{"id":3110,"date":"2021-05-31T23:34:51","date_gmt":"2021-05-31T23:34:51","guid":{"rendered":"https:\/\/ethics.crto.on.ca\/?page_id=3110"},"modified":"2021-05-31T23:47:26","modified_gmt":"2021-05-31T23:47:26","slug":"la-decision-de-fin-de-vie","status":"publish","type":"page","link":"https:\/\/ethics.crto.on.ca\/fr\/la-decision-de-fin-de-vie\/","title":{"rendered":"La d\u00e9cision de fin de vie"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.55)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.8)\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb270deg\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/ethics.crto.on.ca\/wp-content\/uploads\/sites\/19\/2021\/05\/End_of_Life_Decision_Making.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb50px||50px|\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb3_5,2_5″ _builder_version=\u00a0\u00bb4.6.6″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb90px||90px||true|\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbSTANDARD TITLE\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_font_size=\u00a0\u00bb18px\u00a0\u00bb text_line_height=\u00a0\u00bb1.6em\u00a0\u00bb header_font=\u00a0\u00bb|||on|||||\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb]<\/p>\n

La d\u00e9cision de fin de vie
\n<\/strong><\/h1>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/ethics.crto.on.ca\/wp-content\/uploads\/sites\/19\/2021\/05\/crto-patternblue-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_width_top=\u00a0\u00bb3px\u00a0\u00bb border_color_top=\u00a0\u00bb#019BD7″ border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#019BD7″][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbpenaltiesAbuse\u00a0\u00bb _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb]<\/p>\n

La d\u00e9cision de fin de vie
\n<\/strong><\/h2>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.6.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb]<\/p>\n

Les droits juridiques des patients et clients \u00e0 la fin de leur vie constituent les exigences morales minimales. Les personnes en possession de leurs moyens ont le droit de d\u00e9cider des soins m\u00e9dicaux qu\u2019ils recevront. Si cette capacit\u00e9 est remise en question, elles ont le droit d\u2019obtenir une \u00e9valuation de leurs capacit\u00e9s. La Loi sur le consentement aux soins de sant\u00e9<\/em> (LCSS) d\u00e9crit le processus \u00e0 suivre si un patient ou client est consid\u00e9r\u00e9 comme n\u2019\u00e9tant pas en possession de ses moyens, incluant la d\u00e9signation d\u2019un mandataire sp\u00e9cial<\/strong>. (LCSS, 1996) Il est important de souligner toutefois que la d\u00e9cision finale quant au plan de soins rel\u00e8ve du patient\/client ou de son mandataire sp\u00e9cial. Le consentement au traitement est obligatoire, mais il faut aussi un consentement pour refuser un traitement ou pour l\u2019interrompre. (LCSS, 1996)<\/p>\n

[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb background_color=\u00a0\u00bb#019BD7″ custom_padding=\u00a0\u00bb25px|25px|25px|25px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb]<\/p>\n

Un nouveau-n\u00e9 gravement atteint de la maladie d\u2019AranDuchenne de type 1 a besoin de ventilation non invasive \u00e0 pression positive (VNIPP). Le th\u00e9rapeute respiratoire se fait demander d\u2019enlever le ventilateur. Que devrait-il faire? Comme le pronostic est grave, le m\u00e9decin traitant indique qu\u2019il serait \u00ab dans l\u2019int\u00e9r\u00eat de tous \u00bb de le retirer du ventilateur \u00e0 pression positive expiratoire \u00e0 deux niveaux. Toutefois, les parents d\u00e9sirent la poursuite du traitement, dans l\u2019espoir d\u2019amener leur b\u00e9b\u00e9 \u00e0 la maison. Le th\u00e9rapeute respiratoire s\u2019est fait demander d\u2019enlever le ventilateur. Que devrait-il faire?<\/p>\n

[\/et_pb_text][et_pb_accordion open_toggle_text_color=\u00a0\u00bb#019BD7″ _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb|600|||||||\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbLes principes moraux en cause sont le respect du libre arbitre, qui entre en conflit avec le besoin pour le th\u00e9rapeute respiratoire de faire le bien et de ne pas causer de tort.\u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_level=\u00a0\u00bbh3″ toggle_font=\u00a0\u00bb|600|||||||\u00a0\u00bb]<\/p>\n

Il est possible que l\u2019\u00e9quipe de soins de sant\u00e9 dispose de donn\u00e9es m\u00e9dicales probantes entourant la survie \u00e0 long terme de cet enfant et la qualit\u00e9 de vie pour la famille. Elle devrait discuter avec les parents des r\u00e9sultats attendus. Dans ce cas-ci, les parents sont les tuteurs de l\u2019enfant et sont donc en mesure de prendre des d\u00e9cisions au nom de ce dernier. Si on ne peut en arriver \u00e0 un accord sur le plan de soins et si l\u2019\u00e9quipe de soins de sant\u00e9 est d\u2019avis que la d\u00e9cision des parents n\u2019est pas dans l\u2019int\u00e9r\u00eat v\u00e9ritable de l\u2019enfant, elle peut pr\u00e9senter le cas aupr\u00e8s de la Commission de r\u00e9vision du consentement et de la capacit\u00e9<\/strong>. Dans l\u2019intervalle, toutefois, la d\u00e9cision des parents a force et le th\u00e9rapeute respiratoire doit \u00e9viter de retirer le b\u00e9b\u00e9 de la VNIPP.<\/p>\n

Pour obtenir de plus amples renseignements sur le consentement, voyez les lignes directrices de pratique professionnelle de l\u2019OTRO Responsabilit\u00e9s en vertu de la l\u00e9gislation en mati\u00e8re de consentement<\/em> \u00e0<\/span> www.crto.on.ca\/pdf\/fr\/PPG\/UnderConsent_fr.pdf<\/span><\/a><\/p>\n

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La d\u00e9cision de fin de vie La d\u00e9cision de fin de vie Les droits juridiques des patients et clients \u00e0 la fin de leur vie constituent les exigences morales minimales. Les personnes en possession de leurs moyens ont le droit de d\u00e9cider des soins m\u00e9dicaux qu\u2019ils recevront. Si cette capacit\u00e9 est remise en question, elles […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-3110","page","type-page","status-publish","hentry"],"yoast_head":"\nLa d\u00e9cision de fin de vie - Commitment to Ethical Practice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ethics.crto.on.ca\/fr\/la-decision-de-fin-de-vie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La d\u00e9cision de fin de vie - Commitment to Ethical Practice\" \/>\n<meta property=\"og:description\" content=\"La d\u00e9cision de fin de vie La d\u00e9cision de fin de vie Les droits juridiques des patients et clients \u00e0 la fin de leur vie constituent les exigences morales minimales. 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