• Jaklin Pencheva Medical University - Sofia
  • Kamelia Bogdanova Medical University - Sofia
  • Galina Tchaneva Medical University - Sofia


social problems, ethical problems, patients in coma


Good intensive care practices include the social and ethical aspects of caring for patients and their families. The norms of medical ethics strive to guarantee to the highest degree the protection of the rights of the patient and the receipt of quality health services. When a person cannot, for one reason or another, make a decision on his own, then all those around him - specialists and family - have a moral obligation to make the best decision for him. However, this is a situation in medical practice that contains many uncertainties and contradictions. The aim of the present study is to identify the social ethical issues that arise in the families of patients in coma. A survey of 150 relatives of patients in coma who were admitted for hospital treatment in a clinic of anesthesiology, resuscitation and intensive care at St. Anna University Hospital - Sofia. The study was conducted in 2019-2020. Results and conclusions: According to the relatives of the patients in coma, there are problems and situations in which it is necessary to redistribute the tasks and responsibilities in the family (36.00%), the need to deal with financial costs (31.33%), coping with daily tasks (32.67%). Families of patients in coma need help and advice from medical ethics and medical law professionals to make appropriate and adequate decisions. It is necessary to form teams of specialists so that decision-making for the patient can be considered from all aspects of his condition and the ultimate goal is to make decisions that will lead to faster and more effective assistance to relatives to make decisions




How to Cite

Pencheva, J., Bogdanova, K., & Tchaneva, G. (2021). SOCIAL AND ETHICAL PROBLEMS FOR PATIENTS IN COMA. KNOWLEDGE - International Journal, 45(7), 1515–1519. Retrieved from

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