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Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics

Authors :
Hudson Carmo de Oliveira
Marta Sauthier
Marcelle Miranda da Silva
Maria da Conceição Albernaz Crespo
Ana Paula Ribeiro Seixas
Juliana Faria Campos
Source :
Revista Gaúcha de Enfermagem
Publisher :
Universidade Federal do Rio Grande do Sul.

Abstract

ABSTRACT Objective: To reflect about the do-not-resuscitation order at COVID-19 in Brazil, under bioethical focus and medical and nursing professional ethics. Method: Reflection study based on the principlist bioethics of Beauchamps and Childress and in professional ethics, problematizing actions, and decisions of non-resuscitation in the pandemic. Results: It is important to consider the patient's clinic, appropriation of treatment goals for people with comorbidities, elderly people, with less chance of surviving to resuscitation, or less quality of life, with the palliative care team, to avoid dysthanasia, use of scarce resources and greater exposure of professionals to contamination. Conclusion: COVID-19 increased the vulnerabilities of professionals and patients, impacting professional decisions and conduct more widely than important values such as the restriction of freedom. It propelled the population in general to rethink ethical and bioethical values regarding life and death, interfering in decisions about them, supported by human dignity.

Details

Language :
English, Spanish; Castilian, Portuguese
ISSN :
19831447
Database :
Directory of Open Access Journals
Journal :
Revista Gaúcha de Enfermagem
Publication Type :
Academic Journal
Accession number :
edsdoj.6f020c76d460417ea2c70633a07826b9
Document Type :
article
Full Text :
https://doi.org/10.1590/1983-1447.2021.20200172