El anciano con enfermedad avanzada de órgano. Consideraciones desde la geriatría,la medicina paliativa y la bioética |
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Authors: | Francisco Javier Alonso-Renedo,Leire Gonzá lez-Ercilla,Itziar Irá izoz-Apezteguí a |
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Affiliation: | 1. Servicio de Geriatría, Complejo Hospitalario de Navarra A, Pamplona, España;2. Servicios Sociales Aita Menni, Residencia Joxemiel Barandiaran, Durango, Vizcaya, España |
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Abstract: | ObjectiveTo analyze the literature as regards the knowledge, skills and attitudes that these disciplines can provide in improving technical, ethical and human quality health care in the elderly with advanced organ failure, multimorbidity, frailty and progressive dementia.Material and methodsA comprehensive review focused on available references on the interrelationship between geriatric medicine and palliative medicine, education in bioethics, prognostic tools, functional status, and the humanization of health care.ResultsAdvance care planning, comprehensive geriatric assessment, the study of the values of the patient and their introduction in decision-making process, as well as the need to promote moral, care, and healthcare organizational ethics, are essential elements to achieve this objective.ConclusionsPractitioners and healthcare organizations should seek excellence as a moral requirement. To achieve this, there is a priority to acquire virtues of care and fundamental concepts of geriatric and palliative medicine, assessing functional status, advance care planning and patient/family needs as essential issues to protect, care for and promote them in all care settings. |
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Keywords: | Medicina paliativa Bioé tica Medicina geriá trica Cuidados al final de la vida Planificació n anticipada de decisiones |
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