Bioethical Dilemmas at the End of Life

Authors

Keywords:

Palabras clave, bioética, paciente terminal, cuidados paliativos, ortotanasia, eutanasia, distanasia

Abstract

Introduction: Bioethics involves reflections on autonomous attitudes such as decision-making without coercion of values, based on the exercise of freedom, free of restrictions, preconceptions and with respect for divergences.

Objective: To analyze the bioethical aspects of care at the end of life.

Methods: A literature review was carried out in VHL; Lilacs, PubMed, SciELO and Ibecs databases, 22 relevant articles were identified.

Results: Respect for human dignity also in end-of-life processes is essential to understand dignified death as a continuation of a dignified life.

Conclusions: Primary health care in Cuba with its family doctor and nurse program can offer a humanistic and ethically possible alternative to patients in the last stage of life.

Keywords: bioethics; terminal patient; palliative care; orthothanasia; euthanasia; dysthanasia.

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Author Biographies

Daisy Mesa Trujillo, Policlínico Docente Elena Fernández Castro

Especialista de primer y segundo grado en Medicina General Integral. Máster en Asesoramiento Genético y Síndromes demenciales. Profesora Asistente. Investigador agregado.

Israel García Mesa, Escuela Nacional de Salud Pública

Dr en Medicina. Residente de Bioestadísticas.

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Published

2025-02-19

How to Cite

1.
Mesa Trujillo D, García Mesa I. Bioethical Dilemmas at the End of Life. Rev Cubana Med [Internet]. 2025 Feb. 19 [cited 2025 Mar. 14];64. Available from: https://revmedicina.sld.cu/index.php/med/article/view/3483

Issue

Vol. 64 (2025): publicación continua

Section

Review articles

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Copyright (c) 2025 Daisy Mesa Trujillo, Israel García Mesa

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