The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection.

Palliative Care Pub Date : 2017-02-02 eCollection Date: 2017-01-01 DOI:10.1177/1178224216684831
Márcio Niemeyer-Guimarães, Fermin Roland Schramm
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引用次数: 8

Abstract

Toward the end of life, older cancer patients with terminal illness often prefer palliative over life-extending care and also prefer to die at home. However, care planning is not always consistent with patients' preferences. In this article, discussions will be centered on patients' autonomy of exercising control over their bodies within the current biotechnoscientific paradigm and in the context of population aging. More specifically, the biopolitical strategy of medicine in the context of hospital-centered health care control and of the frail condition of cancer patients in the intensive care unit will be considered in terms of the bioethics of protection. This ethical principle may provide support to these patients by ensuring that they receive appropriate treatment of pain and other physical, psychosocial, and spiritual problems in an attempt to focus attention on the values of the ill person rather than limiting it to the illness.

老年癌症患者在姑息治疗中行使自主权:生物技术科学和生物政治范式以及保护的生物伦理。
临终时,患有绝症的癌症老年患者通常更喜欢姑息治疗,而不是终身护理,也更喜欢在家里死去。然而,护理计划并不总是与患者的偏好一致。在这篇文章中,讨论将集中在当前生物技术科学范式和人口老龄化背景下患者对自己身体行使控制权的自主性上。更具体地说,在以医院为中心的医疗保健控制和重症监护室癌症患者虚弱状况的背景下,将从保护的生物伦理角度考虑医学的生物政治策略。这一伦理原则可以为这些患者提供支持,确保他们接受适当的疼痛和其他身体、心理和精神问题的治疗,试图将注意力集中在患者的价值观上,而不是局限于疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
0
审稿时长
15 weeks
期刊介绍: Palliative Care and Social Practice is an international, peer-reviewed, open access journal that publishes articles on all aspects of palliative care. It welcomes articles from symptom science, clinical practice, and health services research. However, its aim is also to publish cutting-edge research from the realm of social practice - from public health theory and practice, social medicine, and social work, to social sciences related to dying and its care, as well as policy, criticism, and cultural studies. We encourage reports from work with under-represented groups, community development, and studies of civic engagement in end of life issues. Furthermore, we encourage scholarly articles that challenge current thinking about dying, its current care models and practices, and current understandings of grief and bereavement. We want to showcase the next generation of palliative care innovation research and practice - in clinics and in the wider society. Relaunched in July 2019. Partnered with Public Health Palliative Care International (PHPCI) (Title 2008-2018: - Palliative Care: Research and Treatment)
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