<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0123-3122</journal-id>
<journal-title><![CDATA[Persona y Bioética]]></journal-title>
<abbrev-journal-title><![CDATA[pers.bioét.]]></abbrev-journal-title>
<issn>0123-3122</issn>
<publisher>
<publisher-name><![CDATA[Universidad de la Sabana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0123-31222019000200224</article-id>
<article-id pub-id-type="doi">10.5294/pebi.2019.23.2.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Voluntades anticipadas: desafíos éticos en el cuidado del paciente]]></article-title>
<article-title xml:lang="en"><![CDATA[Advance Directives: Ethical Challenges in Patient Care]]></article-title>
<article-title xml:lang="pt"><![CDATA[Diretivas antecipadas de vontade: desafios éticos no cuidado do paciente]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Forero]]></surname>
<given-names><![CDATA[Jenny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[Ivonne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernales]]></surname>
<given-names><![CDATA[Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Católica de Chile  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Católica de Chile  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Pontificia Universidad Católica de Chile  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>2</numero>
<fpage>224</fpage>
<lpage>244</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0123-31222019000200224&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0123-31222019000200224&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0123-31222019000200224&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las voluntades anticipadas en salud tienen como finalidad que la persona manifieste de manera anticipada su voluntad sobre los cuidados y el tratamiento de su salud, lo cual le permite expresar personalmente y de forma previa sus preferencias. Esta revisión de la literatura tiene por objetivo describir el concepto y la estructura de las voluntades anticipadas, así como los aspectos éticos involucrados durante el cuidado del paciente. Con las palabras clave &#8220;Advanced Health Care Directive&#8221; AND &#8220;Ethical Implication&#8221; y sus símiles en español (voluntades anticipadas, implicaciones éticas), se revisaron cinco bases de datos: ProQuest, Philosophy (JSTOR), PubMed, Web of Science y SciELO; las publicaciones se agruparon entre los años 2010 y 2018. Se obtuvieron 31 artículos de los cuales se realizó una lectura crítica. Los resultados de esta revisión fueron agrupados en las siguientes categorías: concepto, estructura, situaciones clínicas donde se aplican las voluntades anticipadas, fortalezas y limitaciones; así como los aspectos éticos involucrados. Actualmente, son más comunes las vivencias relacionadas con las situaciones al final de la vida, donde la persona pierde su capacidad de decidir y no puede manifestar sus deseos, por lo que es imposible conocer su voluntad. Gran parte de los profesionales de la salud no tienen capacitación adecuada sobre el desarrollo y la aplicación de las voluntades anticipadas, escenario que se convierte en una oportunidad para la investigación y profundización sobre el tema. Las voluntades anticipadas son una herramienta que proporciona al equipo de salud información fidedigna de los valores y deseos del paciente, por lo que es importante capacitar a estos profesionales para brindar una atención respetuosa y de calidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Advance healthcare directives are intended for the individual to personally express their will and preferences about healthcare and treatment ahead of time. This literature review aims to describe the concept and structure of advance directives and the ethical aspects involved in patient care. Using the keywords &#8220;Advance Healthcare Directive&#8221; AND &#8220;Ethical Implication&#8221; and its Spanish equivalents (voluntades anticipadas, implicaciones éticas), five databases were accessed: ProQuest, Philosophy (JSTOR), PubMed, Web of Science and Scielo. Publications were narrowed down to the 2010-2018 period. Thirty-one articles were obtained and read critically. Results of this review were grouped into the following categories: concept, structure, clinical situations in which advance directives apply, strengths and limitations, as well as the ethical aspects involved. End of life-related experiences in which a person loses their ability to make decisions and cannot express their wishes, so it is impossible to know their will, are more common nowadays. Most health workers are not appropriately trained in the preparation and application of advance directives, which becomes an opportunity to research and delve deeper into the subject. Advance directives are a tool that gives health workers reliable information on a patient&#8217;s values and wishes, so it is vital to train them to provide respectful quality care.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo As diretivas antecipadas de vontade na saúde têm como finalidade que o paciente manifeste, de maneira antecipada, sua vontade e preferências sobre os cuidados e o tratamento de sua saúde. Esta revisão da literatura tem como objetivo descrever o conceito e a estrutura das diretivas antecipadas de vontade, bem como os aspectos éticos envolvidos durante o cuidado do paciente. Com as palavras-chave &#8220;advanced health care directive&#8221; AND &#8220;ethical implication&#8221; e seus equivalentes em espanhol (&#8220;voluntades anticipadas&#8221;, &#8220;implicaciones éticas&#8221;), foram revisadas cinco bases de dados: ProQuest, Philosophy (JSTOR), PubMed, Web of Science e SciELO; as publicações são de 2010 a 2018. Foram obtidos 31 artigos, dos quais foi realizada uma leitura crítica. Os resultados desta revisão foram agrupados nas seguintes categorias: conceito, estrutura, situações clínicas em que são aplicadas as diretivas antecipadas de vontade, fortalezas, limitações, bem como aspectos éticos envolvidos. Atualmente, são mais comuns as vivências relacionadas com as situações no final da vida, em que a pessoa perde sua capacidade de decidir e não pode manifestar seus desejos, portanto é impossível conhecer sua vontade. Grande parte dos profissionais da saúde não tem capacitação adequada sobre o desenvolvimento e a aplicação das diretivas antecipadas de vontade, o que se torna uma oportunidade para pesquisar e aprofundar sobre o tema. As diretivas antecipadas de vontade são uma ferramenta que proporciona, à equipe de saúde, informação fidedigna dos valores e desejos do paciente, por isso é importante capacitar os profissionais para oferecer uma atenção respeitosa e de qualidade.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[voluntad anticipada]]></kwd>
<kwd lng="es"><![CDATA[documento de voluntad anticipada]]></kwd>
<kwd lng="es"><![CDATA[voluntad de vida]]></kwd>
<kwd lng="es"><![CDATA[revelación]]></kwd>
<kwd lng="es"><![CDATA[directivas anticipadas]]></kwd>
<kwd lng="es"><![CDATA[testamento vital]]></kwd>
<kwd lng="es"><![CDATA[principios éticos]]></kwd>
<kwd lng="es"><![CDATA[toma de decisiones]]></kwd>
<kwd lng="es"><![CDATA[toma de decisiones clínicas]]></kwd>
<kwd lng="en"><![CDATA[advance directive]]></kwd>
<kwd lng="en"><![CDATA[health care advance directive]]></kwd>
<kwd lng="en"><![CDATA[living will]]></kwd>
<kwd lng="en"><![CDATA[disclosure]]></kwd>
<kwd lng="en"><![CDATA[advance directives]]></kwd>
<kwd lng="en"><![CDATA[ethical principles]]></kwd>
<kwd lng="en"><![CDATA[decision making]]></kwd>
<kwd lng="en"><![CDATA[clinical decision-making]]></kwd>
<kwd lng="pt"><![CDATA[vontade antecipada]]></kwd>
<kwd lng="pt"><![CDATA[directivas antecipadas de voluntade]]></kwd>
<kwd lng="pt"><![CDATA[DAV]]></kwd>
<kwd lng="pt"><![CDATA[testamentos quanto à vida]]></kwd>
<kwd lng="pt"><![CDATA[revelação]]></kwd>
<kwd lng="pt"><![CDATA[directivas antecipada]]></kwd>
<kwd lng="pt"><![CDATA[princípios éticos]]></kwd>
<kwd lng="pt"><![CDATA[tomada de decisões]]></kwd>
<kwd lng="pt"><![CDATA[tomada de decisão clínica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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