The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection
Toward the end of life, older cancer patients with terminal illness often prefer palliative over life-extending care and also prefer to die at home. However, care planning is not always consistent with patients’ preferences. In this article, discussions will be centered on patients’ autonomy of exer...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-01-01
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| Series: | Palliative Care |
| Online Access: | https://doi.org/10.1177/1178224216684831 |
| _version_ | 1818210683032961024 |
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| author | Márcio Niemeyer-Guimarães Fermin Roland Schramm |
| author_facet | Márcio Niemeyer-Guimarães Fermin Roland Schramm |
| author_sort | Márcio Niemeyer-Guimarães |
| collection | DOAJ |
| description | Toward the end of life, older cancer patients with terminal illness often prefer palliative over life-extending care and also prefer to die at home. However, care planning is not always consistent with patients’ preferences. In this article, discussions will be centered on patients’ autonomy of exercising control over their bodies within the current biotechnoscientific paradigm and in the context of population aging. More specifically, the biopolitical strategy of medicine in the context of hospital-centered health care control and of the frail condition of cancer patients in the intensive care unit will be considered in terms of the bioethics of protection. This ethical principle may provide support to these patients by ensuring that they receive appropriate treatment of pain and other physical, psychosocial, and spiritual problems in an attempt to focus attention on the values of the ill person rather than limiting it to the illness. |
| first_indexed | 2024-12-12T05:20:30Z |
| format | Article |
| id | doaj.art-8cb68022f1f6402081c59519a0a03fd6 |
| institution | Directory Open Access Journal |
| issn | 1178-2242 |
| language | English |
| last_indexed | 2024-12-12T05:20:30Z |
| publishDate | 2017-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Palliative Care |
| spelling | doaj.art-8cb68022f1f6402081c59519a0a03fd62022-12-22T00:36:37ZengSAGE PublishingPalliative Care1178-22422017-01-011010.1177/1178224216684831The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of ProtectionMárcio Niemeyer-Guimarães0Fermin Roland Schramm1Hospital Federal dos Servidores do Estado, Ministry of Health, Rio de Janeiro, BrazilGraduate Program in Bioethics, Applied Ethics and Public Health (PPGBIOS), National School of Public Health, Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, BrazilToward the end of life, older cancer patients with terminal illness often prefer palliative over life-extending care and also prefer to die at home. However, care planning is not always consistent with patients’ preferences. In this article, discussions will be centered on patients’ autonomy of exercising control over their bodies within the current biotechnoscientific paradigm and in the context of population aging. More specifically, the biopolitical strategy of medicine in the context of hospital-centered health care control and of the frail condition of cancer patients in the intensive care unit will be considered in terms of the bioethics of protection. This ethical principle may provide support to these patients by ensuring that they receive appropriate treatment of pain and other physical, psychosocial, and spiritual problems in an attempt to focus attention on the values of the ill person rather than limiting it to the illness.https://doi.org/10.1177/1178224216684831 |
| spellingShingle | Márcio Niemeyer-Guimarães Fermin Roland Schramm The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection Palliative Care |
| title | The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection |
| title_full | The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection |
| title_fullStr | The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection |
| title_full_unstemmed | The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection |
| title_short | The Exercise of Autonomy by Older Cancer Patients in Palliative Care: The Biotechnoscientific and Biopolitical Paradigms and the Bioethics of Protection |
| title_sort | exercise of autonomy by older cancer patients in palliative care the biotechnoscientific and biopolitical paradigms and the bioethics of protection |
| url | https://doi.org/10.1177/1178224216684831 |
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