Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile

Every so often, in Chile there is a discussion about the role of physicians in the care of people on hunger strike (HS). In this document, we review the ethical aspects of health care for persons in HS, aiming to provide guidelines to medical doctors who are required to attend them. First, we make a...

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Autores principales:	Salas,Sofía p., Arriagada,Anamaría, Bernier Villarroel,Lioniel, Besio,Mauricio, Micolich,Constanza, Misseroni,Adelio, Novoa Sotta,Fernando, Salinas,Rodrigo A., Valenzuela,Carlos Y., Bórquez Estefó,Gladys
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Ethics Enteral Nutrition Hunger Strikes, Employee
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901059
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spelling	oai:scielo:S0034-988720180009010592019-02-13Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de ChileSalas,Sofía p.Arriagada,AnamaríaBernier Villarroel,LionielBesio,MauricioMicolich,ConstanzaMisseroni,AdelioNovoa Sotta,FernandoSalinas,Rodrigo A.Valenzuela,Carlos Y.Bórquez Estefó,Gladys Ethics Enteral Nutrition Hunger Strikes, Employee Every so often, in Chile there is a discussion about the role of physicians in the care of people on hunger strike (HS). In this document, we review the ethical aspects of health care for persons in HS, aiming to provide guidelines to medical doctors who are required to attend them. First, we make an important distinction between HS and suicide, since the former is used as a protest and denunciation tool, while suicide seeks deliberately to end a life. Then we describe the three roles that the health professional can fulfill: as a treating doctor, as an expert or as an official of a prison. The respect for the autonomy and dignity of the person in HS must prevail whatever the role of the physician. Therefore, we maintain that under no circumstances, people who have autonomously decided to be in HS should be fed by force. Due to the complexity of the issue, we make special considerations about the management of minors and the non-competent persons in HS. In conclusion, we adhere to the principles that inspire the Declaration of Malta, which indicate that it would be preferable to “allow a person on hunger strike to die in dignity, rather than subjecting them to repeated interventions against their will”.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.9 20182018-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901059es10.4067/s0034-98872018000901059
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Ethics Enteral Nutrition Hunger Strikes, Employee
spellingShingle	Ethics Enteral Nutrition Hunger Strikes, Employee Salas,Sofía p. Arriagada,Anamaría Bernier Villarroel,Lioniel Besio,Mauricio Micolich,Constanza Misseroni,Adelio Novoa Sotta,Fernando Salinas,Rodrigo A. Valenzuela,Carlos Y. Bórquez Estefó,Gladys Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile
description	Every so often, in Chile there is a discussion about the role of physicians in the care of people on hunger strike (HS). In this document, we review the ethical aspects of health care for persons in HS, aiming to provide guidelines to medical doctors who are required to attend them. First, we make an important distinction between HS and suicide, since the former is used as a protest and denunciation tool, while suicide seeks deliberately to end a life. Then we describe the three roles that the health professional can fulfill: as a treating doctor, as an expert or as an official of a prison. The respect for the autonomy and dignity of the person in HS must prevail whatever the role of the physician. Therefore, we maintain that under no circumstances, people who have autonomously decided to be in HS should be fed by force. Due to the complexity of the issue, we make special considerations about the management of minors and the non-competent persons in HS. In conclusion, we adhere to the principles that inspire the Declaration of Malta, which indicate that it would be preferable to “allow a person on hunger strike to die in dignity, rather than subjecting them to repeated interventions against their will”.
author	Salas,Sofía p. Arriagada,Anamaría Bernier Villarroel,Lioniel Besio,Mauricio Micolich,Constanza Misseroni,Adelio Novoa Sotta,Fernando Salinas,Rodrigo A. Valenzuela,Carlos Y. Bórquez Estefó,Gladys
author_facet	Salas,Sofía p. Arriagada,Anamaría Bernier Villarroel,Lioniel Besio,Mauricio Micolich,Constanza Misseroni,Adelio Novoa Sotta,Fernando Salinas,Rodrigo A. Valenzuela,Carlos Y. Bórquez Estefó,Gladys
author_sort	Salas,Sofía p.
title	Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile
title_short	Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile
title_full	Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile
title_fullStr	Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile
title_full_unstemmed	Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile
title_sort	aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del departamento de ética del colegio médico de chile
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901059
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Aspectos éticos de la conducta del médico ante personas en huelga de hambre: opinión del Departamento de Ética del Colegio Médico de Chile

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