Rules on informed consent and advance directives at the end-of-life: the new Italian law

doi: 10.7417/CT.2020.2195

  • R. V. Viola Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome
  • N. Di Fazio Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome
  • Z. Del Fante Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome
  • V. Fazio Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome
  • G. Volonnino Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome
  • S. Romano Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome
  • A. Quattrocchi Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome
  • M. Arcangeli Department of Life, Health and Environmental Sciences, University of L’Aquila, Italy

Abstract

Background
End-of-life decisions are an emergent issue for bioethical debates and practical concerns among health professionals.


On December 2017, Italy enacted a new law named “Rules about informed consent and advance directives”, which promotes the relationship of care in a fiduciary sense through the implementation of a correct and exhaustive information. It is also prescribed to record in writing all the patients’ decisions about consent or refusal. Furthermore, the law explicitly forbids unreasonable therapeutic obstinacy for terminal patient, legitimizing deep palliative sedation.


Finally, the law establishes the use of “advance directives” as a written document by which adults and capable people can express their wishes regarding health treatments and diagnostic tests in anticipation of a possible future incapacity. The law provides that doctors must comply with these directives, unless they appear clearly incongruous or not corresponding to the patient’s current clinical condition

Published
2020-03-04
How to Cite
VIOLA, R. V. et al. Rules on informed consent and advance directives at the end-of-life: the new Italian law. La Clinica Terapeutica, [S.l.], v. 2, n. 171, p. e94 - e96, mar. 2020. ISSN 1972-6007. Available at: <http://www.clinicaterapeutica.it/ojs/index.php/ClinicaTerapeutica/article/view/593>. Date accessed: 04 apr. 2020.

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