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Revista americana de medicina respiratoria

On-line version ISSN 1852-236X


PFEIFFER, María Luisa  and  MOLINARI, Luciana. Relación médico paciente: la bioética y el cuidado en medicina. Rev. amer. med. respiratoria [online]. 2013, vol.13, n.3, pp.152-155. ISSN 1852-236X.

Along the medicine history the doctor has mainly performed tasks of assistance and consolation. Between the fifteenth and seventeenth centuries the evolving knowledge brought a change in the concepts of medicine. To assist patients very quickly starts to mean prescription of a medication. Today, imbued with the same spirit, we understand that removing a damage and spell means removing the disease. Bioethics teaches to find ethical behaviors in the doctors like men showing their integrity, ability to live with their history and projections into the future, as Potter, its founder, proposed. This often involves healing, repairing, removing the damage, but overall it requires that the doctors fulfill their oldest vocation: to care. But, how can the doctors think the body as well as the illness in a different way? By projecting a world with the patient, sharing the same space with him, taking care for the common space, the joint project. This is a measure not only of the doctors' humanitarian practice, but also of his ethics. We should speak of an ethics of medical care. This means to be basically attentive that the patient is a person who needs us, who comes to the doctor asking for help. If the help is denied, actions are not taken, or the actions are for the benefit of others, this would clearly mean an unethical, immoral conduct. The biggest challenge for the doctor is to meditate in front of a dying patient and especially a suffering patient. Practicing ethical of care is to accompany the patient on the road to the future, be it life or death, bearing in mind what Erik Cassel said "The doctor rarely cures, sometimes alleviates, but should always console".

Keywords : Bioethics; Physician-patient relationship; Healthcare.

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