Universitat Internacional de Catalunya

Clinical Ethics and Early Decision Planning

Clinical Ethics and Early Decision Planning
6
15134
1
First semester
OB
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


Dr. LORENZO IZQUIERDO, David - lorenzo@uic.es

Introduction

In this subject, the most relevant ethical aspects in the practice of palliative care are presented, especially those related to attention to vulnerability and end-of-life situations.

Likewise, the fundamental aspects are worked on to develop a plan that gives satisfaction to the shared planning of care in situations of advanced disease with a holistic and integrative vision.


Pre-course requirements

They are not necessary.

Objectives

  • Familiarize the student with the language of clinical ethics.

  • Apply ethical principles in an integrated manner in the care of patients and families.

  • Ask questions and establish discussion criteria around complex situations.

  • Know the main aspects that are part of shared care planning.

  • Highlight the transformative clinical impact of shared care planning.

  • Describe the shared care planning process.

Competences/Learning outcomes of the degree programme

  • CN04 - Recognize the ethical issues in the situation of advanced disease.
  • CP01 - Work in a self-directed or autonomous manner in PC teams, formed by peers, specialists or not, and other professionals, respecting the fundamental rights of equality between men and women, the promotion of human rights and the values of a culture of peace and democratic values; using language that avoids androcentrism and stereotypes.
  • CP07 - Empathetically communicate bad news processes in a manner adapted to the informational needs of patients and their families taking into account their cultural background.
  • HB02 - Critically use diverse sources of information to formulate academic arguments in the field of palliative care.

Learning outcomes of the subject

  • Demonstrate a critical understanding of ethical issues in end-of-life care.

  • Know the shared care planning process.

Syllabus

Tema 1. Bioethics Principles and Deliberation.

Tema 2. Bioethics Basis in end-of-life issues.

Tema 3. Concepts and Criteria in Palliative Care. 

Tema 4. End-of-life Specific Issues (LET, proportionality…).

Tema 5. Advance Care Planning: Introductory Concepts.

Tema 6. Practical Application of Advance Care Planning.


Bibliography and resources

  • Abel, F y Cambra, F. Neonatología y discapacidad severa. En Diagnóstico prenatal, Neonatología y discapacidad severa: problemas éticos. Ed Institut Borja de Bioètica y Fundacion Mapfre Medicina; 2001.

  • Amor JR. Introducción a la bioética. PPC. Editorial. 2º ED. Madrid 2005.

  • Beca JP. Astete. C. Bioética Clínica. Ed Mediterráneo. Santiago de Chile. 2012.

  • Fried TR, Bullock K, Iannone L, O'Leary JR. Understanding advance care planning as a process of health behavior change. J Am Geriatr Soc. 2009 Sep;57(9):1547-55. doi: 10.1111/j.1532-5415.2009.02396.x. Epub 2009 Aug 4. PMID: 19682120; PMCID: PMC2783892.

  • Gracia D., “Tomar decisiones morales: del casuismo a la deliberación”, Dilemata, 2016, n. 20, 15-31.

-Procedimientos de decisión en Ética Clínica. Eudema Universidad. Madrid 1991.

  • Hickman SE, Lum HD, Walling AM, Savoy A, Sudore RL. The care planning umbrella: The evolution of advance care planning. J Am Geriatr Soc. 2023 Jul;71(7):2350-2356. doi: 10.1111/jgs.18287. Epub 2023 Feb 25. PMID: 36840690; PMCID: PMC10958534.

  • Jonsen AR, Siegler M, Winslade W. Ética Clínica. 1ª Ed Ed Ariel. Barcelona 2005.

  • Korfage IJ, Carreras G, Arnfeldt Christensen CM, Billekens P, Bramley L, Briggs L, Bulli F, Caswell G, Červ B, van Delden JJM, Deliens L, Dunleavy L, Eecloo K, Gorini G, Groenvold M, Hammes B, Ingravallo F, Jabbarian LJ, Kars MC, Kodba-Čeh H, Lunder U, Miccinesi G, Mimić A, Ozbič P, Payne SA, Polinder S, Pollock K, Preston NJ, Seymour J, Simonič A, Thit Johnsen A, Toccafondi A, Verkissen MN, Wilcock A, Zwakman M, van der Heide A, Rietjens JAC. Advance care planning in patients with advanced cancer: A 6-country, cluster-randomised clinical trial. PLoS Med. 2020 Nov 13;17(11):e1003422. doi: 10.1371/journal.pmed.1003422. PMID: 33186365; PMCID: PMC7665676.

  • Lasmarías C, Carrero V, Fernández-Bueno J, García-Llana H, Granero-Moya N, Júdez J, Pérez de Lucas N, Saralegui I, Velasco T. Advance Care Planning in Spain. Z Evid Fortbild Qual Gesundhwes. 2023 Aug;180:143-149. doi: 10.1016/j.zefq.2023.05.011. Epub 2023 Jul 12. PMID: 37442683.

  • Lasmarías C, Aradilla-Herrero A, Santaeugènia S, Blay C, Delgado S, Ela S, Terribas N, Gómez-Batiste X. Development and implementation of an advance care planning program in Catalonia, Spain. Palliat Support Care. 2019 Aug;17(4):415-424. doi: 10.1017/S1478951518000561. PMID: 30289094.

  • Montero F, Morlans M. Para deliberar en los Comités de Ética. Fundació Dr. Ro- bert. 1ª Ed. 2009.

  • Rebecca L. Sudore, Terri R. Fried. Redefining the “Planning” in Advance Care Planning: Preparing for End-of-Life Decision Making. Ann Intern Med.2010;153:256-261. [Epub 17 August 2010]. doi:10.7326/0003-4819-153-4-201008170-00008

  • Torralba, F. Filosofía de la Medicina. En Torno a la obra de E.D. Pellegrino. Ed. Institut Borja de Bioètica y Fundación Mapfre Medicina; 2001.

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