[Palliativer medicine in surgery].
César Gutiérrez Samperio1, Raúl Ruiz Canizales2, Salvador Arellano Rodríguez3
1Núcleo Académico Básico de «Ética aplicada y Bioética», Universidad Autónoma de Querétaro, Santiago de Querétaro, México; Academia Mexicana de Cirugía, Ciudad de México, México; Academia Nacional de Medicina, Ciudad de México, México.
Palliative medicine ensures patient dignity and rights, integrating ethical care with medical progress. It emphasizes a multidisciplinary team approach for comprehensive patient support.
Area of Science:
- Medical Ethics
- Palliative Care
- Health Law
Background:
- Palliative medicine focuses on patient rights and the health team relationship.
- Explores ethical and legal foundations of palliative care.
- Reviews advancements in palliative care legislation in Mexico (2009, 2012).
Purpose of the Study:
- To review the concepts and background of palliative medicine.
- To examine the application of palliative care in surgery and define terminal illness criteria.
- To discuss ethical and legal aspects, including advance directives and avoiding therapeutic obstinacy.
Main Methods:
- Literature review of palliative medicine concepts and legal frameworks.
- Analysis of ethical and legal bases for patient care.
- Examination of legislative changes in Mexico related to palliative care.
Main Results:
- Palliative medicine supports appropriate use of technology, respecting patient will and dignity.
- Defines criteria for terminal illness and discusses proportionate/disproportionate measures.
- Highlights the role of multidisciplinary teams in patient care and strengthening patient-provider relationships.
Conclusions:
- Palliative medicine is compatible with scientific progress, prioritizing patient dignity.
- Multidisciplinary teams are essential for holistic patient care throughout illness progression.
- Effective palliative care enhances the relationship between healthcare providers, patients, and families.
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