IDEACIÓN AUTOLÍTICA AL FINAL DE LA VIDA EN PACIENTES ONCOLÓGICOS PALIATIVOS: A PROPÓSITO DE UN CASO.

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Bibliographic Details
Title:	IDEACIÓN AUTOLÍTICA AL FINAL DE LA VIDA EN PACIENTES ONCOLÓGICOS PALIATIVOS: A PROPÓSITO DE UN CASO.
Authors:	Maté, Jorge¹ jmate@iconcologia.net, González-Barboteo, Jesús², Ibáñez-Solaz, María³, Martínez-Urionabarenetxea, Koldo⁴, Limonero, Joaquim T.⁵, Tuca, Albert²
Source:	Psicooncologia. 2008, Vol. 5 Issue 2/3, p339-358. 20p. 1 Diagram, 5 Charts.
Subjects:	ONCOLOGY, PSYCHOLOGICAL distress, EMOTIONS, MEDICAL care, SUICIDE victims, BIOETHICS
Abstract (English):	The development of the illness in oncology patients produces a series of uncomfortable and frequently annoying symptoms that can cause significant psychological distress in both patients and their relatives. Under these circumstances, the patients can experience auto-lytic ideation, even when acceptable symptomatic controls are in place. This situation is of great complexity and of difficult handling both for the family and for the medical care team as they have to deal with various ethical, moral, spiritual and legal questions. These aspects can be complementary to existing ones, but others will not be. This situation can conflict with the principle of autonomy of the patient, in the sense that his/her personal desires may compromise or even jeopardize the action plan of the medical team that looks after the patient. In this clinical note, we share the experience lived in our service regarding a patient with the idea of committing suicide and the actions that were carried out. Finally, some recommendations agreed with lawyers and experts in Bioethics are suggested. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	La enfermedad oncológica avanzada produce en los enfermos una serie de síntomas frecuentemente invalidantes y molestos que pueden provocar gran malestar psicológico tanto en el paciente como en la familia. En este contexto, incluso a pesar de un aceptable control sintomático, los pacientes pueden presentar ideación autolítica. Esta situación es de gran complejidad y de difícil manejo tanto para la familia como para el equipo sanitario asistencial, donde cuestiones éticas, morales, espirituales-religiosas y legales confluyen. Los aspectos referidos pueden ser complementarios pero otros no, pudiendo, de esta manera, quebrantar el principio de autonomía del paciente en la medida que los deseos personales del mismo pueden comprometer el plan de actuación del equipo sanitario que le atiende. En este artículo, se expone la experiencia vivida en nuestro servicio ante un paciente con ideas francas de suicidio y las actuaciones que se llevaron a cabo, así como las reflexiones que esta situación generó. Finalmente, se proponen algunas recomendaciones consensuadas con juristas y expertos en Bioética. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	The development of the illness in oncology patients produces a series of uncomfortable and frequently annoying symptoms that can cause significant psychological distress in both patients and their relatives. Under these circumstances, the patients can experience auto-lytic ideation, even when acceptable symptomatic controls are in place. This situation is of great complexity and of difficult handling both for the family and for the medical care team as they have to deal with various ethical, moral, spiritual and legal questions. These aspects can be complementary to existing ones, but others will not be. This situation can conflict with the principle of autonomy of the patient, in the sense that his/her personal desires may compromise or even jeopardize the action plan of the medical team that looks after the patient. In this clinical note, we share the experience lived in our service regarding a patient with the idea of committing suicide and the actions that were carried out. Finally, some recommendations agreed with lawyers and experts in Bioethics are suggested. [ABSTRACT FROM AUTHOR]
ISSN:	16967240