análise bioética do uso de recém-cadáveres na aprendizagem prática em medicina bioethical analysis of the use of newly dead patients in medical learning

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ID: 232717
2010
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Abstract
OBJETIVO: Realizar, a partir de ampla revisão crítica da literatura nacional e internacional, a discussão sobre o tema. MÉTODOS: Revisão da literatura com pesquisa de artigos entre 1977 e 2007 nos sites de pesquisa (Biblioteca Virtual em Saúde, PUBMED e SCIELO, utilizando as palavras-chave: newly deceased patients, newly dead patients, simulators, recém-cadáveres, simuladores. Busca complementar em livros da área de ética e bioética. Apreciação e reflexão crítica sobre o assunto. RESULTADOS: A prática da utilização de recém-cadáver para o aprendizado de procedimentos invasivos é muito frequente e pouco admitida. Estes, na maioria das vezes, são realizados às escondidas e sem o conhecimento ou consentimento da família, muitas vezes sem a adequada orientação de um docente. No Brasil, a regulamentação deontológica e legal não respalda tal uso, devendo a eticidade destas práticas ser discutida na formação do profissional durante a graduação. CONCLUSÃO: É essencial que a discussão da eticidade do uso de recém-cadáveres para a aprendizagem de procedimentos invasivos seja realizada pela comunidade acadêmica (docentes e discentes) e estendida para os serviços. A realização dos procedimentos por estudantes deve sempre ser precedida de autorização do familiar, sendo a prática em simuladores o passo inicial do treinamento dos estudantes.
OBJECTIVE: The purpose of this article is to carry out, a discussion on the subject of bioethics and cadavers based upon a critic review of literature . METHODS: A review of literature, was made with a survey of articles between 1977 and 2007 in the sites "Biblioteca Virtual de Saúde", PubMed and SciElo, utilizing the keywords: newly deceased patients, newly dead patients, simulators,. This was complemented by a critical evaluation of books published in the area of ethics and bioethics RESULTS: The possibility to develop learning without orientation by a supervisor is doubtful.. The utilization of newly dead for learning invasive procedures is very frequent and seldom admitted. These procedures, are usually, carried out secretly, without the knowledge and consent of the family. The ethical aspects of these practices are not discussed in the practical medical education. CONCLUSION: It essential that the ethics of use of recent deceased become a necessary content of graduate education. Performance of these procedures by students should always be authorized by family members. The simulators meet the requirements of training. Discussions about the ethical and bioethical aspects cannot be separated from practical considerations during the students learning time.
Reference Key
gomes2010revistaanlise Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Andréia Patrícia Gomes;Sergio Rego;Marisa Palácios;Rodrigo Siqueira-Batista
Journal acta crystallographica section e
Year 2010
DOI
10.1590/S0104-42302010000100008
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302010000100008
Keywords
death medical education bioethics cadaver

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