title: [Adequacy of clinical interventions in patients with advanced and complex disease. Proposal of a decision making algorithm].
abstract: Decision making in the patient with chronic advanced disease is especially complex. Health professionals are obliged to prevent avoidable suffering and not to add any more damage to that of the disease itself. The adequacy of the clinical interventions consists of only offering those diagnostic and therapeutic procedures appropriate to the clinical situation of the patient and to perform only those allowed by the patient or representative. In this article, the use of an algorithm is proposed that should serve to help health professionals in this decision making process.
authors: Servicio de Medicina Interna, Comité de Ética Asistencial, Xerencia Integrada de Ferrol, Ferrol, A Coruña, España. Electronic address: eugenia.ameneiros.lago@sergas.es.
authors: E
authors: E
authors: Ameneiros-Lago
authors: Unidad de Hospitalización a Domicilio, Comité de Ética Asistencial, Xerencia Integrada de Ferrol, Ferrol, A Coruña, España.
authors: C
authors: C
authors: Carballada-Rico
authors: Servicio de Medicina Interna, Comisión Gallega de Bioética, Xerencia Integrada de Ferrol, Ferrol, A Coruña, España.
authors: J A
authors: JA
authors: Garrido-Sanjuán
authors: Unidad de Hospitalización a Domicilio, Comisión Nacional de Cuidados Paliativos, Xerencia Integrada de Lugo, Lugo, España.
authors: A
authors: A
authors: García Martínez
mesh_terms: D000465:Algorithms; D002908:Chronic Disease / Q000628:therapy*; D000066491:Clinical Decision-Making; D006801:Humans; D013727:Terminal Care
keywords: Atención paliativa; Bioethics; Bioética; Chronic disease; Decision making; Enfermedad crónica; Palliative care; Toma de decisiones