Abstract
Medical ethics regarding end-of-life care has been updated as it becomes clearer to physicians that they need to provide proper care to terminally ill patients. These changes in the medical ethics code in Brazil have been occurring over the last decade, mostly in response to epidemiological and clinical practice needs. This chapter will briefly show an overview of the Brazilian demographic and epidemiological scenario, providing the background to medical ethics updates concerning end-of-life issues. Additionally, it will consider the current Brazilian ethical perspective on the end of life and its future perspectives.
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References
ANCP: Academia Nacional de Cuidados Paliativos. 2018. Análise Situacional e Recomendações para Estruturação de Programas de Cuidados Paliativos no Brasil. São Paulo. https://paliativo.org.br/wp-content/uploads/2018/12/ANALISE-SITUACIONAL_ANCP-18122018.pdf. Accessed 26 February 2020.
Barreto, M.L., M.G. Teixeira, F.I. Bastos, R.A. Ximenes, R.B. Barata, and L.C. Rodrigues. 2011. Successes and failures in the control of infectious diseases in Brazil: Social and environmental context, policies, interventions, and research needs. Lancet 377: 1877–1889.
Brugugnolli, I.D., R.A. Teixeira Gonsaga, and E. Marques da Silva. 2013. Ética e cuidados paliativos: o que os médicos sabem sobre o assunto? [Ethics and Palliative care: What do physicians know about it?]. Revista Bioética 21: 477–485.
Burlá, C., and L. Py. 2014. Palliative care: Science and protection at the end of life. Cadernos Saúde Pública 30: 1139–1141.
Código de ètica Médica. 2013. Conselho Regional de Medicina do Estado de São Paulo. http://www.cremesp.org.br/library/modulos/publicacoes/pdf/CodigoEticaMedica2013.pdf. Accessed 26 February 2020.
Comissão Intergestores Tripartite. 2018. Resolução No 41, De 31 De Outubro De 2018. Diário Of da União. seção 1:276. http://www.cofen.gov.br/wp-content/uploads/2018/11/Resoluçao-CP.pdf. Accessed 24 February 2020.
Connor, S.R., and M.C. Sepulveda Bermedo, eds. 2014. Global atlas of Palliative care at the end of life. World Palliative care Alliance. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf. Accessed 26 February 2020.
De Morais, I.M. 2010. Autonomia pessoal e morte [Personal autonomy and death]. Revista Bioética 18: 289–309.
Duarte Moritz, R. 2011. Conflitos bioéticos do viver e do morrer. Conselho Federal de Medicina. Brasília. https://portal.cfm.org.br/images/stories/biblioteca/conflitos.pdf. Accessed 26 February 2020.
Duarte, E., L.J. Eble, and L.P. Garcia. 2018. 30 anos do Sistema Único de Saúde. Epidemiololgia e Serviços Saúde 27. https://doi.org/10.5123/s1679-49742018000100018.
Ferreira, S., and D. Porto. 2018. Novo Código de Ética Médica, bioética e esperança [New code of medical ethics, bioethics and hope]. Revista Bioética 26: 479–483.
Floriani, C.A., and F.R. Schramm. 2007. Desafios morais e operacionais da inclusão dos cuidados paliativos na rede de atenção básica [Moral and operational challenges for the inclusion of Palliative care in primary health care]. Cadernos de Saúde Pública 23: 2072–2080.
Fonseca, A., and F. Geovanini. 2013. Cuidados paliativos na formação do profissional da área de saúde [Palliative care in the formation of health-care Professionals]. Revista Brasileira de Educacao Médica 37: 120–125.
Franco, C.A.G. dos S., M.R. Cubas, and R.S. Franco. 2014. Currículo de medicina e as competências propostas pelas diretrizes curriculares [The medicine curriculum and competences proposed for curriculum guidelines]. Revista Brasileira de Educação Médica 38: 221–230.
INCB: International Narcotics Control Board. 2010. Report of the International Narcotics Control Board on the availability of internationally controlled drugs: Ensuring adequate access for medical and scientific purposes. Vol. 4. 2010. https://www.incb.org/documents/Publications/AnnualReports/AR2010/Supplement-AR10_availability_English.pdf. Accessed 26 February 2020.
Institution Brasileiro de Geografia e Estatistica. 2016. Projeção da população. Instituto Brasileiro de Geografia e Estatistica. https://www.ibge.gov.br/apps/populacao/projecao/ Accessed 12 December 2018.
KFFE: Kaiser Family Foundation/The Economist. 2017. Four-country survey on aging and end-of-life medical care. The Economist and The Henry J. Kaiser Family Foundation. http://files.kff.org/attachment/Topline-Kaiser-Family-Foundation-The-Economist-Four-Country-Survey-on-Aging-and-End-of-Life-Medical-Care. Accessed 26 February 2020.
