When Autonomy Conflicts with Harm Preventionts with Harm Prevention

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Oscar M. Mazza
Servicio de Cirugía General. Hospital Italiano. Buenos Aires, Argentina
https://orcid.org/0000-0001-6638-8659

Abstract

Can a person with mild cognitive impairment make decisions about their own medical care? The editors of the Revista del Hospital Italiano de Buenos Aires invited two distinguished experts to reflect on a hypothetical clinical scenario.


Dr. Oscar Mazza examines how to balance autonomy, beneficence, and protection in people with mild cognitive impairment, and discusses the roles of the family, the healthcare team, and advance directives.


Read Dr. F. Giber’s commentary: [link]

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Published: 2026-06-23
DOI: https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v46i2.1351
Keywords:
Informed Consent, Decision Making, Advance Directives, Personal Autonomy

Article Details

Issue

Vol. 46 No. 2 (2026): Revista del Hospital Italiano de Buenos Aires

Section

Controversy
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

How to Cite

1.
Mazza OM. When Autonomy Conflicts with Harm Preventionts with Harm Prevention. Rev Hosp Ital B.Aires [Internet]. 2026 Jun. 23 [cited 2026 Jul. 31];46(2):e0001351. Available from: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/1351

References

ACS/NSQIP/AGS Best Practices Guidelines. Optimal preoperative assessment of the geriatric patient. [Chicago, IL: ACS; 2016].

Argentina. Código civil y comercial de la Nación. Buenos Aires: Ministerio de Justicia; 2015. Artículos 31 a 60 (Persona Humana y Derechos Personalísimos).

Argentina. Honorable Congreso de la Nación. Ley Nacional Nº 26.529. Derechos del paciente en su relación con los profesionales e instituciones de la salud. Bol Nac Rep Argent. 2009 oct 21;(31785):1.

Appelbaum PS. Clinical practice. Assessment of patients' competence to consent to treatment. N Engl J Med. 2007;357(18):1834-1840.

Beauchamp TL, Childress JF. Principles of biomedical ethics. 8th ed. New York: Oxford University Press; 2019.

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