Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics

ABSTRACT Objective: To reflect about the do-not-resuscitation order at COVID-19 in Brazil, under bioethical focus and medical and nursing professional ethics. Method: Reflection study based on the principlist bioethics of Beauchamps and Childress and in professional ethics, problematizing actions...

Full description

Bibliographic Details
Main Authors: Hudson Carmo de Oliveira, Marta Sauthier, Marcelle Miranda da Silva, Maria da Conceição Albernaz Crespo, Ana Paula Ribeiro Seixas, Juliana Faria Campos
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul
Series:Revista Gaúcha de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472021000200713&tlng=en
_version_ 1798027330073919488
author Hudson Carmo de Oliveira
Marta Sauthier
Marcelle Miranda da Silva
Maria da Conceição Albernaz Crespo
Ana Paula Ribeiro Seixas
Juliana Faria Campos
author_facet Hudson Carmo de Oliveira
Marta Sauthier
Marcelle Miranda da Silva
Maria da Conceição Albernaz Crespo
Ana Paula Ribeiro Seixas
Juliana Faria Campos
author_sort Hudson Carmo de Oliveira
collection DOAJ
description ABSTRACT Objective: To reflect about the do-not-resuscitation order at COVID-19 in Brazil, under bioethical focus and medical and nursing professional ethics. Method: Reflection study based on the principlist bioethics of Beauchamps and Childress and in professional ethics, problematizing actions, and decisions of non-resuscitation in the pandemic. Results: It is important to consider the patient's clinic, appropriation of treatment goals for people with comorbidities, elderly people, with less chance of surviving to resuscitation, or less quality of life, with the palliative care team, to avoid dysthanasia, use of scarce resources and greater exposure of professionals to contamination. Conclusion: COVID-19 increased the vulnerabilities of professionals and patients, impacting professional decisions and conduct more widely than important values such as the restriction of freedom. It propelled the population in general to rethink ethical and bioethical values regarding life and death, interfering in decisions about them, supported by human dignity.
first_indexed 2024-04-11T18:49:45Z
format Article
id doaj.art-6f020c76d460417ea2c70633a07826b9
institution Directory Open Access Journal
issn 1983-1447
language English
last_indexed 2024-04-11T18:49:45Z
publisher Universidade Federal do Rio Grande do Sul
record_format Article
series Revista Gaúcha de Enfermagem
spelling doaj.art-6f020c76d460417ea2c70633a07826b92022-12-22T04:08:27ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-144710.1590/1983-1447.2021.20200172Do-not-resuscitate order in COVID-19 times: bioethics and professional ethicsHudson Carmo de OliveiraMarta SauthierMarcelle Miranda da SilvaMaria da Conceição Albernaz CrespoAna Paula Ribeiro SeixasJuliana Faria CamposABSTRACT Objective: To reflect about the do-not-resuscitation order at COVID-19 in Brazil, under bioethical focus and medical and nursing professional ethics. Method: Reflection study based on the principlist bioethics of Beauchamps and Childress and in professional ethics, problematizing actions, and decisions of non-resuscitation in the pandemic. Results: It is important to consider the patient's clinic, appropriation of treatment goals for people with comorbidities, elderly people, with less chance of surviving to resuscitation, or less quality of life, with the palliative care team, to avoid dysthanasia, use of scarce resources and greater exposure of professionals to contamination. Conclusion: COVID-19 increased the vulnerabilities of professionals and patients, impacting professional decisions and conduct more widely than important values such as the restriction of freedom. It propelled the population in general to rethink ethical and bioethical values regarding life and death, interfering in decisions about them, supported by human dignity.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472021000200713&tlng=enCoronavirus infectionsEthicsBioethicsCardiopulmonary resuscitationCritical careNursing
spellingShingle Hudson Carmo de Oliveira
Marta Sauthier
Marcelle Miranda da Silva
Maria da Conceição Albernaz Crespo
Ana Paula Ribeiro Seixas
Juliana Faria Campos
Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics
Revista Gaúcha de Enfermagem
Coronavirus infections
Ethics
Bioethics
Cardiopulmonary resuscitation
Critical care
Nursing
title Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics
title_full Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics
title_fullStr Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics
title_full_unstemmed Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics
title_short Do-not-resuscitate order in COVID-19 times: bioethics and professional ethics
title_sort do not resuscitate order in covid 19 times bioethics and professional ethics
topic Coronavirus infections
Ethics
Bioethics
Cardiopulmonary resuscitation
Critical care
Nursing
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472021000200713&tlng=en
work_keys_str_mv AT hudsoncarmodeoliveira donotresuscitateorderincovid19timesbioethicsandprofessionalethics
AT martasauthier donotresuscitateorderincovid19timesbioethicsandprofessionalethics
AT marcellemirandadasilva donotresuscitateorderincovid19timesbioethicsandprofessionalethics
AT mariadaconceicaoalbernazcrespo donotresuscitateorderincovid19timesbioethicsandprofessionalethics
AT anapaularibeiroseixas donotresuscitateorderincovid19timesbioethicsandprofessionalethics
AT julianafariacampos donotresuscitateorderincovid19timesbioethicsandprofessionalethics