Clausola di coscienza e cura nell'assistenza al fine vita

Translated title of the contribution: Conscience clause in end-of-life care

Ludovica De Panfilis, Daniela Cattaneo, Luisanna Cola, Maddalena Gasparini, Corinna Porteri, Daniela Tarquini, Alessandro Tiezzi, Simone Veronese, Silvia Zullo, Eugenio Pucci, Francesco Alberti, Natascia Belardinelli, Fabiola Bologna, Gian Domenico Borasio, Augusto Caraceni, Ignazio Renzo Causarano, Lucia Colombi, Mariolina Congedo, Amelia Conte, Vittorio CrespiCarlo Alberto Defanti, Marcella Gasperini, Andrea Giordano, Maurizio Inghilleri, Francesca Ingravallo, Alessandra Lugaresi, Jessica Mandrioli, Maura Marogna, Marta Maschio, Maurizio Mori, Walter Neri, Giuseppe Moretto, Paolo Nichelli, Andrea Pace, Erika Pietrolongo, Luisa Pistollato, Alberto Primavera, Alessandra Solari, Claudio Solaro, Maria Rosaria Tola, Matilde Leonardi, Ferdinando Cancelli, Gruppo di Studio in Bioetica e Cure Palliative della Società Italiana di Neurologia

Research output: Contribution to journalArticlepeer-review

Abstract

The article proposes a critical reflection on issues that appeal to the conscience clause as part of end of life care can produce and what can guarantee freedom of conscience, self-determination of those involved and respect for the dignity of the sick person. After a philosophical and normative analysis, the article is organized on the basis of two important documents for discussion: a position paper of Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI) signed by several scientific societies "Grandi insufficienze d'organo end stage: cure intensive o cure palliative?" and the Design of Law currently being debated "Norme in materia di consen-so informato e di disposizioni anticipate di trattamento". In particular, the conscience clause has been discussed in the light of advance care planning (ACP), which represents the instrument to guarantee the shared planning of care and the shared-decision making. In this context, recourse to the clause of conscience brings out critical ethical and deontological issues that the article discusses, using the position paper SIAARTI and the text of law currently being debated, both built on the assumptions of a shared care relationship, where patient has a key-role in medical decisions.

Translated title of the contributionConscience clause in end-of-life care
Original languageItalian
Pages (from-to)216-220
Number of pages5
JournalRecenti Progressi in Medicina
Volume108
Issue number5
Publication statusPublished - May 1 2017

ASJC Scopus subject areas

  • Medicine(all)

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