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Percepção de enfermeiras intensivistas de hospital regional sobre distanásia, eutanásia e ortotanásia. Article (PDF Available) · December with 32 Reads. Nenhum enfermeiro soube conceituar eutanásia, metade conceituou distanásia e apenas um terço a ortotanásia. Do total, 65,39% reconhecem algum desses. Eutanasia e distanasia. In Costa, S. I. F., G. Oselka and V. Bottle, eds., Iniciacao a Bioetica. Brasilia: Conselho Federal de Medicina, pp. Mello, A. G.

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Cuidado e Fundamental is the property of Revista de Pesquisa: This scenario, which is definitely not restricted to only pediatric PICUs, is cause for concern, and the FMC is working on the enactment of a normative resolution which will contribute toward definitively clarifying that criteria for brain death are valid in all situations, not being dependent on possible organ and tissue donation.

We shall examine each briefly. Silva Nei Moreira da. Unfortunately, in contrast to what has been the case in developed countries for decades, Brazil has no clear jurisprudence on this matter, leaving this open to different interpretations.

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In one of his encyclicals, John Paul II, lucidly and in-depth, clarifies the position with which many patients and doctors certainly agree: For example, assisted reproduction also has a normative resolution by the FMC, but ethical debates on the issue remain extremely heated, yet no laws provide for norms governing procedures related to assisted reproduction.

It was concluded that although nurses understood these three concepts relating to terminal illness and recognized their importance for the provision of care, from the responses analyzed it could not be inferred that the principles of orthothanasia were actually present in routine care, which can negatively influence the quality of such care. National Center for Biotechnology InformationU. Perception of intensive care nurses in regional hospital on dysthanasia, euthanasia and orthothanasia.

There are a number of respected attorneys and jurists who defend the notion that any suspension or limitation of treatment, even in patients clearly incapable of recovering, constitutes dereliction of medical duty, with all the legal consequences this implies. How to cite this article. Enactment of this resolution created a rare situation in Brazil whereby a clear definition by the organ responsible for medical ethics on what constitutes brain death exists in parallel with a legal position establishing brain death to be that determined by the FMC.

Support Center Support Center. Moritz RD, Pamplona F. Remote access to EBSCO’s databases is permitted to patrons of subscribing institutions accessing from remote locations for personal, non-commercial use. The results showed that nurses understood the concepts of dysthanasia, euthanasia and orthothanasia correctly, but could not carry out practical care based on the principles of orthothanasia, and demonstrated difficulty in defining the four bioethical principles that should direct care.


This situation is not peculiar to Brazil, it does however appear to be more common among us than in many developed countries. This abstract may be abridged. However, users may print, download, or email articles for individual use. Many doctors believe that the Medical Ethics Code 9 takes an opposing stance to any manner of restricting treatment to terminal patients.

Users should refer to the original published version of the material for the full abstract. The themes that emerged from the responses were identified and analyzed based on literature.

There appears to be reluctance on the part of Brazilian doctors to distanasoa or suspend procedures or treatment which prolongs life of patients in terminal phases of severe incurable illness, or to suspend the artificial means of supporting vegetative functions in cases of brain death outside the context of organ and tissue donation for transplant. Despite the evident ethical and legal agreement regarding brain death, in practice these cases continue to be a source of doubt and controversy in Brazil.

The objective of this study was to analyze the perception of intensive care nurses on the concepts of dysthanasia, euthanasia and orthothanasia and the possible bioethical implications for care. For this reason, a recent FMC resolution on end-of-life is so crucial. Total and irreversible arrest of brain functions are equivalent to death, according to well established distwnasia by the global scientific community. Certainly, there are a series of contributing factors, but three seem to be fundamental; fear of judicial repercussions, fear of administrative consequences in the Medical Council ambit, and religious beliefs.

Gabriel Oselka 1 and Reinaldo Ayer de Oliveira 2.

Abstract Ethical issues surrounding brain death and end-of-life have not been afforded in Brazil the same attention as in many developed countries. This law was promulgated in February and states that removal post mortemof tissues, organs or parts of the human body destined for transplant or treatment must be preceded by diagnosed brain death, according to the clinical and technological criteria set forth by resolution of the Federal Medical Council.

Palliative care; Nursing care; Bioethics; Intensive care units.

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Another situation linked to end-of-life raises even more complex questions. Likewise, issues surrounding end-of-life have no specific legislation, and as will become apparent, the ethical discussion on this matter is also heated. There are also other important aspects addressed in the resolution. Conselho Federal de Medicina. However, remote access to EBSCO’s databases from non-subscribing institutions is not allowed if the purpose of the use is for commercial gain through cost reduction or avoidance for a non-subscribing institution.


Fear of legal repercussions of suspending or limiting treatment is a more complex discussion.

Services on Demand Journal. End-of-life care in the intensive care unit state of art in There are a vast number of patients, both children and adults, hospitalized in infirmaries or intensive care units, in a terminal phase of severe and incurable illness, who are being given life-prolonging treatment, without these individuals having been given the option to limit this type of treatment. Clearly, however, the manner in which the article is worded leads to ambiguous interpretation.

Produção científica de enfermagem acerca da eutanásia: revisão integrativa da literatura

J Ped Rio J ; Any discussion on brain death must take into account the first Brazilian law on transplants which clearly stated that the criteria for defining brain death were to be determined by the Federal Medical Council FMC. Attempting to understand the factors behind doctors not offering patients in terminal phases of severe and incurable sickness the options the doctors deem best, constitutes part of the absolutely indispensable process of involving not only doctors and other health professionals, but also society as a whole, in discussing a situation which is currently clearly not working in the best interests of our patients.

There is a psychological and material burden caused by prolonging the use of extraordinary resources to support vegetative functions in patients with total and irreversible arrest of brain activity. The selected studies did not address only euthanasia but included the end of one’s life, palliative care, dystanasia, orthothanasia, and other actors involved in the decision-making process about one’s death. The FMC enacted a Resolution in which, upon establishing the criteria for brain death took into consideration that: Having participated directly in the process of drafting this Code ofone of the authors GO assures that the emphasis of this article is the use of available treatment to benefit the patientwhich in turn does not imply always using all treatments available.

Find articles by Reinaldo Ayer de Oliveira. Doctors and patients often believe the Catholic Church would never accept any manner of treatment limitation, on the understanding that this is a Divine prerogative.

This is apparently the perception of a large proportion of Brazilian doctors.

Ethical issues surrounding brain death and end-of-life have not been afforded in Brazil the same attention as in many developed countries. This resolution set forth that: In such cases, ascertainment of brain death is often not followed by suspension of ventilation support and other life-prolonging eutanazia.