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The demand for autologous hair transplantation is steadily increasing. The procedure has a low risk for complications with a great benefit for the patients. In order to prevent complaints and legal actions as well as postoperative dissatisfaction of the patients, in addition to the correct performance of the procedure a comprehensive and extensive clarification is necessary in advance. In particular, as a defined specialist standard for the performance of hair transplantation procedures is lacking, the compliance with a formal complete preparation including a thorough and complete informed consent as well as a preoperative consultation are recommended in advance of a planned hair transplantation. In this article tips and guidance are given on how to avoid typical grounds for dissatisfaction and also legal claims on behalf of the patients.

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For patients with a life-limiting diagnosis, guidance by the General Medical Council recommends exploring patients' beliefs and values about tissue donation with the patient and family towards the end of life. This article gives guidance to healthcare professionals on the process of giving patients the opportunity to donate their corneas, including eligibility, communication and practicalities.

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This article addresses questions surrounding the minimally conscious state (MCS) from the perspective of adult clinical ethics. It describes the background of the MCS diagnosis, analyzes phenomenological ambiguities inherent in the nature of MCS, and raises epistemological concerns surrounding its diagnosis. It argues that in many cases, the burdens of prolonging treatment for people who have sustained certain severe brain injuries (SBI) outweigh the benefits, even if they are in or have the prospect of entering into MCS. It also argues that often such long-term measures are problematic from the perspective of patient preferences and stewardship of resources. Consequently, it suggests that the delineation of MCS as a distinct neurological state, along with research that seeks to expand how MCS is diagnosed, poses ethical difficulties for families and providers making decisions for affected patients.

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Alternatives to evidence based medecine. The evolution of patient-physician relationships, in addition to beneficence, implies to consider patient's autonomy as a relevant ethical factor. This infers to associate to the physician's scientific expertise, patient's wishes and preferences in a genuine personcentered medicine. The alternatives to evidence-based medicine mean here that it should not be considered exclusively or isolated from other factors. The physician should be aware that a fruitful dialogue with his patient include both the benefits of a scientific and sound medicine, based on solid evidences, as well as the careful consideration of patient's preferences, for the good of both..

Les alternatives à l'évidence - based medecine. L'évolution des relations médecin-malade impose, en plus d'une évidente bienfaisance, de considérer l'autonomie des patients comme un facteur éthique essentiel. Cela impose d'associer à l'expertise médicale les volontés et préférences du patient en une médecine scientifique, mais centrée sur la personne. Les alternatives à l'evidence-based medicine signifient ici qu'elle n'est pas exclusive ou isolée. Le médecin doit comprendre que le dialogue avec son patient s'enrichit à la fois des bénéfices d'une médecine fondée sur les preuves ainsi que de la prise en compte des préférences du patient, pour le bien propre du patient, mais aussi du soignant.

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With regards to the health professionals-patients relationships, this Statute marked a transition from a system to another : from the "knowing" professional one to the patient-actor one. The rights granted to patients are designed to given them the means to become such a player.

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