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Consideraciones prácticas en la abstinencia de la diálisis: "tener esa opción es una bendición"
Lewis M Cohen1, Michael J Germain, David M Poppel
1Department of Psychiatry, Baystate Medical Center, Springfield, Mass 01199, USA. lewis.cohen@bhs.org
JAMA
|April 24, 2003
Resumen
La retirada de la diálisis es apropiada cuando las cargas superan los beneficios para los pacientes con enfermedad renal en etapa terminal. Las directrices recientes ayudan a los médicos clínicos en la toma de decisiones compartidas para el cese del tratamiento, priorizando los cuidados paliativos.
Área de la Ciencia:
- Nefrología Nefrología.
- Geriatría: Geriatría es la especialidad de la geriatría.
- Bioética y bioética.
Sus antecedentes:
- El cese del tratamiento de soporte vital es éticamente apropiado cuando las cargas exceden los beneficios.
- La interrupción de la diálisis precede a aproximadamente el 25% de las muertes en pacientes con enfermedad renal en etapa terminal (ESRD, por sus siglas en inglés).
- Las directrices recientes ofrecen un marco para las decisiones complejas de fin de vida en la atención de la ESRD.
Palabras clave:
La muerte y la eutanasia.
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