END-OF-LIFE CARE: A CRITICAL-REFLECTIVE REVIEW OF HOSPITAL PRACTICES

Abstract

The objective of this study was to reflect on the principles of autonomy and dignity of the person, relating them to health ethics in hospital practices. The individual has the opportunity to plan in advance the care of his health through advance directives of will. In the doctor-patient relationship, this principle is fundamental where it replaces the old authority of the physician with the consideration of the patient as an active participant in the treatment process, however some physicians face difficulties in discussing end-of-life issues due to factors such as personal discomfort, lack of time, insufficient training, limited resources, or the perception that patients may feel uncomfortable. In this sense, we present a theoretical and practical construction of these principles and their benefits in quality of life.  Although in Brazil there is no law regulating advance directives, the Federal Council of Medicine published Resolution 1995/2012 in which it guides advance care planning to facilitate the work of the health team in the face of complex ethical dilemmas from the beginning to the end of life as the basis of shared care decisions.

DOI:https://doi.org/10.56238/sevened2024.031-074