Código de deontología médica, dolor y respeto a la vida.

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Title: Código de deontología médica, dolor y respeto a la vida.
Alternate Title: Code of medical ethic, pain and respect for life.
Authors: Xiol, Joan Monés1 (AUTHOR) jmonesxiol@gmail.com
Source: Dolor: Investigación, Clínica & Terapéutica. 2024, Vol. 39 Issue 4, p89-95. 7p.
Subjects: MEDICAL ethics, CODES of ethics, MEDICAL coding, PHYSICIANS, MEDICAL practice
Abstract: El Código de deontología médica contiene los principios y normas éticas que deben guiar la conducta profesional del/a médico/a. Las normas que contiene son de obligado cumplimiento. Algunas se refieren al manejo del dolor y a la información al paciente, con especial énfasis cuando conlleva un pronóstico desfavorable, sea por la propia naturaleza de la enfermedad o por la relevancia en alguno de sus síntomas, como el dolor. El médico debe esforzarse en transmitirla con delicadeza y si se prevé daño al paciente derivado de la información, el médico debe ponderar la oportunidad y el momento de comunicarla, constatando en la historia clínica las razones por las que se ha pospuesto la información completa («privilegio terapéutico»). Para el médico, el tratamiento del dolor no es una cuestión opcional, sino un imperativo ético. La buena práctica médica supone la aplicación de medidas terapéuticas proporcionadas, evitando tanto la obstinación terapéutica como el abandono, el alargamiento innecesario o el acortamiento deliberado de la vida. En el final de la vida, el objetivo prioritario del médico debe ser conseguir para el paciente el máximo confort posible, en el corto periodo de vida que le queda. Guardar la vida a ultranza y sin límites, defendido por algunos, puede derivar al médico al «encarnizamiento terapéutico» con terapias que no pueden curar, tan solo prolongar por poco tiempo su vida en condiciones penosas, conducta que no es ética, ya que causa un mayor perjuicio al paciente y su familia. The Code of Medical Ethics contains the principles and ethical standards that should guide the professional conduct of physicians. The rules it contains are mandatory. Some of them refer to pain management and patient information, with special emphasis when it involves an unfavorable prognosis, either by the nature of the disease itself or by the relevance of any of its symptoms, such as pain. The physician should strive to transmit it delicately and if harm to the patient is foreseen as a result of the information, the physician should consider the opportunity and the moment to communicate it, noting in the clinical history the reasons why the complete information has been postponed (“therapeutic privilege”). For the physician, pain management is not an optional matter, but an ethical imperative. Good medical practice involves the application of proportionate therapeutic measures, avoiding both therapeutic obstinacy and abandonment, unnecessary prolongation or deliberate shortening of life. At the end of life, the physician priority objective should be to achieve the maximum possible comfort for the patient in the short period of life that remains. To save life at all costs and without limits, defended by some, can lead the physician to “therapeutic intemperance” with therapies that cannot cure, but only prolong life for a short time in painful conditions, conduct that is unethical, since it causes greater harm to the patient and family. [ABSTRACT FROM AUTHOR]
Copyright of Dolor: Investigación, Clínica & Terapéutica is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Código de deontología médica, dolor y respeto a la vida.
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  Data: El Código de deontología médica contiene los principios y normas éticas que deben guiar la conducta profesional del/a médico/a. Las normas que contiene son de obligado cumplimiento. Algunas se refieren al manejo del dolor y a la información al paciente, con especial énfasis cuando conlleva un pronóstico desfavorable, sea por la propia naturaleza de la enfermedad o por la relevancia en alguno de sus síntomas, como el dolor. El médico debe esforzarse en transmitirla con delicadeza y si se prevé daño al paciente derivado de la información, el médico debe ponderar la oportunidad y el momento de comunicarla, constatando en la historia clínica las razones por las que se ha pospuesto la información completa («privilegio terapéutico»). Para el médico, el tratamiento del dolor no es una cuestión opcional, sino un imperativo ético. La buena práctica médica supone la aplicación de medidas terapéuticas proporcionadas, evitando tanto la obstinación terapéutica como el abandono, el alargamiento innecesario o el acortamiento deliberado de la vida. En el final de la vida, el objetivo prioritario del médico debe ser conseguir para el paciente el máximo confort posible, en el corto periodo de vida que le queda. Guardar la vida a ultranza y sin límites, defendido por algunos, puede derivar al médico al «encarnizamiento terapéutico» con terapias que no pueden curar, tan solo prolongar por poco tiempo su vida en condiciones penosas, conducta que no es ética, ya que causa un mayor perjuicio al paciente y su familia. The Code of Medical Ethics contains the principles and ethical standards that should guide the professional conduct of physicians. The rules it contains are mandatory. Some of them refer to pain management and patient information, with special emphasis when it involves an unfavorable prognosis, either by the nature of the disease itself or by the relevance of any of its symptoms, such as pain. The physician should strive to transmit it delicately and if harm to the patient is foreseen as a result of the information, the physician should consider the opportunity and the moment to communicate it, noting in the clinical history the reasons why the complete information has been postponed (“therapeutic privilege”). For the physician, pain management is not an optional matter, but an ethical imperative. Good medical practice involves the application of proportionate therapeutic measures, avoiding both therapeutic obstinacy and abandonment, unnecessary prolongation or deliberate shortening of life. At the end of life, the physician priority objective should be to achieve the maximum possible comfort for the patient in the short period of life that remains. To save life at all costs and without limits, defended by some, can lead the physician to “therapeutic intemperance” with therapies that cannot cure, but only prolong life for a short time in painful conditions, conduct that is unethical, since it causes greater harm to the patient and family. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Dolor: Investigación, Clínica & Terapéutica is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 89
    Subjects:
      – SubjectFull: MEDICAL ethics
        Type: general
      – SubjectFull: CODES of ethics
        Type: general
      – SubjectFull: MEDICAL coding
        Type: general
      – SubjectFull: PHYSICIANS
        Type: general
      – SubjectFull: MEDICAL practice
        Type: general
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      – TitleFull: Código de deontología médica, dolor y respeto a la vida.
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          Name:
            NameFull: Xiol, Joan Monés
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          Dates:
            – D: 01
              M: 10
              Text: 2024
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              Y: 2024
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            – TitleFull: Dolor: Investigación, Clínica & Terapéutica
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