Francisca Rego
Biographic Data
| ID | 3802140 |
|---|---|
| NAME | Francisca Rego |
| GIVEN NAMES | Francisca |
| FAMILY NAME | Rego |
| SIGNATURE | REGO F |
| AFFILIATIONS | Universidade do Porto |
| ORCID | 0000-0001-8083-7895 |
| VERIFIED | Yes |
| TOTAL WORKS | 26 |
| TOTAL CITATIONS | 2 |
| WORKS AS AUTHOR | 26 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2018 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Desafios éticos do controle sintomático em cuidados paliativos
Os cuidados paliativos representam uma área de conhecimento capaz de contribuir para uma boa gestão do controle sintomático. No entanto, representam igualmente um desafio ético em áreas sensíveis com obstinação terapêutica, abstenção de alimentação e hidratação e sedação paliativa. Realizou-se revisão narrativa/reflexão crítica com base em pesquisa bibliográfica nas bases de dados principais, complementadas por artigos, livros e sites considerado…
Diretivas antecipadas de vontade no Brasil
O objetivo deste estudo foi analisar a percepção de psiquiatras que atuam no Brasil sobre a real aplicabilidade das diretivas antecipadas de vontade em seu trabalho e suas consequências presumíveis, levando em conta que ainda não há uma lei específica para regulamentar o uso dessa ferramenta no Brasil. Foi realizado estudo qualitativo, que abordou uma população de 40 psiquiatras da cidade do Rio de Janeiro. A coleta de dados se deu por meio de en…
Directivas anticipadas en Brasil
El objetivo de este estudio fue analizar la percepción de los psiquiatras que trabajan en Brasil sobre la aplicabilidad real de las directivas anticipadas de voluntad en su trabajo y sus posibles consecuencias, teniendo en cuenta que aún no existe una ley específica que regule el uso de esta herramienta en Brasil. Se realizó un estudio cualitativo, que abarcó una población de 40 psiquiatras de la ciudad de Río de Janeiro. La recopilación de datos…
Advance directives in Brazil
This study aimed to analyze the perception of psychiatrists working in Brazil regarding the actual applicability of advance directives in their work and their presumed consequences, considering that there is still no specific law regulating the use of this tool in Brazil. A qualitative study was conducted, involving a population of 40 psychiatrists in the city of Rio de Janeiro. Data were collected via interviews with two open-ended questions, an…
Desafíos éticos del control sintomático en cuidados paliativos
Los cuidados paliativos representan un área de conocimiento capaz de contribuir a una buena gestión del control sintomático. Sin embargo, representan igualmente un desafío ético en áreas sensibles como la obstinación terapéutica, la abstención de alimentación e hidratación y la sedación paliativa. Se realizó una revisión narrativa y reflexión crítica basada en la búsqueda bibliográfica en las principales bases de datos, complementada con artículo…
Ethical challenges of symptom management in palliative care
Palliative care is a field of knowledge capable of contributing to effective symptom management. However, it also poses ethical challenges in sensitive areas such as therapeutic obstinacy, the withholding of food and hydration, and palliative sedation. A narrative review and a critical reflection were conducted based on bibliographic research in major databases, complemented by relevant articles, books, and websites. Following the search, 69 arti…
Integrating Morality and Science
Evidence-based medicine (EBM) supplies the best available data, yet clinicians still face low-value care, surrogate-driven reversals, and pseudoscientific claims. We propose Semi-Imperative Evidentialism (SIE), a normative framework that links evidential warrant to proportionate professional duties while preserving patient autonomy. Using a targeted narrative review in philosophy of science, bioethics, and clinical epidemiology, we distilled six …
Reclaiming human dignity
Contemporary healthcare ethics often invokes the concept of human dignity as a normative cornerstone. Yet beneath this apparent consensus lies a fragmentation of meaning: dignity is variably interpreted as autonomy, capacity, recognition, or social construction—with little agreement on its essential content or justification. This conceptual disarray weakens the ethical coherence of bioethical decision-making and obscures the true nature of the hu…
Biodireito e limites coercitivos
As normativas do biodireito são primordiais para a evolução dos cuidados paliativos no Brasil. Este estudo objetivou identificar normativas brasileiras sobre cuidados paliativos e analisar seus limites coercitivos. Realizou-se uma pesquisa documental qualiquantitativa, entre setembro de 2024 e março de 2025, com buscas em bases governamentais e repositórios de hospitais universitários federais. Os resultados evidenciaram a ausência de leis federa…
Bioderecho y límites coercitivos
La normativa del bioderecho es fundamental para evaluar los cuidados paliativos en Brasil. Este estudio identifica la normativa brasileña sobre cuidados paliativos y analiza sus límites coercitivos. Se realizó una investigación documental cualitativa y cuantitativa entre septiembre/2024 y marzo/2025, en bases de datos gubernamentales y repositorios de hospitales universitarios federales. Los resultados evidenciaron la ausencia de leyes federales …
