Abstract

The respect for self-determination has represented a great challenge for the medical community. This debate has resulted in laws, codes of ethics, international treaties, and administrative guidelines, all with the purpose of protecting such right. In the medical field, the "Convention for the Protection of Human Rights and Dignity of the Human Being with Regard to the Application of Biology and Medicine: Convention on Human Rights and Biomedicine", known as the Oviedo Convention plays a crucial role. The doctrine of Informed Consent (IC) exists to enforce it. This principle is considered as law in some countries. In Chile, the IC is considered in the legal ordinance and in documents that are used as guidelines in the field of ethics. Jehovah s Witnesses invoke such precepts when they demand respect for their decisions. The present article outlines their position regarding blood transfusions and their contribution to the practice of bloodless medicine and surgery, which promotes the respect for patient's self determination. The experience of Jehovah's Witnesses has lead to a dignified treatment of the patient and has promoted a better participation in decision-making, focusing on the patient. All these benefits can be conveyed to other patients, resulting in the protection of the dignity of the individual.

Highlights

  • The respect for self-determination has represented a great challenge for the medical community

  • Cuarto: Que la negativa a la transfusión de sangre y el respeto a la autonomía en este campo de la medicina cuenta con un valioso aporte del campo ético donde la International Society of Blood Transfusion con sede en Europa, el año 2000 estableció en su Código de Ética: “Los pacientes deberán estar informados de los riesgos y beneficios conocidos de la transfusión de sangre y/o terapias alternativas y tendrán el derecho de aceptar o rechazar el procedimiento

  • Que los pacientes tengan más participación en la toma de decisiones en base a la doctrina del consentimiento informado, centrando la atención en el enfermo, quien tiene diversas razones para optar por uno u otro tratamiento médico, lo que es fácilmente extrapolable a otros pacientes, respetándose así un derecho precioso como es la dignidad de la persona humana

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Summary

Introduction

The respect for self-determination has represented a great challenge for the medical community. El proyecto se encarga de establecer que esta decisión debe constar por escrito en determinados casos, como en “intervenciones quirúrgicas, procedimientos diagnósticos y terapéuticos invasivos y, en general, para la aplicación de procedimientos que conlleven un riesgo importante para la salud del afectado”.

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