Análisis de una experiencia de consultoría ético clínica en cuidado intensivo

Background: Very few patients are presented to ethics committees, and individual ethics consultations are a response to this situation. At the intensive care unit (ICU) in Clínica Alemana, Santiago Chile, an ethics consultation system was organized coordinated with the ethics committee. Aim: To repo...

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Autores principales:	BECA I,JUAN PABLO, KOPPMANN A,ALEJANDRO, CHÁVEZ B,PAMELA, DELGADO B,IRIS, SOLAR P,SEBASTIÁN
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Ethics Committees, clinical Ethics, medical Intensive care units
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700004
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spelling	oai:scielo:S0034-988720100007000042010-11-26Análisis de una experiencia de consultoría ético clínica en cuidado intensivoBECA I,JUAN PABLOKOPPMANN A,ALEJANDROCHÁVEZ B,PAMELADELGADO B,IRISSOLAR P,SEBASTIÁN Ethics Committees, clinical Ethics, medical Intensive care units Background: Very few patients are presented to ethics committees, and individual ethics consultations are a response to this situation. At the intensive care unit (ICU) in Clínica Alemana, Santiago Chile, an ethics consultation system was organized coordinated with the ethics committee. Aim: To report an evaluation of this ethics consultation system. Material and Methods: Analysis of the frst 50 cases analyzed in the consultation system. Analysis of the responses of intensive care physicians to a questionnaire about the main ethical problems that they face in their work. Results: The consultation system is mainly required by the ICU staff, and reports to the ethics committee. Fifty four percent of patients subjected to consultation were aged over 80 years. The main diagnoses were neurological, oncological or cardiopulmonary problems. The ethical problems identifed were treatment limitation (62%), proportionality or futility (42%), need of a peaceful death (36%), lack of anticipated decisions (28%), disagreement between physicians and patients family (24%), undefined subrogation (14%), and abuse of public resources (14%). Twenty six of 31 ICU physicians answered the questionnaire, using a 1 (min) to 7 (max.) scale. They found that consultation is helpful for decision making (6.3), useful for improving ethical perception (6.0), supportive for staff (6.5), good for patients (6.3), supportive for families (6.7), and timely performed (5.2). Conclusions: As a complement for the ethics committees work, consultation is a valid alternative for ethics counselling and a support for physicians and patients families. Its implementation depends on the particularities of each health institution.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.7 20102010-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700004es10.4067/S0034-98872010000700004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Ethics Committees, clinical Ethics, medical Intensive care units
spellingShingle	Ethics Committees, clinical Ethics, medical Intensive care units BECA I,JUAN PABLO KOPPMANN A,ALEJANDRO CHÁVEZ B,PAMELA DELGADO B,IRIS SOLAR P,SEBASTIÁN Análisis de una experiencia de consultoría ético clínica en cuidado intensivo
description	Background: Very few patients are presented to ethics committees, and individual ethics consultations are a response to this situation. At the intensive care unit (ICU) in Clínica Alemana, Santiago Chile, an ethics consultation system was organized coordinated with the ethics committee. Aim: To report an evaluation of this ethics consultation system. Material and Methods: Analysis of the frst 50 cases analyzed in the consultation system. Analysis of the responses of intensive care physicians to a questionnaire about the main ethical problems that they face in their work. Results: The consultation system is mainly required by the ICU staff, and reports to the ethics committee. Fifty four percent of patients subjected to consultation were aged over 80 years. The main diagnoses were neurological, oncological or cardiopulmonary problems. The ethical problems identifed were treatment limitation (62%), proportionality or futility (42%), need of a peaceful death (36%), lack of anticipated decisions (28%), disagreement between physicians and patients family (24%), undefined subrogation (14%), and abuse of public resources (14%). Twenty six of 31 ICU physicians answered the questionnaire, using a 1 (min) to 7 (max.) scale. They found that consultation is helpful for decision making (6.3), useful for improving ethical perception (6.0), supportive for staff (6.5), good for patients (6.3), supportive for families (6.7), and timely performed (5.2). Conclusions: As a complement for the ethics committees work, consultation is a valid alternative for ethics counselling and a support for physicians and patients families. Its implementation depends on the particularities of each health institution.
author	BECA I,JUAN PABLO KOPPMANN A,ALEJANDRO CHÁVEZ B,PAMELA DELGADO B,IRIS SOLAR P,SEBASTIÁN
author_facet	BECA I,JUAN PABLO KOPPMANN A,ALEJANDRO CHÁVEZ B,PAMELA DELGADO B,IRIS SOLAR P,SEBASTIÁN
author_sort	BECA I,JUAN PABLO
title	Análisis de una experiencia de consultoría ético clínica en cuidado intensivo
title_short	Análisis de una experiencia de consultoría ético clínica en cuidado intensivo
title_full	Análisis de una experiencia de consultoría ético clínica en cuidado intensivo
title_fullStr	Análisis de una experiencia de consultoría ético clínica en cuidado intensivo
title_full_unstemmed	Análisis de una experiencia de consultoría ético clínica en cuidado intensivo
title_sort	análisis de una experiencia de consultoría ético clínica en cuidado intensivo
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700004
work_keys_str_mv	AT becaijuanpablo analisisdeunaexperienciadeconsultoriaeticoclinicaencuidadointensivo AT koppmannaalejandro analisisdeunaexperienciadeconsultoriaeticoclinicaencuidadointensivo AT chavezbpamela analisisdeunaexperienciadeconsultoriaeticoclinicaencuidadointensivo AT delgadobiris analisisdeunaexperienciadeconsultoriaeticoclinicaencuidadointensivo AT solarpsebastian analisisdeunaexperienciadeconsultoriaeticoclinicaencuidadointensivo
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Análisis de una experiencia de consultoría ético clínica en cuidado intensivo

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