Biolaw and coercive limits
Bioethics regulations are essential for the development of palliative care in Brazil. This study aimed to identify Brazilian regulations on palliative care and analyze their coercive limits. A qualitative and quantitative documentary study was conducted from September 2024 to March 2025, involving searches in government databases and repositories of federal university hospitals. The results showed the absence of federal laws on palliative care. A…
Study of End-of-Life Paranormal Phenomena Recognized by Palliative Care Health Professionals in Portugal
This study assesses the frequency of reported paranormal phenomena by palliative care professionals in Portugal and their impact on spirituality, clinical practice, and training. A retrospective study in adult palliative care settings was conducted using the ParaPall survey, created by the authors, between October 2022 and January 2023. Participants answered a demographic questionnaire, ParaPall survey, PANAS score, and Intrinsic Spirituality Sca…
A Journey Through Philosophy and Medicine
The evolution of medical reasoning is deeply intertwined with philosophical thought, beginning with Aristotle’s foundational work in deductive logic. Aristotle’s principles significantly influenced early medical practice, shaping the works of Galen and Avicenna, who made empirical observations that expanded clinical knowledge. During the Enlightenment, both inductive reasoning, as advocated by Francis Bacon, and deductive methods, as stressed by …
The Childbirth Experiences of Pregnant Women Living with HIV Virus
The four studies identified had a small sample size and were not adequately conducted with a specific focus on studying the childbirth experience of pregnant women living with HIV (PWLWHIV). This scoping review revealed a gap in the existing literature, indicating a need for further research and clarification in the identified area
Bioethics in the adversities of access to infertility treatment
Infertile couples face barriers in access to specialized medical care, leading to a movement that seeks equality in access to infertility treatments. Identifying the ethical issues involved and understanding how discussions about justice occur in the provision of medical infertility treatment is important. A literature review was conducted using the Web of Science, PubMed, and Google Scholar databases. In general, articles showed that most countr…
Bioética nas adversidades do acesso ao tratamento de infertilidade
Casais inférteis enfrentam barreiras no acesso a cuidados médicos especializados, levando a um movimento que busca a igualdade no acesso a tratamentos de infertilidade. Identificar as questões éticas envolvidas e entender como ocorrem as discussões sobre justiça na prestação de tratamento médico de infertilidade é importante. Uma revisão da literatura foi realizada usando as bases de dados Web of Science, PubMed e Google Scholar. Em geral, os art…
Bioética en las adversidades del acceso al tratamiento de infertilidad
Las parejas infértiles se enfrentan a obstáculos para acceder a cuidados médicos especializados, lo que ha dado lugar a un movimiento que busca la igualdad de acceso a los tratamientos de la infertilidad. Es importante identificar las cuestiones éticas implicadas y comprender cómo se producen los debates sobre la justicia en la prestación de tratamientos médicos de la infertilidad. Se realizó una revisión bibliográfica utilizando las bases de dat…
Advance Care Planning and Goals of Care Discussion
Twenty-nine residents answered the questionnaire (30.9%). The most reported barriers were related to patients and their families' difficulty in understanding and accepting the diagnosis and the prognosis as well as patients' desire to receive full active treatment. Furthermore, the physician and external factors such as lack of training and lack of time to have these conversations were also very important barriers. The identification of the key b…
Advance Directives
Objective: Advance directives are becoming increasingly important as health technologies evolve. We sought to assess psychiatrists' knowledge of advance directives, as this knowledge is fundamental to the implementation and drafting of these personal documents. Methods: A previously published questionnaire that evaluated the knowledge of medical professors was used. The sample, composed of psychiatrists from Rio de Janeiro, Brazil, originated fro…
Advance care planning
Advance care planning is a process of discussion between healthcare professionals and patients that enables shared decision-making on current and/or future healthcare goals, based on patients’ desires and values and technical care issues. Advance care is considered essential in the provision of quality terminal care, allowing healthcare professionals to align the care provided with what is most important to the patient. Despite its benefits, it i…
Planejamento antecipado de cuidados
