[Right to die with dignity?].
The right to die with dignity is an ill-defined concept, with multiple, often inappropriate, interpretations. The current proposition is that the physician take full responsibility for protecting the patients rights, for ensuring a rational use of resources and for overseeing the decision-making process such that the information is adequate and the steps proportioned. This responsibility extends not only to the health status of the patient situation, to the patients prognosis, and to his/her expectations and wishes, but also to the benefits foreseen and to the cost-benefit ratio. Emphasis is placed on two aspects of this relationship. First, dignity can be interpreted in many ways and sometimes, in the name of dignity, the patient is exposed (or exposes him/herself) to suffering, pain and complications that can be avoided. Second, when no reasonable probability of survival is present and a better quality of life is impossible, efforts are better redirected to offering a better quality of death.
Ruiz
Alvaro
A
Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Javeriana, Bogota, Colombia. aruiz@javeriana.edu.co
D003657:Decision Making; D004992:Ethics, Medical; D005065:Euthanasia; D006625:Hippocratic Oath; D006801:Humans; D010817:Physician-Patient Relations; D011788:Quality of Life; D012297:Right to Die; D019452:Terminally Ill