Tuesday, March 1, 2011

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PALLIATIVE CARE AND DEATH WITH DIGNITY, THE NEED FOR INTEGRATION AND AGREED

Minister for Health, Social Policy and Equality, Leire Pajin has confirmed that in a few weeks will present the draft of the new standard will ensure a dignified death for patients, a law that purports to be "agreed" with all sectors, including Christian groups, calling on the presidents of the Medical College (WTO), Juan José Rodríguez Sendin, and the General Council of Colleges of Nursing in Spain, Maximo Gonzalez Jurado, their collaboration to develop the first draft of the future Law of Palliative Care and Death With Dignity Act, which could be ready "before a month, "citing the case of.

The debate on whether or not this new law Andalusian social legislation at the time was one of the major obstacles during the negotiation of the Statute of Autonomy was approved finally guarantees and cautious wording that satisfied all the parliamentary groups bill becoming one of the contents of the new statute making disappear fear that the right to a dignified death might be mistaken for active euthanasia or assisted suicide, two controversial practices of high profile, in fact, are penalized under the Criminal Code, so they had no place in a autonomic regulation as discussed.

Andaluza The standard had its genesis in three key areas: ensure patient autonomy in the final leg of their disease, increase legal certainty for professionals involved through care ethics committees, and to elevate the status of good clinical practice palliative terminal sedation.

The rule leaves the process announced by the Minister Leire Pajin must be inclusive and consensual, while clear in their requirements, because it is a law that revolves around serious illness, death and beliefs of people. Ruled out euthanasia, there should be more far-reaching problems for the Death with Dignity Act is a reality in the medium term to help calm and die with dignity people who, informed and aware, decide they can no longer live in their conditions.

But, to provide a comprehensive and quality care to patients with severe or terminal is necessary to develop more palliative care, to train professionals in this field, providing enough specific media to healthcare facilities, no charge against professionals, or force to act against their knowledge and awareness. Any law of "death with dignity" that does not have health professionals as they are "guarantors of our rights, no dignity or to provide health professionals or patients, or the health system.

In the field of health law, one of the values \u200b\u200bso outstanding, give human beings dignity status it represents, without doubt, the patient's autonomy, understood as the capacity of self that allows the patient to choose reasonably based on a personal assessment on the potential, evaluated and supported in their own system of values.

This autonomy, however, must be supplemented to freedom because no one can govern if you restrict, restrict, ignores limits or otherwise prevents the exercise. However, this is also important, autonomy is always before the border imposed by its relationship with another or others, not causing injury.

This autonomy exercised in freedom gives us the precious gift of personal choice versus the different and diverse life projects. Autonomy, then, should be facilitated and guaranteed for all and, also, as no person has authority to intervene in some way in this election, there should be all those mechanisms to prevent it.

therefore is a good start and should welcome the Minister's attitude Leire Pajin, by having health professionals as they are "guarantors of the rights of patients" in the future development of Palliative Care Act and Death with Dignity.

Posted in Medical Writing on Tuesday, March 1, 2011. Number 1407. Year VII.

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