O planejamento antecipado de cuidados é um processo de discussões entre profissionais de saúde e pacientes que permite a tomada de decisão compartilhada quanto a objetivos de cuidados de saúde, atuais e/ou futuros, com base nos desejos e valores do paciente e em questões técnicas do cuidado. É considerado fundamental na prestação de cuidados de excelência em fim de vida, permitindo que profissionais de saúde alinhem os cuidados prestados com o qu…
Planificación anticipada de atención
La planificación anticipada de atención es un proceso de discusión entre los profesionales de la salud y los pacientes que permite la toma de decisiones relacionadas a los objetivos de atención médica actuales y/o futuros, basadas en los deseos y valores del paciente y en cuestiones técnicas de la atención. Resulta ser una apropiada atención terminal, ya que estos profesionales pueden adecuar la atención con los deseos del paciente. Pese a sus be…
Admission to the Emergency Department by Patients Being Followed up for Palliative Care Consultations
Emergency department admissions suggest that there are gaps in the provision of care. It is necessary to anticipate crisis situations, provide home and telephone appointments, and invest in professionals' education to respond to the needs that will grow in the future
How Supportive Ethical Relationships Are Negatively Related to Palliative Care Professionals’ Negative Affectivity and Moral Distress
In the modern healthcare landscape, moral distress has become an increasingly common phenomenon among healthcare professionals. This condition is particularly prevalent among palliative care professionals who are confronted with bioethical issues in their daily practice. Although some studies described the effects of poor ethical climate and negative affectivity on moral distress, how these variables could be incorporated into a single model is s…
The interface between psychology and spirituality in palliative care
In palliative care, a biopsychosocial-spiritual model is essential to address the patient in totality. Spirituality is often a relevant issue in such settings, yet there is a need to differentiate spirituality from religion. Spirituality in palliative care focuses on the psychological and spiritual aspects of care, helping to relieve the physical, emotional, social and spiritual distresses of the patient, family members and healthcare professiona…
The interface between psychology and spirituality in palliative care
In palliative care, a biopsychosocial-spiritual model is essential to address the patient in totality. Spirituality is often a relevant issue in such settings, yet there is a need to differentiate spirituality from religion. Spirituality in palliative care focuses on the psychological and spiritual aspects of care, helping to relieve the physical, emotional, social and spiritual distresses of the patient, family members and healthcare professiona…
Daily life and maternal mourning
This study aimed to understand, through the bias of everyday life, the phenomenon of maternal mourning. It is a qualitative pilot study on three bereaved mothers. Semi-structured interviews were used for data collection and content analysis was performed using typical categories of daily life. It was possible to observe significant changes in the mothers' daily lives after their children's deaths; however, they created strategies that minimized s…
The interface between psychology and spirituality in palliative care
In palliative care, a biopsychosocial-spiritual model is essential to address the patient in totality. Spirituality is often a relevant issue in such settings, yet there is a need to differentiate spirituality from religion. Spirituality in palliative care focuses on the psychological and spiritual aspects of care, helping to relieve the physical, emotional, social and spiritual distresses of the patient, family members and healthcare professiona…
Advance Directives
Objective: Advance directives are becoming increasingly important as health technologies evolve. We sought to assess psychiatrists' knowledge of advance directives, as this knowledge is fundamental to the implementation and drafting of these personal documents. Methods: A previously published questionnaire that evaluated the knowledge of medical professors was used. The sample, composed of psychiatrists from Rio de Janeiro, Brazil, originated fro…
Advance care planning
Advance care planning is a process of discussion between healthcare professionals and patients that enables shared decision-making on current and/or future healthcare goals, based on patients’ desires and values and technical care issues. Advance care is considered essential in the provision of quality terminal care, allowing healthcare professionals to align the care provided with what is most important to the patient. Despite its benefits, it i…
Planejamento antecipado de cuidados
O planejamento antecipado de cuidados é um processo de discussões entre profissionais de saúde e pacientes que permite a tomada de decisão compartilhada quanto a objetivos de cuidados de saúde, atuais e/ou futuros, com base nos desejos e valores do paciente e em questões técnicas do cuidado. É considerado fundamental na prestação de cuidados de excelência em fim de vida, permitindo que profissionais de saúde alinhem os cuidados prestados com o qu…
