Unsolved questions and preferred solution about living will

Argo, Antonina; D’Anna, Tommaso; Lanzarone, Antonietta; Sesta, Luciano

doi:10.1186/s41935-017-0036-4

Cited by 2 publications

(1 citation statement)

References 12 publications

(12 reference statements)

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“…vii The debate on decision-making about withholding or withdrawing of life support is very critical in the field of intensive care and oncology. 3…”

Section: The Lawmentioning

confidence: 99%

The Protection of Health in the Care and Trust Relationship between Doctor and Patient: Competence, Professional Autonomy and Responsibility of the Doctor and Decision-Making Autonomy of the Patient

Delbon

2018

Journal of Public Health Research

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The Authors review Law No. 219/2017, with its important contribution to defining the roles and responsibilities of subjects in care relationship – a dynamic relationship (over time, for the condition of the interested party, to people who may be involved) – and regulating advance directives and shared planning of care. The Law promotes and enhances the relationship of care and trust between doctor and patient, which includes the competence, professional autonomy and responsibility of the doctor and the decisional autonomy and right to self-determination – to make an informed and voluntary choice about treatment proposed by the doctor - of the patient. For concrete implementation of the Law, an adequate information system and all the measures to guarantee certainty about the consequences of behaviour and protection of the rights of all the subjects involved are now essential. In addition, for advance directives, it is essential to reflect on the adequacy of medical information required by the Law itself for its drafting, considering that the citizen can contact qualified professionals and also independently find this information autonomously, selecting the sources of information.Significance for public healthDoctrine, jurisprudence and the most recent legislation in Italy have consolidated the centrality of the individual in the decision-making process for health protection. Even with incapacity, considering "subjective" components is essential to guaranteeing protection of the person while enhancing and promoting autonomy. Law No. 219/2017 does not introduce new principles to those already in the legal system, but makes an important contribution to the helpful and certain implementation of health care by protecting the best interest of the patient and placing the person, their dignity and their self-determination at the centre of the care and trust relationship. The law recognises the patient's freedom to choose therapy, including refusing or renouncing health care and, by defining the boundaries of medical action, increases certainty on the consequences of such action.

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“…vii The debate on decision-making about withholding or withdrawing of life support is very critical in the field of intensive care and oncology. 3…”

Section: The Lawmentioning

confidence: 99%

The Protection of Health in the Care and Trust Relationship between Doctor and Patient: Competence, Professional Autonomy and Responsibility of the Doctor and Decision-Making Autonomy of the Patient

Delbon

2018

Journal of Public Health Research

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Psychological and Medico-Legal Perspectives on Electroconvulsive Therapy and Patient-Centered Care: A Short Review of Cross-Cutting Issues

Tullio

Zerbo²,

Lanzarone³

et al. 2020

TOPSYJ

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Electroconvulsive therapy is a treatment that, since its first administration, has been a major topic for debate within the scientific world. In recent years, the debate has become increasingly focused on the short- and/or long-term efficacy of electroconvulsive therapy, its appropriateness in clinical settings, its mechanism of action, the impact evaluation of transient and/or persistent adverse effects, and the drafting of international guidelines, etc. From the authors’ point of view, these themes are inevitably crossed by three other fundamental issues of significant psychological, relational, ethical, and medico-legal impact. Still, they are less studied than purely biomedical issues in recent times. Therefore, the aim of this article is to focus on the following cross-cutting issues: the therapist-patient relationship, the patient’s perspective, the attitude on electroconvulsive therapy, and informed consent. This short review refers to the international literature on ECT published since 2000. Analyses of the three previously listed topics are, in part, made within the context of Italian medical settings.

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Unsolved questions and preferred solution about living will

Cited by 2 publications

References 12 publications

The Protection of Health in the Care and Trust Relationship between Doctor and Patient: Competence, Professional Autonomy and Responsibility of the Doctor and Decision-Making Autonomy of the Patient

The Protection of Health in the Care and Trust Relationship between Doctor and Patient: Competence, Professional Autonomy and Responsibility of the Doctor and Decision-Making Autonomy of the Patient

Psychological and Medico-Legal Perspectives on Electroconvulsive Therapy and Patient-Centered Care: A Short Review of Cross-Cutting Issues

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