El transhumanismo y la mejora de la calidad de vida de las personas mayores: ¿Cómo podría configurar el futuro del dolor y el sufrimiento en las personas mayores?

Contenido principal del artículo

Francis Jude Selvaraj
https://orcid.org/0009-0005-8144-3157

Resumen

Se calcula que en 2050 la población mundial de personas mayores,de 60 años o más, alcanzará el 20% del total de la población mundial, y se espera que la plétora de problemas relacionados con la edad suponga una presión en todos los estratos de la vida y cambie radicalmente las políticas sanitarias, desde el nivel individual hasta el nacional. Además de las implicaciones financieras, sociales y sanitarias, los datos publicados también han puesto de relieve la falta de afiliaciones religiosas en los grupos de edad más avanzada, por lo que, potencialmente, este segmento de la población se desentiende de la filosofía religiosa y de las enseñanzas sobre tecnologías mejoradas para aliviar el dolor y el sufrimiento.
Esta primera parte del artículo evalúa diversos aspectos de cómo las prácticas religiosas ven tradicionalmente el sufrimiento y el dolor, vistos a través de la lente de las tres religiones monoteístas: judaísmo, cristianismo, islamismo y budismo.
A continuación, analizamos qué valores y experiencias aporta la religión a los ancianos a la hora de afrontar el dolor y el sufrimiento, y hasta qué punto están intrínsecamente ligados a las doctrinas y enseñanzas. También examinamos las lagunas en los actuales patrones de tratamiento que podrían afectar al acceso de la población geriátrica a elegir modalidades más novedosas, si son factibles.
Posteriormente, en este artículo se explora cómo el transhumanismo en el avance de la tecnología y la no afiliación a ninguna religión pueden provocar un cambio sísmico en las perspectivas de dolor y sufrimiento de las personas mayores, y cómo esto podría cambiar potencialmente la faz de la gerontología.

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Selvaraj, F. J. (2024). El transhumanismo y la mejora de la calidad de vida de las personas mayores: ¿Cómo podría configurar el futuro del dolor y el sufrimiento en las personas mayores?. Medicina Y Ética, 35(1), 61–107. https://doi.org/10.36105/mye.2024v35n1.02
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Biografía del autor/a

Francis Jude Selvaraj, Centro Católico de Investigación, Archidiócesis de Kuala Lumpur, Malasia

Profesor en el Centro Católico de Investigación,Archidiócesis de Kuala Lumpur, Malasia

Citas

Faller P. Religious education and the new cosmology. Journal of Religious Education. 2020; 68(2):173-89. https://doi.org/10.1007/s40839-020-00102-w DOI: https://doi.org/10.1007/s40839-020-00102-w

Santiago E, Moreno DF, Acar M. Modeling aging and its impact on cellular function and organismal behavior. Experimental Gerontology. 2021; 155. https://doi.org/10.1016/j.exger.2021.111577 DOI: https://doi.org/10.1016/j.exger.2021.111577

Abud T, Kounidas G, Martin KR, Werth M, Cooper K, Myint PK. Determinants of healthy aging: a systematic review of contemporary literature. Aging Clinical and Experimental Research. 2022; 34(6):1215-23. https://doi.org/10.1007/s40520-021-02049-w DOI: https://doi.org/10.1007/s40520-021-02049-w

Brown MEL, MacLellan A, Laughey W, Omer U, Himmi G, LeBon T, et al. Can stoic training develop medical student empathy and resilience? A mixed-methods study. BMC Med Educ. 2022; 22(1):340. https://doi.org/10.1186/s12909-022-03391-x DOI: https://doi.org/10.1186/s12909-022-03391-x

Laurence R. Personal profile. Sidney: McQuarie University; 2023. https://researchers.mq.edu.au/en/persons/ray-laurence

Lee S, Oh J, Park J, Choi S, Wee J. Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department. Clinical and Experimental Emergency Medicine. 2018; 5(4):249-55. https://doi.org/10.15441/ceem.17.261 DOI: https://doi.org/10.15441/ceem.17.261

Heimrich K, Prell T, Schönenberg A. What Determines That Older Adults Feel Younger Than They Are? Results From a Nationally Representative Study in Germany. Frontiers in Medicine. 2022; 9. https://doi.org/10.3389/fmed.2022.901420 DOI: https://doi.org/10.3389/fmed.2022.901420

Lidsky P, Yuan J, Rulison JM, Andino-Pavlovsky R. Is Aging an Inevitable Characteristic of Organic Life or an Evolutionary Adaptation? Biochemistry (Moscow). 2023; 87(12-13):1413-45. https://doi.org/10.1134/S0006297922120021 DOI: https://doi.org/10.1134/S0006297922120021

