Proposal of an action guide to coordinate the last visits of relatives during the «last days life» of a Covid-19 patient in Mexico

Main Article Content

Rodrigo Pavón Sánchez
https://orcid.org/0000-0001-5288-0327
Alfredo Covarrubias Gómez
https://orcid.org/0000-0001-5524-1264
María J. Bravo Chang
https://orcid.org/0000-0003-4287-4294

Abstract

In December 2019, a new, potentially fatal acute respiratory illness caused by a coronavirus was described in Wuhan Province in China. This disease was called Covid-19. In Mexico, mortality from this disease is high and a significant percentage of patients die in hospitals. For now, there is no specific protocol in Mexico’s public and private health system for families to say goodbye to patients with Covid-19. A panel of experts in palliative care and bioethics proposes one, so that it could serve as a reference in every health unit in our country.

Downloads

Download data is not yet available.

PLUMX Metrics

Article Details

How to Cite
Pavón Sánchez, R., Covarrubias Gómez, A., & Bravo Chang, M. J. (2021). Proposal of an action guide to coordinate the last visits of relatives during the «last days life» of a Covid-19 patient in Mexico. Revista De Medicina Y Ética, 32(1), 107–121. https://doi.org/10.36105/mye.2021v32n1.03
Section
Articles
Author Biographies

Rodrigo Pavón Sánchez, Regional General Hospital No. 12, Lic. Benito Juárez, IMSS

Department of Anesthesiology and Bioethics Committee of the General Regional Hospital No. 12, Lic. Benito Juárez, IMSS, Mérida, Yucatán, México. Email: rapavons@gmail.com https://orcid.org/0000-0001-5288-0327

Alfredo Covarrubias Gómez, Center Algia por Education in Health

Department of Education and Research of the Algia Center for Health Education, Mexico City, México. https://orcid.org/0000-0001-5524-1264

María J. Bravo Chang, Regional General Hospital No. 12, Lic. Benito Juárez, IMSS

Clinical Coordination of Internal Medicine of the Regional General Hospital No. 12, Lic. Benito Juárez, IMSS, Mérida, Yucatán, México. https://orcid.org/0000-0003-4287-4294

References

1. Yuki K, Fujiogi M, Koutsogiannaki S. Covid-19 pathophysiology: A review. [Consultado
el 20 de abril del 2020]. Clin Immunol. 2020; 215: 108427.
https://doi.org/10.1016/j.clim.2020.108427
2. Ksiazek TG, Erdman D, Goldsmith CS, et al. A novel coronavirus associated
with severe acute respiratory syndrome. N Engl J Med. 2003; 348(20): 19531966.
https://doi.org/10.1056/NEJMoa030781
3. Organización Mundial de la Salud. Estimating mortality from Covid-19. [Consultado
el 4 de agosto de 2020]. Recuperado en: https://www.who.int/news-room/
commentaries/detail/estimating-mortality-from-covid-19
4. Johns Hopkins University of Medicine. Covid-19: Mortality analysis. 2020. [Consultado
el 01 de septiembre del 2020]. Recuperado en: https://coronavirus.jhu.
edu/data/mortality
5. NHS. Clinical guide for supporting compassionate visiting arrangements for those
receiving care at the end of life. [Consultado el 1 de septiembre del 2020]. Recuperado
en: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/
52/2020/03/C0393-clinical-guide-for-supporting-compassionate-visiting-arrangements-
11-may-2020.pdf
6. Derecho a morir dignamente. Covid 19: Protocolos para el acompañamiento y
la muerte digna. 15 de abril del 2020. [Consultado el 1 de septiembre del 2020].
Recuperado en: https://derechoamorir.org/2020/04/15/covid-19-listado-de-iniciativas-
para-facilitar-el-acompanamiento-al-final-de-la-vida/ https://doi.org/10.16925/
gcgp.21
7. Osiris Pazarán RM, Guerrero Uribe GE, Herrera Melo A, Ascencio Huertas L,
Rodríguez Lugo ME, Aguilar Salas I, Esquivias Zavala H, Beltrán-Uribe A, Ibarreche-
Beltrán J. Manual operativo del curso para el acompañamiento del duelo en
situaciones especiales durante la pandemia del Covid-19 en México. 2020. [Consultado
el 1 de septiembre del 2020]. Recuperado en: http://inprf.gob.mx/
ensenanzanew/archivos/2020/manual_duelo.pdf https://doi.org/10.1016/j.rx.2020.
09.006
8. Janssen DJA, Ekström M, Currow DC, Johnson MJ, Maddocks M, Simonds AK,
Tonia T, Marsaa K. Covid-19: Guidance on palliative care from a European Respiratory
Society international task force. Eur Respir J. 2020; 56(3): 2002583. https://
doi.org/10.1183/13993003.02583-2020
9. Núñez Cortés JM. Humanización de la medicina, medicina humanizada, medicina
humanista: ¿de qué estamos hablando? Ed Méd. 2018; 19(3): 131-132.
https://doi.org/10.1016/j.edumed.2018.05.001
10. Sociedad Española de Cuidados Paliativos. Capítulo 14. Los últimos días:
atención a la agonía. s. f. [Consultado el 1 de septiembre del 2020]. Recuperado
en: https://www.secpal.com/biblioteca_guia-cuidados-paliativos_14-los-ultimosdias-
atencion-a-la-agonia https://doi.org/10.5209/psic.59195
11. Rubio O, Estella A, Cabre L, Saralegui-Reta I, Martín MC, Zapata L, Esquerda
M, Ferrer R, Castellanos A, Trenado J, Amblas J. Ethical recommendations for a
difficult decision-making in intensive care units due to the exceptional situation of
crisis by the Covid-19 pandemia: A rapid review & consensus of experts. Med
Intensiva. 2020; S0210-5691(20): 30110-8. https://doi.org/10.1016/j.medin.2020.
04.006.
12. Instituto Nacional de Salud Pública. Signos, síntomas y prevención (Covid-
19). 25 de sgosto del 2020. [Consultado el 1 de septiembre del 2020]. Recuperado
en: https://www.insp.mx/nuevo-coronavirus-2019/signos-sintomas-prevencion.
html https://doi.org/10.1590/s1135-57272003000400002
13. Secretaría de Salud. Voluntad anticipada. s. f. [Consultado el 1 de septiembre
del 2020]. Recuperado en: https://www.salud.cdmx.gob.mx/actividades/voluntadanticipada
https://doi.org/10.33539/lumen.2015.n11.543
14. Consuegra Fernández M, Fernández Trujillo A. La soledad de los pacientes
con Covid-19 al final de sus vidas. Rev Bioética y Derecho. 2020; 50(nov): 81-98.
https://doi.org/10.1344/rbd2020.50.31683