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      Consentimiento informado en la punción lumbar. Una propuesta para su ejecución Translated title: Consent in the lumbar puncture. A proposal for execution

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          Abstract

          La punción lumbar es un procedimiento invasivo, no exento de riesgos y para hacerlo es necesario solicitar el consentimiento informado del paciente o de un familiar. En este trabajo se aportan elementos éticos y prácticos necesarios para la realización de un correcto consentimiento informado en los pacientes a quienes se practica este proceder. Se propone un modelo de consentimiento informado para este fin que incluye información sobre: la explicación del procedimiento, contraindicaciones, complicaciones y cuidados después del procedimiento. Se resalta que el consentimiento informado para la punción lumbar, más que una exigencia institucional o legal, constituye una exigencia ética para el médico y un derecho exigible por parte de los pacientes por lo que urge instituirlo como práctica sistemática.

          Translated abstract

          Lumbar puncture is an invasive procedure, not exempt of risks and to do so it is necessary to request the consent of the patient or a family member. This paper provides practical and ethical elements necessary to carry out a proper informed consent in patients to whom this procedure is practiced. Proposes a model of informed consent for this purpose which includes information on: the explanation of the procedure, contraindications, complications and care after the procedure. It highlights that informed consent for lumbar puncture, rather than a legal, or institutional requirement constitutes an enforceable right by patients and an ethical requirement for medical by which urges to establish it as a systematic practice.

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          Most cited references54

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          Medical informed consent: general considerations for physicians.

          Medical informed consent is essential to the physician's ability to diagnose and treat patients as well as the patient's right to accept or reject clinical evaluation, treatment, or both. Medical informed consent should be an exchange of ideas that buttresses the patient-physician relationship. The consent process should be the foundation of the fiduciary relationship between a patient and a physician. Physicians must recognize that informed medical choice is an educational process and has the potential to affect the patient-physician alliance to their mutual benefit. Physicians must give patients equality in the covenant by educating them to make informed choices. When physicians and patients take medical informed consent seriously, the patient-physician relationship becomes a true partnership with shared decision-making authority and responsibility for outcomes. Physicians need to understand informed medical consent from an ethical foundation, as codified by statutory law in many states, and from a generalized common-law perspective requiring medical practice consistent with the standard of care. It is fundamental to the patient-physician relationship that each partner understands and accepts the degree of autonomy the patient desires in the decision-making process.
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            Informed consent for elective surgery--what is best practice?

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              Is Open Access

              Diagnosis and biomarkers of predementia in Alzheimer's disease

              In view of the growing prevalence of Alzheimer's disease (AD) worldwide, there is an urgent need for the development of better diagnostic tools and more effective therapeutic interventions. At the earliest stages of AD, no significant cognitive or functional impairment is detected by conventional clinical methods. However, new technologies based on structural and functional neuroimaging, and on the biochemical analysis of cerebrospinal fluid (CSF) may reveal correlates of intracerebral pathology in individuals with mild, predementia symptoms. These putative correlates are commonly referred to as AD-related biomarkers. The relevance of the early diagnosis of AD relies on the hypothesis that pharmacological interventions with disease-modifying compounds are likely to produce clinically relevant benefits if started early enough in the continuum towards dementia. Here we review the clinical characteristics of the prodromal and transitional states from normal cognitive ageing to dementia in AD. We further address recent developments in biomarker research to support the early diagnosis and prediction of dementia, and point out the challenges and perspectives for the translation of research data into clinical practice.
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                Author and article information

                Journal
                hmc
                Humanidades Médicas
                Rev Hum Med
                Centro para el Desarrollo de las Ciencias Sociales y Humanísticas en Salud (Ciudad de Camaguey, , Cuba )
                1727-8120
                December 2013
                : 13
                : 3
                : 682-701
                Affiliations
                [01] La Habana orgnameInstituto de Neurología y Neurocirugía Cuba ivonne.martin@ 123456infomed.sld.cu
                Article
                S1727-81202013000300007 S1727-8120(13)01300307
                6432982d-ad6d-4896-960b-f64b83737cb0

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 12 December 2012
                : 09 September 2013
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 48, Pages: 20
                Product

                SciELO Cuba

                Categories
                Revisión Bibliográfica

                informed consent,información,bioética,punción espinal,consentimiento informado,information,bioethics,lumbar puncture

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