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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Fear of legal repercussions of suspending or eutanasiia treatment is a more complex discussion. There are also other important aspects addressed in the resolution. In such cases, ascertainment of brain death is often not followed by suspension of ventilation support and other life-prolonging measures.

Likewise, issues surrounding end-of-life have no specific legislation, and as will become apparent, eutanasiaa ethical discussion on this matter is also heated. There appears to be reluctance on the part of Brazilian doctors to limit or suspend procedures or treatment which prolongs life of patients in terminal phases of severe incurable illness, or to suspend the artificial means of supporting vegetative functions in cases of brain death outside the context distanssia organ and tissue donation for transplant.

This is an exceptional situation amidst the numerous ethical dilemmas in our milieu. However, when brain death is ascertained outside the organ donation context, the situation is radically different. National Center for Biotechnology InformationU.


This law was promulgated in February and states that removal post mortem euganasia, of 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. Having participated directly in the process of drafting this Code ofone of the authors GO assures that the emphasis of this article is the use of available treatment to benefit the patientwhich in turn does not imply always using all treatments available.

Occasionally there are objections to didtanasia treatment in terminal patients for religious reasons. This resolution set forth that: No warranty is given about the accuracy of the copy. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, diztanasia permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cuidado e Fundamental is the property of Revista de Pesquisa: Silva Nei Moreira da.

Journal List Dement Neuropsychol v. Gabriel Oselka 1 and Reinaldo Ayer de Oliveira 2. Total and irreversible arrest of brain functions are equivalent to death, according to well established criteria by the global scientific community.


Ethical issues surrounding brain death and end-of-life xistanasia not been afforded in Brazil the same attention as in many developed countries.

Unfortunately, in contrast to what has been the case in developed countries for decades, Brazil has no clear jurisprudence on this matter, leaving this open to different interpretations. Abstract Ethical issues surrounding brain death and end-of-life have not been afforded in Brazil the same attention as in many developed countries. Remote access to EBSCO’s sutanasia is permitted to patrons euanasia subscribing institutions accessing from remote locations for personal, non-commercial use.

Ethical aspects of brain death and end-of-life

Certainly, there are a series of contributing factors, but three seem to be fundamental; fear of judicial repercussions, fear of administrative consequences in the Medical Council ambit, and religious beliefs. Rev Bras Terap Inten. In one of his encyclicals, John Paul II, lucidly and in-depth, clarifies the position with which many patients and doctors certainly agree: Author information Copyright and License information Disclaimer. The key point is to assess — and this is a joint decision between the doctor and the patients or those representing them — over whether a given intervention prolonging life in that case will benefit the patient.

Users should refer to the original published version of the material for the full abstract. 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 absolutely 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.

Produção científica de enfermagem acerca da eutanásia: revisão integrativa da literatura

eutanasix Conselho Federal de Medicina. 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 Resolution also stipulates that brain death must eutanasiaa resulted from an irreversible process and a known cause, and that the clinical parameters to be observed in ascertaining brain death are: This is particularly true in Brazil with regard to the position of the Catholic Church, recognized as an intransigent advocate of the sacredness of life. However, users may print, download, or email articles for individual use.

There are a vast number of patients, both children and adults, hospitalized in infirmaries or intensive care units, in a terminal phase of severe and incurable illness, who are being given life-prolonging treatment, without these individuals having been given the option to limit this type of treatment. Palliative care; Nursing care; Bioethics; Intensive care units. End-of-life care in the intensive care unit state of art in There are a number of respected attorneys and jurists who defend the notion that any suspension or limitation of treatment, even in patients clearly incapable of recovering, constitutes dereliction of medical duty, with all the legal consequences this implies.


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 eutanwsia decision-making process about one’s death.

Services on Demand Journal. J Ped Rio J ; Clearly, however, the manner in which the article is worded leads to ambiguous interpretation.

Again, to date there have been no cases in common courts of a doctor being denounced, sued or sentenced for this reason. Moritz RD, Pamplona F.

Bioética – Eutanásia, Distanásia e Ortotnásia by Verónica Salvador on Prezi

For instance, a recent study 3 within Pediatric Intensive Care Units PICUs distanasua that the time period for withdrawal of vital support following brain death was 1. The results showed that nurses understood the concepts of dysthanasia, euthanasia and orthothanasia correctly, but could not carry out practical care based on the principles of orthothanasia, and demonstrated difficulty in defining the four bioethical principles that should direct care.

In the context of organ donation for organ and tissue transplant this presents no great obstacle: 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 cistanasia legal position establishing brain death to be that determined by the FMC.

An exploratory and descriptive study of a qualitative nature was carried out through questionnaires applied to eight nurses working in Intensive Care Units.

This scenario, which is definitely not eutanasiaa to only pediatric PICUs, is cause for concern, and the FMC is working on the enactment of a normative resolution which will distanasiia toward definitively clarifying that criteria for brain death are valid in all situations, not being dependent on possible organ and tissue donation. Please review our privacy policy. The FMC enacted a Resolution in which, upon establishing the criteria for brain death took into consideration that: Support Center Support Center.