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No mate al paciente antes de que muera

Kanhu C Patro1, Kaviya Lakshmi1, Ajitesh Avinash2

  • 1Department of Radiation Oncology, Mahatma Gandhi Institute, Vishakhapatnam, Andhra Pradesh, India.

Journal of cancer research and therapeutics
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Resumen

Los oncólogos deben equilibrar los tratamientos contra el cáncer que prolongan la vida con la calidad de vida del paciente. Priorizar la atención centrada en el paciente y las estrategias paliativas previene el sobretratamiento y mejora el bienestar.

Palabras clave:
Quimioterapiaoncologíapalliation

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Área de la Ciencia:

  • Oncología; Ética Médica; Cuidados Paliativos

Sus antecedentes:

  • El avance de las terapias contra el cáncer presenta dilemas éticos sobre la extensión de la vida frente a la calidad de vida.; El sobretratamiento en oncología corre el riesgo de comprometer la comodidad, la dignidad y el bienestar general del paciente.

Objetivo del estudio:

  • Explorar el concepto de "No matar al paciente antes de que muera" en oncología.; Abogar por un enfoque centrado en el paciente que priorice la toma de decisiones reflexiva y la atención individualizada.; Examinar los desafíos de equilibrar la intención curativa y paliativa en el cáncer avanzado.

Principales métodos:

  • Revisión de estudios de casos y narrativas de pacientes.; Análisis de investigaciones basadas en evidencia sobre las consecuencias del tratamiento.; Discusión de estrategias para mitigar los riesgos de sobretratamiento.

Principales resultados:

  • Las intervenciones agresivas pueden suponer cargas físicas, emocionales y financieras significativas para los pacientes y sus familias.; Las estrategias eficaces incluyen la toma de decisiones compartida, la comunicación honesta y la atención paliativa integrada.

Conclusiones:

  • La oncología requiere un cambio de paradigma hacia la mejora de la calidad de vida junto con la prolongación de la vida.; Fomentar la empatía, la colaboración y la autonomía del paciente es crucial para alinear el tratamiento con los valores del paciente.