido JA., 2013, GALICIA CLIN, V74, P51
[9]   Identification of people with chronic advanced diseases and need of palliative care in sociosanitary services: Elaboration of the NECPAL CCOMS-ICO© tool [J].
Gomez-Batiste, Xavier ;
Martinez-Munoz, Marisa ;
Blay, Carles ;
Amblas, Jordi ;
Vila, Laura ;
Costa, Xavier .
MEDICINA CLINICA, 2013, 140 (06) :241-245
[10]  
Lorda PS, 2001, MED CLIN-BARCELONA, V117, P419