La trascendencia del Consentimiento Informado en bioética y la complejidad de informar al paciente terminal su pronóstico en la primera visita: Visión del paciente y familiares en el Instituto Nacional de Cancerología
Journal
Gaceta Mexicana de Oncología
ISSN
1665-9201
Date Issued
2013
Author(s)
Allende-Péreza, Silvia
Verástegui-Avilés, Emma
Type
text::journal::journal article
Abstract
In Mexico, Informed Consent (IC) is an ethical obligation and a legal requirement specified in laws however, some studies have suggested that the right to self-determination, which is the basis of respect for patient autonomy movement Anglo-American applied ethics, must be adapted to the particularities of the Mexican context. The majority of patients treated at the Instituto Nacional de Cancerología (INCan) are women with breast or cervical neoplasia, followed by cancers of the digestive tract. A significant percentage of patients seen are illiterate and more than half have six years or less of schooling. In terms of occupation, almost 70% of patients are unemployed or non-formal jobs, with monthly incomes of less than 3,000.00 pesos. We conducted a qualitative, ethnographic and phenomenological method with participant observation technique depth interviews with 10 cases. The situational collective case study was conducted in the palliative care service. Our study showed that to ensure that the signing of IC in palliative care is made by the patient and family is required to fully consider the physical and emotional condition. The document should provide clear, concise and jargon explicit about palliative care, models of care, referral and against reference. Your application will be accurate and in their proper perspective the risk of iatrogenic informative according to the strict application standpoint of patients and families surveyed. The vision of 95% of patients on the IC showed to be for information about care and palliative medicine and signed the document.