Malta, R., B. Rodrigues, and D. Gonçalves Priolli. 2018. Paradigma na formação médica: atitudes e conhecimentos de acadêmicos sobre morte e cuidados paliativos [End-of-life paradigm in medical training: Attitudes and knowledge about death and Palliative care]. Revista Brasileira De Educacao Medica 42: 33–44.
Marinho, F., V.M. de Azeredo Passos, D. Carvalho Malta, E. Barboza França, D.M.X. Abreu, V.E.M. Araújo, M.T. Bustamante-Teixeira, et al. 2016. Burden of disease in Brazil, 1990–2016: A systematic subnational analysis for the Global Burden of Disease Study 2016. Lancet 2018; 392: 760–775. https://doi.org/10.1016/S0140-6736(18)31221-2.
Menezes, R.A. 2011. Entre normas e práticas: tomada de decisões no processo saúde/doença [Norms and practices: Decision making in health and disease]. Physis. Revista de Saúde Coletiva 21: 1429–1449.
Murray, S. 2015. The 2015 quality of death index. Ranking palliative care across the world. Ed. David Line. The Economist. Intelligence Unit, 71. https://eiuperspectives.economist.com/sites/default/files/2015%20EIU%20Quality%20of%20Death%20Index%20Oct%2029%20FINAL.pdf. Accessed 26 February 2020.
Padilha De Toledo, A., and D. Gonçalves Priolli. 2012. Cuidados no fim da vida: o ensino médico no Brasil [End-of-life care education in Brazilian medical schools]. Revista Brasileira Educacao Médica 36: 109–117.
Paim, J., C. Travassos, C. Almeida, L. Bahia, and J. MacInko. 2011. The Brazilian health system: History, advances, and challenges. Lancet 377: 1778–1797.
Pereira, E.A.L., A.B. Rangel, and J.C.G. Giffoni. 2019. Identificação do nível de conhecimento em cuidados paliativos na formação médica em uma escola de medicina de Goiás [Identifying the level of knowledge in Palliative care among medical students in Goiás]. Revista Brasileira de Educacao Médica 43: 65–71.
Reichenheim, M.E., E.R. De Souza, C.L. Moraes, M.H.P. De Mello Jorge, C.M.F.P. Da Silva, and M.C. De Souza Minayo. 2011. Violence and injuries in Brazil: The effect, progress made, and challenges ahead. Lancet 377: 1962–1975.
Ribeiro, D.C. 2006. Autonomia: viver a própria vida e morrer a própria morte [Autonomy: To live one’s own life and to die one’s own death]. Cadernos Saúde Pública 22: 1749–1754.
Ricardo de Oliveira, J., A.C. Ferreira, and N. Alves de Rezende. 2013. Ensino de bioética e cuidados paliativos nas escolas médicas do Brasil [The teaching of bioethics and Palliative care in Brazilian medical schools]. Revista Brasileira Educacao Médica 37: 285–290.
Schmidt, M.I., B.B. Duncan, G. Azevedo e Silva, A.M. Menezes, C.A. Monteiro, S.M. Barreto, D. Chor, and P.R. Menezes. 2011. Chronic non-communicable diseases in Brazil: Burden and current challenges. Lancet 377: 1949–1961.
Schramm, J., A. Ferreira De Oliveira, I. Da Costa Leite, J. Gonçalves Valente, Â.M. Jourdan Gadelha, M. Crisóstomo Portela, and M. Rodrigues Campos. 2004. Transição epidemiológica e o estudo de carga de doença no Brasil [Epidemiological transition and the study of burden of disease in Brazil]. Ciência & Saúde Coletiva 9: 897–908.
Silva, H.B.e. 2010. Beneficência e paternalismo médico [Beneficence and medical paternalism]. Revista Brasileira de Saúde Materno Infantil 10: s419–s425.
United Nations. 2019. World population prospects 2019. Department of Economic and Social Affairs 49–78. https://population.un.org/wpp/. Accessed 26 February 2020.
Vasconcelos, T.J.Q., N.R. Imamura, and H.C.E.C. Villar. 2011. O impacto da resolução CFM 1.805/06 sobre os médicos que lidam com a morte [The impact of CFM resolution 1.805/06 on doctors dealing with death]. Revista Bioética 19: 501–521.
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Gryschek, G. (2022). Brazilian Medical Professional Ethics in Palliative and End-of-Life Care – Advances and Expectancies. In: Seidlein, AH., Salloch, S. (eds) Ethical Challenges for Healthcare Practices at the End of Life: Interdisciplinary Perspectives. Philosophy and Medicine, vol 141. Springer, Cham. https://doi.org/10.1007/978-3-030-83186-8_6
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