Its use as a means of alleviating pain or suffering, a perfectly reasonable purpose in itself, does not morally justify the use of medical techniques with the aim and direct intent of causing the patient’s death, in either case In this it is the doctor who causes the death (euthanasia) as in the case where the doctor limits himself to providing the necessary knowledge and medicines so that the patient can commit suicide (assisted suicide).
In the light of society, when a patient knows that the doctor can kill him, the relationship between people and medicine will deteriorate and the trust essential to the doctor-patient relationship will lose its value and may turn into mistrust.
Skillful relief and compassion is an acceptable and valid medical response when suffering from challenges.
Based on current scientific knowledge and experience, we affirm that one of the essential aims of therapy is the relief of pain and suffering caused by illness and health trauma.
Evidence demonstrates the effectiveness of palliative care and recommends its early application during advanced and life-threatening diseases (not only applicable at the end of life). In our country, despite the recently promulgated National Law on Palliative Care, the actual and current scope of its coverage is limited and insufficient.
For these reasons, the National Academy of Medicine aims to implement all interdisciplinary strategies necessary for relief, to guarantee the provision of palliative care as an essential part of the adequacy of the therapeutic effort in situations of advanced and life-threatening disease. recommends. Of suffering
In addition, consideration should also be given to the suspension (or non-indication) of interventions that may be beneficial in earlier stages of the disease but are futile, harmful or incompatible with achievable objectives in the advanced stage.
In an end-of-life context, the therapeutic option of palliative sedation is appropriate when the patient’s symptoms are refractory to palliative interventions and severe pain is manifested, emphasizing that palliative sedation hastens death. (which would occur immediately due to the acute condition of the underlying disease) but rather reduces the perception of pain.