Planificación anticipada de atención
La planificación anticipada de atención es un proceso de discusión entre los profesionales de la salud y los pacientes que permite la toma de decisiones relacionadas a los objetivos de atención médica actuales y/o futuros, basadas en los deseos y valores del paciente y en cuestiones técnicas de la atención. Resulta ser una apropiada atención terminal, ya que estos profesionales pueden adecuar la atención con los deseos del paciente. Pese a sus be…
Admission to the Emergency Department by Patients Being Followed up for Palliative Care Consultations
Emergency department admissions suggest that there are gaps in the provision of care. It is necessary to anticipate crisis situations, provide home and telephone appointments, and invest in professionals' education to respond to the needs that will grow in the future
How Supportive Ethical Relationships Are Negatively Related to Palliative Care Professionals’ Negative Affectivity and Moral Distress
In the modern healthcare landscape, moral distress has become an increasingly common phenomenon among healthcare professionals. This condition is particularly prevalent among palliative care professionals who are confronted with bioethical issues in their daily practice. Although some studies described the effects of poor ethical climate and negative affectivity on moral distress, how these variables could be incorporated into a single model is s…
Advance Care Planning and Goals of Care Discussion
Twenty-nine residents answered the questionnaire (30.9%). The most reported barriers were related to patients and their families' difficulty in understanding and accepting the diagnosis and the prognosis as well as patients' desire to receive full active treatment. Furthermore, the physician and external factors such as lack of training and lack of time to have these conversations were also very important barriers. The identification of the key b…
A Journey Through Philosophy and Medicine
The evolution of medical reasoning is deeply intertwined with philosophical thought, beginning with Aristotle’s foundational work in deductive logic. Aristotle’s principles significantly influenced early medical practice, shaping the works of Galen and Avicenna, who made empirical observations that expanded clinical knowledge. During the Enlightenment, both inductive reasoning, as advocated by Francis Bacon, and deductive methods, as stressed by …
The Childbirth Experiences of Pregnant Women Living with HIV Virus
The four studies identified had a small sample size and were not adequately conducted with a specific focus on studying the childbirth experience of pregnant women living with HIV (PWLWHIV). This scoping review revealed a gap in the existing literature, indicating a need for further research and clarification in the identified area
Bioethics in the adversities of access to infertility treatment
Infertile couples face barriers in access to specialized medical care, leading to a movement that seeks equality in access to infertility treatments. Identifying the ethical issues involved and understanding how discussions about justice occur in the provision of medical infertility treatment is important. A literature review was conducted using the Web of Science, PubMed, and Google Scholar databases. In general, articles showed that most countr…
Bioética nas adversidades do acesso ao tratamento de infertilidade
Casais inférteis enfrentam barreiras no acesso a cuidados médicos especializados, levando a um movimento que busca a igualdade no acesso a tratamentos de infertilidade. Identificar as questões éticas envolvidas e entender como ocorrem as discussões sobre justiça na prestação de tratamento médico de infertilidade é importante. Uma revisão da literatura foi realizada usando as bases de dados Web of Science, PubMed e Google Scholar. Em geral, os art…
Bioética en las adversidades del acceso al tratamiento de infertilidad
Las parejas infértiles se enfrentan a obstáculos para acceder a cuidados médicos especializados, lo que ha dado lugar a un movimiento que busca la igualdad de acceso a los tratamientos de la infertilidad. Es importante identificar las cuestiones éticas implicadas y comprender cómo se producen los debates sobre la justicia en la prestación de tratamientos médicos de la infertilidad. Se realizó una revisión bibliográfica utilizando las bases de dat…
Integrating Morality and Science
Evidence-based medicine (EBM) supplies the best available data, yet clinicians still face low-value care, surrogate-driven reversals, and pseudoscientific claims. We propose Semi-Imperative Evidentialism (SIE), a normative framework that links evidential warrant to proportionate professional duties while preserving patient autonomy. Using a targeted narrative review in philosophy of science, bioethics, and clinical epidemiology, we distilled six …
Reclaiming human dignity
