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Educare

Educare

FEBRERO 2006 N° 2 Volumen 4

Decision making at the end of life. The living will

Section: TEACHING TO LEARN

Authors

1Juan Carlos Martínez Ortega, 2Rosa Mª Martínez Ortega, 2Cristina Oter Quintana, 2María Dolores Rubiales Paredes

Position

1Licenciado en Derecho.2Enfermera. Título Superior en Ciencias de la Salud (Enfermería). Profesora EUE de la Comunidad de Madrid.

Contact address

Rosa Martínez. Escuela Universitaria de Enfermería. Avda. Orellana s/n. Recinto del Hospital Severo Ochoa. 28911 Leganés (Madrid)

Contact email: rosa.martinez@salud.madrid.org

Abstract

Introduction: Modern medicine has made great advances in the last century, resulting in a longer life expectancy and improved quality of life. However, these advances have not been realised as far as death is concerned. A good dying is today the privilege of a few. The person about to die claims his or her right to a dignified end. Their request goes more often than not unheard by healthcare professionals. The Patient Autonomy Law, with the regulation of the living will or anticipated wishes, represents a switch in this sense.
Development: The objective of this work is to provide information of the currently in force norms and regulations governing the living will or anticipated wishes by performing a critical review of the existing legislation.
Conclusions: The ultimate goal of health care is to win over disease, to alleviate suffering and to promote self-care. To these affirmations we should add a fourth element: to permit the dying person to have a dignified death. The recognition of the living will as a right of the patient represents a first step towards the construction of a more and more humane society.

Keywords:

anticipated wishes in life; bioethics; personal autonomy; legislation and jurisprudencenursing

Versión en Español

Título:

La toma de decisiones en el final de la vida. El testamento vital