{"id":9060,"date":"2021-02-15T13:05:14","date_gmt":"2021-02-15T12:05:14","guid":{"rendered":"https:\/\/omnesmag.com\/?p=9060"},"modified":"2021-03-18T11:22:02","modified_gmt":"2021-03-18T10:22:02","slug":"euthanasia-destroys-doctor-patient-confidence","status":"publish","type":"post","link":"https:\/\/www.omnesmag.com\/en\/foco\/la-eutanasia-destruye-la-confianza-medico-paciente\/","title":{"rendered":"Euthanasia destroys patient-physician trust"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Professors and directors of departments, institutes and clinics of Christian foundations and universities such as Francisco de Vitoria, CEU San Pablo, Navarra or Comillas, as well as nurses and other professionals, sometimes in a personal capacity, and other times in an institutional way, have made their voices heard these days arguing against the criteria reflected in the bill to regulate euthanasia, which is being promoted by the current parliamentary majority.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The list of those who have come to the fore in recent days is extensive, but it is worth mentioning some of them. The doctors <strong>Manuel Mart\u00ednez Sell\u00e9s<\/strong>dean of the Madrid College of Physicians, and <strong>\u00c1lvaro G\u00e1ndara<\/strong>former president of the Spanish Society of Palliative Care (Secpal), and professional of the Palliative Medicine Unit at the Fundaci\u00f3n Jim\u00e9nez D\u00edaz, have intervened in several conferences, as well as <strong>Federico de Montalvo<\/strong>President of the Spanish Bioethics Committee and Professor at the University of Comillas.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition, Elena Postigo, director of the Bioethics Institute of the Francisco de Vitoria University, and Manuel Bustos, director of the \u00c1ngel Ayala Humanities Institute of the CEU San Pablo University; Marina D\u00edaz Mars\u00e1, president of the Psychiatry Society of Madrid; Carlos Centeno, director of Palliative Medicine of the Cl\u00ednica Universidad de Navarra, and Jos\u00e9 Mar\u00eda Torralba, professor at the same university; the deans of the Faculty of Medicine of the U. Francisco de Vitoria, Fernando Caballero, and the deans of the Faculty of Medicine of the U. CEU San Pablo, Tom\u00e1s Trigo; doctors Jacinto B\u00e1tiz and Ricardo Abeng\u00f3zar; Jos\u00e9 Jara, president of the Bioethics Association of the CEU San Pablo University; Drs. Francisco de Vitoria, Fernando Caballero, and of the U. CEU San Pablo, Tom\u00e1s Trigo; doctors Jacinto B\u00e1tiz and Ricardo Abeng\u00f3zar; Jos\u00e9 Jara, president of the Bioethics Association of Madrid; Emilio Garc\u00eda S\u00e1nchez, vice-president of the Spanish Association of Bioethics and Medical Ethics; Jos\u00e9 Manuel \u00c1lvarez Avell\u00f3, author of the book\u00a0<em>Death with dignity. The great dilemma<\/em>The following are some of the speakers: the nurse Encarna P\u00e9rez Bret, from the Hospital de Cuidados Paliativos Fundaci\u00f3n Vianorte-Laguna, the promoters of vividores,org, Jaume Vives and Pablo Velasco, director of Eldebatedehoy, and many others.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On the other hand, more than one hundred and forty civic associations integrated in the Assembly for Life, Dignity and Liberty, have sent a manifesto to all senators asking them to vote for&nbsp;<em>\"in conscience\"<\/em>&nbsp;and do not endorse the euthanasia law. They have also agreed to launch a popular legislative initiative (ILP) to ask the government for a comprehensive palliative care plan.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Against the essence of medicine<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\"Euthanasia is contrary to the Hippocratic Oath and multiple World Medical Association standards.\"<\/em>&nbsp;y&nbsp;<em>\"it destroys the essence of medicine, the relationship of trust we have with our patients.\"&nbsp;<\/em>Dr. Mart\u00ednez Sell\u00e9s has stated in several conferences.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In their opinion, physicians who practice euthanasia&nbsp;<em>\"will be emotionally and psychologically affected in a negative way. In addition, the patient's trust in the healthcare system will be undermined. If a physician kills out of pity, it is a step that is difficult to return.<\/em>\"said the Madrid dean at the recent seminar organized by the Francisco de Vitoria University.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sell\u00e9s pointed out that the Code of Medical Deontology stressed in 2011 that&nbsp;<em>\"the physician shall never intentionally cause the death of any patient, not even at the patient's express request<\/em>\"and mentioned the 2020 report of the Spanish Bioethics Committee of Spain (see&nbsp;<a href=\"https:\/\/www.omnesmag.com\/en\/focus\/aprobacion-ley-eutanasia-espana\/\">https:\/\/www.omnesmag.com\/foco\/aprobacion-ley-eutanasia-espana\/<\/a>), which states, among other things, that&nbsp;<em>\"euthanasia and\/or suicide assistance are not signs of progress but a backward step of civilization\".<\/em><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Addressing suffering<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">At the same seminar, Dr. \u00c1lvaro G\u00e1ndara, palliativist and member of the Spanish Bioethics Committee, quoted psychiatrist Viktor Frankl, who said:&nbsp;<em>\"Man is not destroyed by suffering; man is destroyed by suffering without any sense.