Autonomia, dinamiche relazionali e mandati professionali. Una riflessione sulle scelte di trattamento nella fase avanzata di patologie neurodegenerative

Journal title SALUTE E SOCIETÀ
Author/s Valeria Cappellato
Publishing Year 2015 Issue 2015/3
Language Italian Pages 13 P. 89-101 File size 131 KB
DOI 10.3280/SES2015-003008
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The paper reflects upon some relevant issues observed in the context of a broader research aimed at investigating the mechanisms producing inequalities in the construction of care pathways. 51 semi-structured interviews with experts, health and social professionals, kin and ALS patients have been carried out. The analysis of empirical material outlined the definition of the opportunities and constraints for ALS patients care pathways from the players? point of view. The essay aims at highlighting some factors that may influence the decision-making processes about treatment choices. The emphasis on the autonomy of patients is likely to conceal the weight of social relations for the definition of individual preferences. Along the process leading to the treatment choices, divergent interests and approaches may be in conflict or create care practices whose results are unexpected.

Keywords: Autonomy; end of life decisions, professionalism, decision making processes.

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Valeria Cappellato, Autonomia, dinamiche relazionali e mandati professionali. Una riflessione sulle scelte di trattamento nella fase avanzata di patologie neurodegenerative in "SALUTE E SOCIETÀ" 3/2015, pp 89-101, DOI: 10.3280/SES2015-003008