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Vol. 41. Issue 2.
Pages 395-407 (June 2012)
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Vol. 41. Issue 2.
Pages 395-407 (June 2012)
Epistemología filosofía de la mente y bioética
DOI: 10.1016/S0034-7450(14)60013-5
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Del principio de beneficencia al principio de autonomía: aproximación a la evaluación de la competencia mental de los pacientes en el hospital general
From the Principle of Beneficence to the Principle of Autonomy. Assessment of Patients' Mental Competency in the General Hospital
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Restrepo B. Diana1,
Corresponding author
dianarestrepobernal@gmail.com

Correspondencia: Diana Restrepo B., Hospital Universitario San Vicente Fundación, Calle 64, carrera 51D, Medellín, Colombia
, Cardeño C. Carlos1, Duque G. Marle2, Jaramillo Santiago3
1 Médica(o) psiquiatra de Enlace, Hospital Universitario San Vicente Fundación, Medellín, Colombia
2 Médico residente de Psiquiatría de III año, Universidad de Antioquia, Medellín, Colombia
3 Médico psiquiatra, Universidad de Antioquia, Medellín, Colombia
Article information
Resumen
Introducción

Rechazar un acto médico es un ejercicio válido dentro del derecho a la autonomía que tiene todo paciente. Desde el punto de vista legal, la autonomía se fundamenta en el derecho a la intimidad. En los últimos decenios, el derecho legal a la autodeterminación se ha ampliado progresivamente y hoy los pacientes en pleno uso de sus facultades mentales tienen el derecho moral y legal de tomar sus propias decisiones y estas tienen prioridad sobre las decisiones del médico y la familia.

Objetivo

Analizar el papel de los psiquiatras de enlace para evaluar la competencia mental de estos pacientes.

Discusión y Conclusiones

La evaluación de la capacidad de un paciente para decidir y autodeterminarse es un problema clínico frecuente en los hospitales generales. La evaluación de estos pacientes exige un conocimiento apropiado de los fundamentos filosóficos, éticos y legales que guían el tratamiento apropiado de estos complejos problemas clínicos.

Palabras clave:
Capacidad para decidir
consentimiento informado
autonomía
psiquiatría de enlace
Abstract
Introduction

Refusing a medical procedure is a valid way of exercising every patient's right to autonomy. From the legal point of view, autonomy is based on the right to privacy. In recent decades the legal right to self-determination has gradually expanded and today patients in full possession of their mental faculties, have the moral and legal right to make their own decisions and these decisions take precedence over physician and family. Often liaison psychiatrists are called in to assess the mental competence of patients in the general hospital.

Objective

To determine the psychiatrist's role in evaluating these patients.

Discussion and Conclusions

The assessment of a patient's ability to decide and self-determine is a common clinical problem in general hospitals. Evaluation of these patients requires a proper understanding of the philosophical, ethical, and legal issues that guide the appropriate treatment of these complex clinical problems.

Key words:
Capacity to decide
informed consent
autonomy
liaison psychiatry
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Conflictos de interés: Los autores manifiestan que no tienen conflictos de interés en este artículo.

Copyright © 2012. Asociación Colombiana de Psiquiatría
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