Conhecimento, envolvimento e sentimentos de concluintes dos cursos de medicina, enfermagem e psicologia sobre ortotanásia

Santos, Luís Roberto Gonçalves dos; Menezes, Mariana Pires; Gradvohl, Silvia Mayumi Obana

doi:10.1590/s1413-81232013000900019

Cited by 15 publications

(46 citation statements)

References 17 publications

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“…In relation to orthothanasia, the expression "not knowing" was prevalent, followed by "patient", "death", "natural" and "life". The concept is precisely defined by natural death, the so-called "dignified death", when there is no possibility of cure 11,27 . Perception of medical students about the termination of life…”

Section: Resultsmentioning

confidence: 99%

“…It is precisely this illusion of longevity in patients without any chance of cure or maintenance of minimal quality of life and comfort that defines futile treatment, which characterizes dysthanasia, a source of distress especially for patients and their families 11,12 . Death then becomes an extremely lonely event, since the individual, needing medical and hospital care, is removed from family life and separated from interpersonal relationships 9 .…”

Section: Terminality Of Lifementioning

confidence: 99%

“…Contrary to therapeutic obstinacy -which keeps patients alive but in pain and suffering -"euthanasia", is the act (active) or omission (passive) that causes or accelerates the death of the debilitated individual 9,13,16 . There is also "orthothanasia", which advocates death at the right time, not postponing it with disproportionate and illogical treatment 9,13,17 nor advancing it for any reason 11,18 . This concept is related to palliative care, which consists of zealous actions towards the person with an advanced and incurable disease, in a situation of physical and/or mental suffering.…”

Section: Terminality Of Lifementioning

confidence: 99%

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Percepção de formandos de medicina sobre a terminalidade da vida

2019

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Resumo O avanço da medicina aprimorou o tratamento de enfermidades, modificando o padrão de morbimortalidade da população, com aumento de doenças crônicas. Esse fenômeno tornou urgente interpretar adequadamente a terminalidade da vida. Considerando essa necessidade, este estudo, de corte transversal, descritivo e analítico, analisou dados sobre a percepção de 111 estudantes do sexto ano de medicina acerca dos cuidados paliativos no fim da vida. Os dados foram coletados entre agosto e novembro de 2016, por meio de questionário e analisados por testes estatísticos com o programa Iramuteq. 37,3% dos estudantes relataram dificuldade em comunicar a morte do paciente à família; 60% sentem-se despreparados ou com dúvidas sobre como lidar com óbitos em serviço de urgência; 25% desconheciam o termo “eutanásia”, 53% “ortotanásia”, e 56% “distanásia”. Os resultados mostram que ainda há lacunas no conhecimento desses estudantes, explicitando a necessidade de que escolas médicas reforcem práticas pedagógicas sobre a morte.

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Section: Resultsmentioning

confidence: 99%

Section: Terminality Of Lifementioning

confidence: 99%

Section: Terminality Of Lifementioning

confidence: 99%

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Percepção de formandos de medicina sobre a terminalidade da vida

2019

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“…The intensity of the struggle to find a cure for diseases, encouraged since the first years of medical school, guides future professionals into a death-denying culture 2,3 : dying is seen, since the beginning, as a symbol of failure. Moreover, medical students, during the years of clinical practice, sometimes assume omnipotent attitudes, of "saviors of the other" 4 , relegating patients to the role of mere receptors of procedures, disregarding their autonomy over their own lives. Therefore, a demand has been observed towards rescuing the patient' s participation in their death process 5 , especially terminally ill patients.…”

Section: Introductionmentioning

confidence: 99%

Reflections on the Terminality of Life with Undergraduate Medical Students

Brito

Sobreiro

Atzingen

et al. 2020

Rev. bras. educ. med.

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Introduction: Death and dying are daily relevant themes for health care professionals and medical students. Nonetheless, since their first years of graduation, students are contrived to supplant the holistic conception of human beings and life in favor of enhancing the technical aspects of the medical profession. Methods: Therefore, in face of the few opportunities to enquire about these future professionals’ feelings and comprehensions toward life terminality, we pursued their perceptions through the application of a semi-structured questionnaire. Ten students from each year of the medical course at UNIVAS were interviewed, encompassing 60 scholars. Students should be regularly enrolled in the medical course, as well as give their consent, by signing the Consent Term, to participate in the study. The interviews took place at the institution and the material containing students’ responses was fully destroyed afterwards. Their responses were analyzed based on the Discourse of the Collective Subject Method. Results: The idea of terminality being properly the “end of life” was paramount among the years, situation with which a great amount of the scholars (58%) admitted not being prepared to deal with, due to the lack of reflections about death, its psychological aspects and repercussions in the academic context. Interestingly, about 16% of the scholars considered themselves prepared to deal with someone’s death, although they were not prepared to intervene in the actual process. This is reinforced by the fact that students must deal with the real scenario of giving undesirable news without previously being prepared to do so, by means of reflecting upon a hypothetical related to the “life-death binomial”. Conclusion: Thus, it seems necessary to create spaces in the curriculum that yield not only theoretical-practical but also affective support in situations related to terminality. The proposal of a theoretical-practical education based on palliative care amid the learning programs would shape confident attitudes of future health care professionals towards care.

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“…This was a partial, rather than a full strike as not all doctors were involved and many of those involved continued to work part of the time. A deal, agreed with the Ministry of Finance in August 2011, fulfilled part of the IMA’s requests but there was a second wave of resignations and rallies in August-November, with protestors accusing the IMA of having ‘sold out’ [4,5]. …”

Section: Introductionmentioning

confidence: 99%

Recent physician strike in Israel: a health system under stress?

Weil

Nun

McKee

2013

Isr J Health Policy Res

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In 2011, a series of physician strikes in Israel followed eight months of unsuccessful negotiations with the government (Ministry of Health and the Ministry of Finance). Strikes by physicians may be a warning that all is not well in a health system and protestors have claimed that they signify a system failure. In contrast, others argue that strikes have been a feature of the Israeli health system from its inception and should not be a cause for alarm. This paper analyses the Israeli health system from the perspective of the strikers' demands using the World Health Organisation’s six health system building blocks as a framework, including: service delivery; health workforce; information; medical products, vaccines and technologies; leadership and governance; and financing. While we recognise that the immediate causes of the 2011 strikes were concerns about salaries and working conditions, we argue that a complex set of interacting factors underlie the strikers' demands, resonating with issues relating to five of the WHO building blocks. We argue that of the five, three are most significant and limit progress with all the others: a disgruntled health workforce, many of whom believe that striking is the only way to be heard; a lack of leadership by the government in understanding and responding to physicians' concerns; and a purported information insufficiency, manifest as a lack of critique and analysis that may have prevented those at the top from making a reliable diagnosis of the system’s problems. This paper argues that there are cracks within the Israeli health system but that these are not irresolvable. The Israeli health system is a relatively new and popular health system, but there are no grounds for complacency.

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Conhecimento, envolvimento e sentimentos de concluintes dos cursos de medicina, enfermagem e psicologia sobre ortotanásia

Abstract: Conhecimento, envolvimento e sentimentos de concluintes dos cursos de medicina, enfermagem e psicologia sobre ortotanásiaThe knowledge, involvement and feelings of students graduating in medicine, nursing and psychology about orthothanasia

Cited by 15 publications

References 17 publications

Percepção de formandos de medicina sobre a terminalidade da vida

Percepção de formandos de medicina sobre a terminalidade da vida

Reflections on the Terminality of Life with Undergraduate Medical Students

Recent physician strike in Israel: a health system under stress?

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