La cirugía centrada en la persona
Context: person-centered medicine has been defined as "the medical practice that is based on the respect and follow-up of the patient's preferences, needs and values, elements that should guide all clinical decisions.Discussion: in response to medical paternalism, four basic principles hav...
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2018
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| Mynediad Ar-lein: | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1451 |
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Ychwanegu Tag | _version_ | 1862910416649191424 |
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| author | Pacheco Ojeda, Luis |
| author_facet | Pacheco Ojeda, Luis |
| author_role | author |
| collection | Revista Ciencias Médicas |
| dc.creator.none.fl_str_mv | Pacheco Ojeda, Luis |
| dc.date.none.fl_str_mv | 2018-12-18 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1451 10.29166/ciencias_medicas.v43i1.1451 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
| dc.relation.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1451/1392 |
| dc.rights.none.fl_str_mv | Derechos de autor 2019 Luis Pacheco Ojeda info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | Revista de la Facultad de Ciencias Médicas (Quito); Vol. 43 No. 1 (2018): Revista de la Facultad de Ciencias Médicas (Quito); 7-10 Revista de la Facultad de Ciencias Médicas (Quito); Vol. 43 Núm. 1 (2018): Revista de la Facultad de Ciencias Médicas (Quito); 7-10 2737-6141 2588-0691 reponame:Revista Ciencias Médicas instname:Universidad Central del Ecuador instacron:UCE |
| dc.subject.none.fl_str_mv | Cirugía Persona Humanismo Surgery Person Humanism |
| dc.title.none.fl_str_mv | La cirugía centrada en la persona |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Editorial |
| description | Context: person-centered medicine has been defined as "the medical practice that is based on the respect and follow-up of the patient's preferences, needs and values, elements that should guide all clinical decisions.Discussion: in response to medical paternalism, four basic principles have been proposed concerning the position of the doctor before his patient: autonomy, beneficence, non-maleficence and justice. The surgeon must use realistic criteria, based on reliable statistics and the best clinical evidence in order to recommend the best therapeutic decision, avoiding raising inappropriate optimism in the patient and their families. Sometimes,reaching this threshold of thought is difficult to obtain. Among the main current obstacles to a medicine centered on the person are at least two: the large volume of patients that a doctor has to attend, and the consequent stress for the doctor and the reduction of attention time.Conclusion: the relationship between patient, family members and surgeon must be the most diaphanous and affective to overcome the obstacles, pressures and concerns that currently surround the development of a surgical act. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | REVCMED_fa605464269e7c3839fdb0708b8a79e4 |
| identifier_str_mv | 10.29166/ciencias_medicas.v43i1.1451 |
| instacron_str | UCE |
| institution | UCE |
| instname_str | Universidad Central del Ecuador |
| language | spa |
| network_acronym_str | REVCMED |
| network_name_str | Revista Ciencias Médicas |
| oai_identifier_str | oai:revistadigital.uce.edu.ec:article/1451 |
| publishDate | 2018 |
| publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
| reponame_str | Revista Ciencias Médicas |
| repository.mail.fl_str_mv | * |
| repository.name.fl_str_mv | Revista Ciencias Médicas - Universidad Central del Ecuador |
| repository_id_str | * |
| rights_invalid_str_mv | Derechos de autor 2019 Luis Pacheco Ojeda |
| spelling | La cirugía centrada en la personaPacheco Ojeda, LuisCirugíaPersonaHumanismoSurgeryPersonHumanismContext: person-centered medicine has been defined as "the medical practice that is based on the respect and follow-up of the patient's preferences, needs and values, elements that should guide all clinical decisions.Discussion: in response to medical paternalism, four basic principles have been proposed concerning the position of the doctor before his patient: autonomy, beneficence, non-maleficence and justice. The surgeon must use realistic criteria, based on reliable statistics and the best clinical evidence in order to recommend the best therapeutic decision, avoiding raising inappropriate optimism in the patient and their families. Sometimes,reaching this threshold of thought is difficult to obtain. Among the main current obstacles to a medicine centered on the person are at least two: the large volume of patients that a doctor has to attend, and the consequent stress for the doctor and the reduction of attention time.Conclusion: the relationship between patient, family members and surgeon must be the most diaphanous and affective to overcome the obstacles, pressures and concerns that currently surround the development of a surgical act.Contexto: la medicina centrada en la persona ha sido definida como “la práctica médica que se fundamenta en el respeto y seguimiento a las preferencias, necesidades y valores del paciente, elementos que deben guiar todas las decisiones clínicas.Discusión: en respuesta al paternalismo médico, se han propuesto cuatro principios básicos relativos a la posición del médico ante su paciente: la autonomía, la beneficencia, la no maleficencia y la justicia.El cirujano debe utilizar criterios realísticos, basados en estadísticas confiables y en la mejor evidencia clínica a fin de recomendar la mejor decisión terapéutica, evitando suscitar un optimismo inapropiado en el paciente y sus familiares. A veces, llegar a este umbral de pensamiento es difícil de obtener. Entre los principales obstáculos actuales a una medicina centrada en la persona se encuentran al menos dos. Por un lado, el gran volumen de pacientes que un médico tiene que atender, con el consiguiente estrés para el facultativo y la reducción del tiempo de atención.Conclusión: la relación entre paciente, familiares y cirujano debe ser lo más diáfana y afectiva para sobrellevar los obstáculos, presiones e inquietudes que rodean actualmente el desarrollo de un acto quirúrgico.Quito: Universidad Central del Ecuador2018-12-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionEditorialapplication/pdfhttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/145110.29166/ciencias_medicas.v43i1.1451Revista de la Facultad de Ciencias Médicas (Quito); Vol. 43 No. 1 (2018): Revista de la Facultad de Ciencias Médicas (Quito); 7-10Revista de la Facultad de Ciencias Médicas (Quito); Vol. 43 Núm. 1 (2018): Revista de la Facultad de Ciencias Médicas (Quito); 7-102737-61412588-0691reponame:Revista Ciencias Médicasinstname:Universidad Central del Ecuadorinstacron:UCEspahttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1451/1392Derechos de autor 2019 Luis Pacheco Ojedainfo:eu-repo/semantics/openAccess2020-01-07T10:44:00Zoai:revistadigital.uce.edu.ec:article/1451Portal de revistashttps://revistadigital.uce.edu.ec/Universidad públicahttps://uce.edu.ec/**Ecuador*2737-61412588-0691opendoar:*2020-01-07T10:44Revista Ciencias Médicas - Universidad Central del Ecuadorfalse |
| spellingShingle | La cirugía centrada en la persona Pacheco Ojeda, Luis Cirugía Persona Humanismo Surgery Person Humanism |
| status_str | publishedVersion |
| title | La cirugía centrada en la persona |
| title_full | La cirugía centrada en la persona |
| title_fullStr | La cirugía centrada en la persona |
| title_full_unstemmed | La cirugía centrada en la persona |
| title_short | La cirugía centrada en la persona |
| title_sort | La cirugía centrada en la persona |
| topic | Cirugía Persona Humanismo Surgery Person Humanism |
| url | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1451 |