Acaso da beira do leito, causo da bioética

Grinberg, Max

doi:10.1590/s0066-782x2006001900026

Cited by 5 publications

(6 citation statements)

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“…Beliefs of inattention to the person, of technical limitation as denial of attention and malpractice in new unwanted beginnings point out to scenarios made up by fragmented case management and miscommunication 5,6 .…”

Section: Preamblementioning

confidence: 99%

Bioethics Cardioteam Useful for Bedside Crisis Management

Grinberg¹

2014

Arquivos Brasileiros De Cardiologia

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Section: Preamblementioning

confidence: 99%

Bioethics Cardioteam Useful for Bedside Crisis Management

Grinberg¹

2014

Arquivos Brasileiros De Cardiologia

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“…The bridge to Potter's future, less than 40 years after this same book, the "ABC of bioethics", is already a bridge to the present in order to reach an immediate end in clinical chances 7 , passing by the increasing unrealism of "book cases". Such facts allow the free transit of anamnesis and the stethoscope, symbols of the physician-patient relationship, without any perceptive of retirement.…”

Section: Grinberg the Classical Approach The Innovation Bioethics Amentioning

confidence: 99%

Manter o clássico e inovar em clínica de valvopatia: O equilíbrio pela bioética

Grinberg¹

2010

Arq. Bras. Cardiol.

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There is a Holter of decades bearing records of this kind in valvulopathy clinics.The classic, the innovation of the past that has been tested and attested by Time, is the basis of the culture in Medicine, used to shape the continuity of a new usefulness and efficacy. The good understanding of the classic brings the temporality of the coexistence as contemporary. That is an unquestionable fact in valvulopathy clinics. The phonomechanocardiography disappeared at the onset of echocardiography, but the auscultation through the stethoscope remains eternal.The logic of the process of establishing the innovation is based on the recombinations it brings to the assets obtained at bedside, resulting from the integration of the physician's personal experience with the collective experience of literature. Reinforcement is provided when classical goals are favored by the multiplication of methods and new objectives arise as the aftermath of innovations 3 .The XX century witnessed the fast acquisition of cardiorelevant images on a small screen 4 . Morphofunctional diagnoses dismissed, as a consequence, the direct looking at the heart on a workbench. In the XXI century, the renewal of indicators and markers, the new configurations of the gold standards remains a challenge for the clinical sense motivation (verificar com o autor o significado da frase).Hearing, sight and touch -the triad of senses that gives the impact of benefit in decision-making on beneficence, nonmaleficence at the bedside in valvulopathy clinics. Silence deafens the physician-patient relationship. The clinical eye myopia blinds the integrative reasoning, disregarding it. The scarcity of modesty in science and consciousness desensitizes the decision, dehumanizes it. These are deficiencies that disfigure the classic sense of valvulopathy clinics and damage anything that might arise from the innovations.Each strategy to incorporate the bedside benefits requires adjustments in the classic ethical parameters 5 . Specifically, about what did not use to be done, now possible negligence because it is feasible, and the doing it with the modifications, which protects from recklessness. Moreover, new deeds usually bring to light cost-benefit concerns, due to the limited supply of health resources. It is the constant strife between technology and health management versus individual and collective benefit. One must not forget that the cardiology care comprehends a broad spectrum of medical services that ranges from primary to quaternary attention. It is of bioethics: the non-maleficence of the classic supports the conventionality of innovation.The heart adapts by remodeling 1,2 . Cardiology also undergoes remodeling by the hypertrophy of good practices based on the enlargement of technoscientific knowledge frontiers and the acknowledgment of humanization.There is much to be pondered about the immutable realities (heart failure, infarct and arrhythmias) that must fit into the organ called heart; and also on the intents and estimates to which such realities are subjec...

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“…O conceito que mais do que casos clínicos, a beira do leito descortina acasos clínicos por combinações infinitas de modalidade e intensidade de morbidades (2) abrange a variedade de interpretações pessoais envolvidas na relação médico-paciente. O exame do que ocorre com o corpo do paciente inclui o exame psicossocial do que transborda na beira do leito.…”

Section: áRea: Cardiologiaunclassified

“…A Bioética da beira do leito (2,10) presta-se ao exame comparativo de múltiplas consequências, que pode indicar a melhor sustentação para o sucesso de conciliação entre as partes que se sentem prejudicadas em seus interesses pessoais e profissionais. Ela chama atenção que o poder que o médico exerce é sempre interpessoal e de caráter social, caso contrário torna-se força, um comportamento que expõe a apreciações antiéticas.…”

Section: Pont O De Vistaunclassified

Acerca da Bioética da beira do leito

Grinberg¹

2010

Rev. Assoc. Med. Bras.

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Acaso da beira do leito, causo da bioética

Cited by 5 publications

References 0 publications

Bioethics Cardioteam Useful for Bedside Crisis Management

Bioethics Cardioteam Useful for Bedside Crisis Management

Manter o clássico e inovar em clínica de valvopatia: O equilíbrio pela bioética

Acerca da Bioética da beira do leito

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