Orthotanasia the middle way

Abstract

Contextualization: Orthothanasia, the practice that allows for the natural death of terminally ill patients, is a significant topic in discussions on palliative care and medical ethics, particularly in Brazil and Portugal. This study investigates the contradictions and resistances surrounding its implementation in the Brazilian Unified Health System and the National Health Service, highlighting legislative ambiguities and the diversity of opinions among healthcare professionals and civil society. Objectives: The objectives include analyzing relevant legislation, identifying perceptions among professionals and society, and proposing guidelines for the ethical practice of orthothanasia. Method: This exploratory and descriptive research utilized bibliographic reviews and semi-structured interviews. Results: The results indicate a lack of consensus on orthothanasia, with professionals expressing legal uncertainty and society demonstrating limited understanding of the subject. Conclusion: It is concluded that the effective implementation of orthothanasia requires legislative clarification, education, and clear guidelines that promote respect for patient autonomy and dignity in the dying process.