RESUMO
Se presenta el caso de una paciente de sexo femenino de 42 años de edad con diagnóstico de esquizofrenia de larga data e insuficiencia renal crónica estadio V. Tras tratamiento sustitutivo de aproximadamente dos años ingresa en lista de espera para trasplante renal con donante fallecido. Recibe trasplante donante fallecido con buena evolución y favorable adaptación a las intercurrencias acontecidas en el transcurso del proceso. Este caso representa una posibilidad para pacientes con diagnóstico de esquizofrenia puedan recibir un trasplante renal con favorable evolución resaltando diversos aspectos a contemplar a fin de garantizar el éxito de dicha intervención
We report the case of a female patient, aged 42, with long-term schizophrenia and end-stage chronic kidney disease. After approximately two years undergoing replacement therapy, she is put on the waiting list for deceased donor kidney transplant. She receives a transplant from a deceased donor with good progress and favorable adaptation to the intercurrent diseases occurring during the course of the process. This case represents a possibility for patients diagnosed with schizophrenia; they may receive a kidney transplant with good progress, highlighting different aspects to be considered in order to guarantee the success of the procedure
Assuntos
Humanos , Feminino , Esquizofrenia , Evolução Clínica , Transplante de RimRESUMO
PURPOSE OF REVIEW: To review the definition of advanced directive, understand the implications for the patient, family and healthcare team, and address the obstacles involved in the implementation. RECENT FINDINGS: Advanced directives propose a model of healthcare based on patient preferences. Although there is sufficient evidence related to their usefulness, various factors are known to affect the use of advanced directives. Therefore, rules need to be established in order to optimize the implementation process. SUMMARY: An advanced directive is a legal document based on the principle of autonomy that expresses the desire of the patient in relation to different medical treatments when the patient is unable to make those decisions. The advanced directives are represented in three formats: Living Will, Appointment of a Healthcare Proxy and Legal Status of Preferences. The uses of advanced directives have an impact not only on the patients and their families, but also on the healthcare team. Despite their utility being well known, there are several general barriers that affect implementation, as well as factors related to characteristics of each study population.
