Abstract
In the Western world, thanks to continuous progress in the medical field, and to changes in society,the concept of death seems to be increasingly replaced by that of "keeping alive at all costs". Thus also dialysis, a life-sustainingtreatment for patients suffering from kidney failure, in some cases can no longer be seen as a treatment aimed at prolonging life, but as a treatmentto temporarily avert death. In fact, the literature highlights that dialysis is not always associated with greater lifeexpectancy and better quality of life for fragile patients with kidney failure. This point-of-viewpaperdiscusses legal and ethical principles of respect for patient autonomy (beneficence, non-maleficence, justice and professional integrity) inherent in the choice to suspend or tonot start dialysis treatment, while following apathway ofconservative and/or palliative therapy.
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