Contemporary healthcare ethics often invokes the concept of human dignity as a normative cornerstone. Yet beneath this apparent consensus lies a fragmentation of meaning: dignity is variably interpreted as autonomy, capacity, recognition, or social construction—with little agreement on its essential content or justification. This conceptual disarray weakens the ethical coherence of bioethical decision-making and obscures the true nature of the hu…
Biodireito e limites coercitivos
As normativas do biodireito são primordiais para a evolução dos cuidados paliativos no Brasil. Este estudo objetivou identificar normativas brasileiras sobre cuidados paliativos e analisar seus limites coercitivos. Realizou-se uma pesquisa documental qualiquantitativa, entre setembro de 2024 e março de 2025, com buscas em bases governamentais e repositórios de hospitais universitários federais. Os resultados evidenciaram a ausência de leis federa…
Bioderecho y límites coercitivos
La normativa del bioderecho es fundamental para evaluar los cuidados paliativos en Brasil. Este estudio identifica la normativa brasileña sobre cuidados paliativos y analiza sus límites coercitivos. Se realizó una investigación documental cualitativa y cuantitativa entre septiembre/2024 y marzo/2025, en bases de datos gubernamentales y repositorios de hospitales universitarios federales. Los resultados evidenciaron la ausencia de leyes federales …
Biolaw and coercive limits
Bioethics regulations are essential for the development of palliative care in Brazil. This study aimed to identify Brazilian regulations on palliative care and analyze their coercive limits. A qualitative and quantitative documentary study was conducted from September 2024 to March 2025, involving searches in government databases and repositories of federal university hospitals. The results showed the absence of federal laws on palliative care. A…
Study of End-of-Life Paranormal Phenomena Recognized by Palliative Care Health Professionals in Portugal
This study assesses the frequency of reported paranormal phenomena by palliative care professionals in Portugal and their impact on spirituality, clinical practice, and training. A retrospective study in adult palliative care settings was conducted using the ParaPall survey, created by the authors, between October 2022 and January 2023. Participants answered a demographic questionnaire, ParaPall survey, PANAS score, and Intrinsic Spirituality Sca…
Desafios éticos do controle sintomático em cuidados paliativos
Os cuidados paliativos representam uma área de conhecimento capaz de contribuir para uma boa gestão do controle sintomático. No entanto, representam igualmente um desafio ético em áreas sensíveis com obstinação terapêutica, abstenção de alimentação e hidratação e sedação paliativa. Realizou-se revisão narrativa/reflexão crítica com base em pesquisa bibliográfica nas bases de dados principais, complementadas por artigos, livros e sites considerado…
Diretivas antecipadas de vontade no Brasil
O objetivo deste estudo foi analisar a percepção de psiquiatras que atuam no Brasil sobre a real aplicabilidade das diretivas antecipadas de vontade em seu trabalho e suas consequências presumíveis, levando em conta que ainda não há uma lei específica para regulamentar o uso dessa ferramenta no Brasil. Foi realizado estudo qualitativo, que abordou uma população de 40 psiquiatras da cidade do Rio de Janeiro. A coleta de dados se deu por meio de en…
Directivas anticipadas en Brasil
El objetivo de este estudio fue analizar la percepción de los psiquiatras que trabajan en Brasil sobre la aplicabilidad real de las directivas anticipadas de voluntad en su trabajo y sus posibles consecuencias, teniendo en cuenta que aún no existe una ley específica que regule el uso de esta herramienta en Brasil. Se realizó un estudio cualitativo, que abarcó una población de 40 psiquiatras de la ciudad de Río de Janeiro. La recopilación de datos…
Advance directives in Brazil
This study aimed to analyze the perception of psychiatrists working in Brazil regarding the actual applicability of advance directives in their work and their presumed consequences, considering that there is still no specific law regulating the use of this tool in Brazil. A qualitative study was conducted, involving a population of 40 psychiatrists in the city of Rio de Janeiro. Data were collected via interviews with two open-ended questions, an…
Desafíos éticos del control sintomático en cuidados paliativos
Los cuidados paliativos representan un área de conocimiento capaz de contribuir a una buena gestión del control sintomático. Sin embargo, representan igualmente un desafío ético en áreas sensibles como la obstinación terapéutica, la abstención de alimentación e hidratación y la sedación paliativa. Se realizó una revisión narrativa y reflexión crítica basada en la búsqueda bibliográfica en las principales bases de datos, complementada con artículo…
Palliative Care and End-of-Life Issues (13 works) · Medicine (10 works) · Palliative care (10 works) · Psychology (9 works) · Palliative and Oncologic Care (8 works) · Political science (7 works) · Nursing (6 works) · Patient Dignity and Privacy (6 works) · Health care (5 works) · Ethics and Legal Issues in Pediatric Healthcare (4 works)