\"&nbsp;<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c1lvaro G\u00e1ndara focused his analysis on suffering and compassion, and it makes a lot of sense, because all definitions of euthanasia, from its supporters and its detractors, go through suffering. It is the workhorse. We have to try to avoid suffering. On that they all agree, supporters and opponents of euthanasia. The question is how.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Those who reject euthanasia, who as we are seeing are making themselves heard in increasing numbers and with weighty arguments, point out that the aim is to avoid suffering, to alleviate it, by means of adequate comprehensive palliative care treatment, but that the option cannot in any case be to kill the patient, because this is contrary to the very essence of the medical profession.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">A compassionate intervention<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">So how to do it? \u00c1lvaro G\u00e1ndara points out that&nbsp;<em>\"the care of suffering requires an approach to existential and spiritual needs, and the professional's tasks should be focused here, on facilitating the patient to complete his biography in an integral way, and to close the last chapter of his existence in an adequate manner\".<\/em>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\"Many of us physicians are aware.\"&nbsp;<\/em>added the doctor<em>that we are more expert in symptom care and drug management than in the control of hopelessness, in facilitating reconciliation with one's own history, in helping to find meaning in existence or in facilitating the acceptance of death\".&nbsp;<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In his opinion,&nbsp;<em>\"Our biology-centered clinical training and disease- and treatment-oriented healthcare model are not only insufficient, but can become an obstacle to meeting real needs at the end of life\".<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\"The skills required to address suffering<\/em>Dr. G\u00e1ndara continued, \"They are&nbsp;<em>\"specific, based on the ability to create a climate of security and trust as well as empathetic and intuitive, non-discursive attention.\"<\/em>. Key to this are&nbsp;<em>\"the knowledge of the person of the sick person, the ability to identify their fears and values, as well as threats and resources, and the willingness to accompany them in this situation: compassion.\"<\/em>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Steps in the face of suffering<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The palliative care expert from the Fundaci\u00f3n Jim\u00e9nez D\u00edaz thus described the&nbsp;<em>\"steps for intervention in the face of suffering\":<\/em>&nbsp;<em>\"Establish a relationship of trust and a therapeutic bond: identify suffering and its causes; attempt to resolve or defuse threats that can be resolved; explore the patient's resources and abilities to transcend their suffering: and proceed with compassionate intervention, guiding the patient towards the search for meaning, coherence and promoting acceptance of death.\"<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Both Dr. \u00c1lvaro G\u00e1ndara and other professionals, doctors with decades of activity and thousands of patients behind them, have revealed in recent months that when the pain of the very few patients who have asked them to die disappears, the desire to end their lives disappears just as quickly.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In this sense, they have criticized the assertion of the promoters of the current euthanasia bill, contained in its preamble, on the existence of&nbsp;<em>\"a sustained demand of today's society\".&nbsp;<\/em>of euthanasia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>\"The importance of care and accompaniment; a necessary training in palliative care; the proper of medicine is to cure and care, not to kill; the danger that looms over the mentally ill; the slippery slope: example of Holland and Belgium; and the need to train young doctors who love life and care for the vulnerable person. Compassion and prudence,<\/em>were, in the opinion of Elena Postigo, some of the key points of the seminar organized by the U. Francisco de Vitoria.<\/p>","protected":false},"excerpt":{"rendered":"<p>Profesores y directores de departamentos, institutos y cl\u00ednicas de fundaciones y universidades de identidad cristiana como Francisco de Vitoria, CEU San Pablo, Navarra o Comillas, y tambi\u00e9n enfermeras y otros profesionales, unas veces a t\u00edtulo personal, y otras de modo institucional, han hecho o\u00edr su voz estos d\u00edas argumentando ante los criterios reflejados en la [&hellip;]<\/p>\n","protected":false},"author":29,"featured_media":9061,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[553,548],"tags":[21],"class_list":["post-9060","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ecologia-integral","category-foco","tag-eutanasia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - 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