La lucha por la autonomía: ¿demasiado, poco o nada?

AutorZohar Lederman - Michelle Piperberg
Páginas223-225
223Cuad. Bioét. XXIII, 2012/1ª
La lucha por la autonomía: ¿demasiado, poco o nada?
THE STRUGGLE FOR AUTONOMY:
TOO MUCH, TOO LITTLE OR NOT AT ALL?
LA LUCHA POR LA AUTONOMÍA:
¿DEMASIADO, POCO O NADA?
Zohar Lederman* and Michelle Piperberg**
Palabras clave: bioética, autonomía, toma de decisiones, relación médico-paciente.
Key Words: bioethics, autonomy, decision-making, patient- physician relationship.
* Medical Student, Universita’ degli studi di Pavia, Italy - zoharlederman@gmail.com
** Doctoranda, Facultad de Filosofía, Universidad de Barcelona. Dept. Filosofía Teorética y Práctica,
c/ Montalegr, 6 (4º) 08001, Barcelona - mpiperberg@ub.edu
has a Do Not Resuscitate order, so we do
nothing. Apparently, someone botched
his knee surgery a couple of years back,
and he has been suering from it ever
since. He doesn’t want any more pain, he
doesn’t want to be touched or/and poked
by physicians anymore, but just to be left
alone, and perhaps to die peacefully.
In Florida (U.S), a 92 year-old woman
with Alzheimer’s is brought to the
hospital with an unusually sallow
complexion. This is her first time in
a hospital since giving birth some 60
years earlier. The young physician in
the internal department approaches her
daughterandwithnoreservationuers
In Connecticut (U.S), a 86-year-old
male lies in his hospital bed, gasping for
air, holding his head in a typical Socratic
position, contemplating god knows
what, not saying a word. His family is
there too: his son, daughter in law and
a close neighbor. The son is quiet, while
the two women are trying to convince
the patient to allow us to treat his right
pneumothorax. The patient is tired. He is
paleand sweatingandhe isnot geing
enough oxygen. We want to treat him by
simply sticking a small needle into his
chest to free the trapped air and make a
worldofdierenceButwecantbecause
the patient doesn’t want us to, and he

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