ENADE Fisioterapia Practice Questions - ENADE Fisioterapia - Exame Nacional De Desempenho Dos Estudantes Exam

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An 82-year-old patient with end-stage metastatic oncological disease is admitted to an intensive care unit. The patient is lucid, oriented, and has legally documented an Advance Healthcare Directive (Diretivas Antecipadas de Vontade - DAV) requesting exclusively comfort measures and palliative care without invasive resuscitation or prolonged mechanical ventilation. When a family member demands invasive endotracheal intubation, the physical therapist and multidisciplinary team must prioritize which principlist bioethical pillar?

Paternalism, overriding the patient's explicit wishes in favor of immediate family emotional comfort. Autonomy of the patient, respecting their legally expressed self-determination and refusing therapeutic obstinacy (distanásia). Justice, prioritizing bed turnover regardless of clinical prognosis or patient rights. Non-maleficence understood strictly as the imperative to prolong biological life at any cost through invasive measures.

Correct Answer:

Autonomy of the patient, respecting their legally expressed self-determination and refusing therapeutic obstinacy (distanásia).

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