Dialysis and conservative management: ethical and deontological issues in the decision-making process

Dialysis and conservative management: ethical and deontological issues in the decision-making process

Authors

  • Paola Delbon Department of Medical and Surgical Specialities Radiological Sciences and Public Health - Centre of Bioethics Research University of Brescia, Italy
  • Sara Ravera Division of Nephology, Spedali Civili of Brescia, Italy
  • Chiara Rossetti Department of Medical and Surgical Specialities Radiological Sciences and Public Health - Centre of Bioethics Research University of Brescia, Italy
  • Claudia Casella Department of Advances Biomedical Sciences, University of Naples Federico III, Italy
  • Adelaide Conti Department of Medical and Surgical Specialities Radiological Sciences and Public Health - Centre of Bioethics Research University of Brescia, Italy

Keywords:

decision-making process, communication, informed consent, advanced kidney disease, dialysis, conservative management

Abstract

Hemodialysis, peritoneal dialysis and conservative care are nowadays the main treatment options to help persons suffering from advanced kidney diseases. The Authors intend to deal with ethical issues concerning decision-making process about these treatments. Data confirmed that among patients who have the choice between two medically accepted and available options that are believed to have a chance of promoting the patient’s welfare some patients prefer a treatment option; the other option is the treatment of choice for the others. In decision-making process, a prominent role must be given to patient’s values and his/her judgment about the impact of the treatment options on his/her quality of life, in personal assessment of benefits and burdens. Thus, share decision-making is the recommended model for decision-making in this context; the physician has the important role to guide this process, ascertaining the patient’s preferences and personal values.

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Published

11-04-2017

Issue

Vol. 1 No. 1 (2017)

Section

Original articles Bioethics

License

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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How to Cite

1.
Delbon P, Ravera S, Rossetti C, Casella C, Conti A. Dialysis and conservative management: ethical and deontological issues in the decision-making process. Med Histor [Internet]. 2017 Apr. 11 [cited 2025 Mar. 28];1(1):49-52. Available from: https://mattioli1885journals.com/index.php/MedHistor/article/view/5989

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