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Chronic kidney disease has a major impact on global health, causing both morbidity and mortality worldwide. Bioethics (from Greek: βιοσ — life, ετηοσ — custom) is a science that analyzes and studies the morality of human actions in the field of health care and in the biological and medical fields in accordance with its moral standards and values. The modern concept of bioethics is closely intertwined with the concepts of deontology, doctor’s code of ethics in the medical practice of a nephrologist. In the medical practice, there is a tendency to spread of absolutization of drug therapy, fetishization of laboratory, instrumental, hardware research methods, medical aggression. The patient’s contact with the doctor should begin with a conversation. On the part of the doctor, such a conversation should be based on the principles of empathy. The doctor must be able to dispel passivity and depression of patients, to strengthen social contact, and expand the space of their intellectual interests. The behavior of the doctor, who demonstrates a lack of understanding of the patient’s problems and does not consider psychosocial relationships, often causes mistrust and even becomes the cause of a conflict between the doctor and the patient. Issues of medical ethics in case of the need for kidney replacement therapy remain difficult. The offer of peritoneal dialysis, hemodialysis can be perceived positively from the first word, or it can be categorically negative, depending on the character and emotional state of the patient. The purpose of our article is to consider the peculiarities of the implementation of bioethical principles in the treatment and rehabilitation of patients with chronic kidney disease. The object of the work was the articles of philosophers, doctors, and lawyers who studied ethical relations in the medical environment in general and nephrology in particular. The subject of the study was the ethical norms and rules fixed in the documents. The article uses methods of historical approach, research of historical documents.
Chronic kidney disease has a major impact on global health, causing both morbidity and mortality worldwide. Bioethics (from Greek: βιοσ — life, ετηοσ — custom) is a science that analyzes and studies the morality of human actions in the field of health care and in the biological and medical fields in accordance with its moral standards and values. The modern concept of bioethics is closely intertwined with the concepts of deontology, doctor’s code of ethics in the medical practice of a nephrologist. In the medical practice, there is a tendency to spread of absolutization of drug therapy, fetishization of laboratory, instrumental, hardware research methods, medical aggression. The patient’s contact with the doctor should begin with a conversation. On the part of the doctor, such a conversation should be based on the principles of empathy. The doctor must be able to dispel passivity and depression of patients, to strengthen social contact, and expand the space of their intellectual interests. The behavior of the doctor, who demonstrates a lack of understanding of the patient’s problems and does not consider psychosocial relationships, often causes mistrust and even becomes the cause of a conflict between the doctor and the patient. Issues of medical ethics in case of the need for kidney replacement therapy remain difficult. The offer of peritoneal dialysis, hemodialysis can be perceived positively from the first word, or it can be categorically negative, depending on the character and emotional state of the patient. The purpose of our article is to consider the peculiarities of the implementation of bioethical principles in the treatment and rehabilitation of patients with chronic kidney disease. The object of the work was the articles of philosophers, doctors, and lawyers who studied ethical relations in the medical environment in general and nephrology in particular. The subject of the study was the ethical norms and rules fixed in the documents. The article uses methods of historical approach, research of historical documents.
Introduction: Human life is the superior value among all goods protected by law. Determined by many factors: from transmitted genes, through an individual lifestyle or diet, to socio-cultural factors, i.e. the environment in which a person lives, understood as a community to which he belongs or related factors with access to basic services, including healthcare. The last factor is particularly important in the event of a threat to human health or life. However, the legal protection of these values - despite the fact that it is legitimate – stands in contradiction with the natural, human need to help others. One of such cases is organ transplantation in a situation where a life-saving person would be exposed to serious health impairment or even death. Aim: The purpose of this article is to consider, on the basis of Polish law regulations, a hypothetical case in which a given donor, compatible for two different people, would be willing to donate his healthy organs - in this case both kidneys. Review and Conclusions: It turned out that this transplant is theoretically possible. Technical infrastructure and hospital equipment are also definitely adapted to this type of situation. Nevertheless, in practice, such procedures as double donation from a living donor are not performed. This is in contradiction with the usual medical ethics and regulations. The protection of the health and life of the donor is in this case a priority that cannot be put above others.
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