Bioethical approach to communication within phisician-patient relationship in pediatric icus and humanization (original) (raw)
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2014
Children with rare diseases and their families face several challenges during their lifetimes. These diseases are often chronic, debilitating, and require multiple services, which in turn can increase the risk of psychosocial problems in the child and family members. Care coordination and effective communication amongst various professionals, including healthcare workers, educators, mental health professionals, social services and community organizations, and most importantly, with the child and family them, is crucial. As a team, working closely with the child and family, it is possible for the various professionals caring for this child to help improve the child’s quality of life and the family’s overall satisfaction.
2019
El presente trabajo tiene como objetivo comprender el proceso de construccion narrativa de la experiencia del paso por la unidad de cuidados intensivos (UCI), en la relacion medico, paciente y familia, asi como su conexion con el afrontamiento, para posibilitar asi la emergencia de relatos alternos que posicionen de manera distinta tanto a los medicos como a los pacientes. Esta investigacion esta enmarcada bajo la linea de investigacion “Calidad de vida y bienestar en contextos de salud”, a partir de las nociones de la investigacion cualitativa de segundo orden y de las bases epistemologicas de la complejidad y el construccionismo, haciendo uso de escenarios conversacionales reflexivos realizadas a dos medicos, un paciente que habia pasado por la UCI y su familia, posibilitando la re-construccion narrativa de su experiencia. La informacion obtenida se interpreta por medio de un analisis de contenido que permite reconocer la interaccion entre las diferentes categorias conceptuales y ...
Resumen. Este ensayo aborda el tema de la mediación biopedagógica desde una perspectiva ética, considera la trascendencia que tiene el situar a la educación desde un paradigma alternativo, donde pedagogía y vida se complementan para atender el sentido emancipador del proceso educativo. El objetivo es aportar a la reflexión y la acción sobre la mediación pedagógica y su inherente concatenación con la ética. Se parte de la premisa de la necesidad de cultivar el sentido de la existencia, desde principios y valores que exalten la vida en su multidimensionalidad y complejidad. La educación como proyecto político debe responder al reto de preparar para una ciudadanía planetaria, esfuerzo compartido que compromete a todo ser humano a trabajar por una verdadera transformación social y, por tanto, mental, para obtener mejores estados de bienestar personal y social. Se requiere direccionar todas las energías y sabiduría para poder visualizar la transformación humana que tanto demanda el planeta.
[Humanization through the art of environment of children's emergency in a hospital]
Revista de enfermería (Barcelona, Spain), 2011
This article aims to present and discuss a case-study of human betterment through the arts applied to a children's hospital. The experience related to the betterment of these environments took place in the Children's Emergency Service of the University Hospital in Salamanca. After describing the context of the case-study some attention will be devoted to the phases of the process, emphasizing those aspects linked to children's care culture and their families as well as the symbolic dimension of the space and the participation of different professionals in the experience. The case-study is assessed from different standpoints but special importance is given to parents' opinions. 51 parents of children in the emergency unit were interweaved during a month. Parents valued positively the service and stated that artists' intervention had been beneficial for the children's emotional state. The article concludes with a debate about the meaning of the hospital environ...
[On doctor-patient communication from an anthropological and social point of view]
Revista médica de Chile, 2004
This paper attempts to perform a historical anthropological analysis of the factors that currently either favor or obstruct the doctor-patient relationship. For this purpose, the main works of reference are the sociologist Gilles Lipovetsky and the Spanish author Pedro Laín Entralgo. The former, identified with the concept of Postmodernity and individual Hedonism, is crucial in understanding what are the main determinants in the most recent developments affecting the doctor-patient relationship. Since the technological revolution, advances in science have surpassed all imagination, information technology has worked its way into all types of relationship, and thus medical practice has been particularly affected. On the other hand, the work of Laín Entralgo enables us to perform a review of the history of the doctor-patient relationship in the Western world, which affords a more accurate view of the origins and evolution of the current situation.
[The ethical challenge of "healthy patients"]
Revista medica de Chile, 2017
The ethical challenge of "healthy patients" This paper deals with the phenomenon of the "healthy patient", an ethical issue receiving increased attention at a global level. The genesis of this phenomenon rests in the contradiction between a higher availability of technical and scientific resources for prevention and, paradoxically, the tendency towards an accelerated classification of healthy people as being at risk of developing disease. This manuscript focus on the ethical implications of the "healthy patient", using a theoretical and philosophical approach. Therefore, this research aims to set forth the phenomenon of the "healthy patient" and its fundamental ethical problem, interpreting it as a contradiction between the perennial goal of medicine to maintain and promote health and the increasing use of technology. Thus, it can be hypothesized that the early classification of individuals as subjects at risk is a problem of time. Finally an interpretation from a philosophical point of view will be presented to offer a better understanding of the ethical problem of the "healthy patient" and to elucidate possible strategies of action for physicians and their patients.