World Health organization. Ageing and health [Internet] 2022. Disponible en: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Keating N. A research framework for the United Nations Decade of Healthy Ageing (2021-2030). Eur J Ageing. 2022; 19(3):775-87. https://doi.org/10.1007/s10433-021-00679-7 DOI: https://doi.org/10.1007/s10433-021-00679-7

Barajas-Nava L, Garduño-Espinosa J, Mireles Dorantes J, Medina-Campos R, García-Peña MC. Models of comprehensive care for older persons with chronic diseases: a systematic review with a focus on effectiveness. BMJ Open. 2022; 12(8). https://doi.org/10.1136/bmjopen-2021-059606 DOI: https://doi.org/10.1136/bmjopen-2021-059606

Naik MP, Ueland PVI. How Elderly Residents in Nursing Homes Handle Loneliness, from the Nurses’ Perspective. SAGE Open Nursing. 2020; 6. https://doi.org/10.1177/2377960820980361 DOI: https://doi.org/10.1177/2377960820980361

Maltoni R, Ravaioli S, Bronte G, Mazza M, Cerchione C, Massa I, Chronological age or biological age: What drives the choice of adjuvant treatment in elderly breast cancer patients? Translational Oncology. 2022; 15(1). https://doi.org/10.1016/j.tranon.2021.101300 DOI: https://doi.org/10.1016/j.tranon.2021.101300

Kang H, Kim H. Ageism and Psychological Well-Being Among Older Adults: A Systematic Review. Gerontology and Geriatric Medicine. 2022; 8. https://doi.org/10.1177/23337214221087023 DOI: https://doi.org/10.1177/23337214221087023

Löckenhoff CE. Aging and Decision-Making: A Conceptual Framework for Future Research-A Mini-Review. Gerontology. 2018; 64(2):140-8. https://doi.org/10.1159/000485247 DOI: https://doi.org/10.1159/000485247

Sampedro-Piquero P, Alvarez-Suarez P, Begega A. Coping with Stress During Aging: The Importance of a Resilient Brain. Current Neuropharmacology. 2018;16(3):284-96. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843980/ DOI: https://doi.org/10.2174/1570159X15666170915141610

McHugh D, Gil J. Senescence and aging: causes, consequences, and therapeutic avenues. Journal of Cell Biology. 2018; 217(1):65-77. https://doi.org/10.1083/jcb.201708092 DOI: https://doi.org/10.1083/jcb.201708092

Pereira MA, Araújo A, Simões M, Costa C. Influence of Psychological Factors in Breast and Lung Cancer Risk – A Systematic Review. Frontiers in Psychology. 2022; 12. https://doi.org/10.3389/fpsyg.2021.769394 DOI: https://doi.org/10.3389/fpsyg.2021.769394

Tambolo L, Cevolani G. Multiple discoveries, inevitability, and scientific realism. Studies in History and Philosophy of Science Part A. 2021; 90:30-8. https://doi.org/10.1016/j.shpsa.2021.09.001 DOI: https://doi.org/10.1016/j.shpsa.2021.09.001

Reissmann M, Geithner L, Storms A, Woopen C. Stereotypes about very old people and perceived societal appreciation in very old age. Zeitschrift für Gerontologie und Geriatrie. 2021; 54(S2):93-100. https://link.springer.com/article/10.1007/s00391-021-01971-y DOI: https://doi.org/10.1007/s00391-021-01971-y

Siler S, Borneman T, Ferrell B. Pain and Suffering. Seminars in Oncology Nursing. 2019; 35(3):310-4. https://doi.org/10.1016/j.soncn.2019.04.013 DOI: https://doi.org/10.1016/j.soncn.2019.04.013

Mota-Rolim S, Bulkeley K, Campanelli S, Lobão-Soares B, de Araujo DB, Ribeiro S. The Dream of God: How Do Religion and Science See Lucid Dreaming and Other Conscious States During Sleep? Frontiers in Psychology. 2020; 11. https://doi.org/10.3389/fpsyg.2020.555731 DOI: https://doi.org/10.3389/fpsyg.2020.555731

Ashour M. “Com-Passion”: Journeying to Joy by “Suffering-with” Your Patients. The Linacre Quarterly. 2022; 89(2):218-23. https://pubmed.ncbi.nlm.nih.gov/35619886/ DOI: https://doi.org/10.1177/00243639221081983

Kopel J, Babb FC, Hasker W, Webb M, Gorga CC, Oommen KJ, et al. Suffering and divine impassibility. Baylor University Medical Center Proceedings. 2021; 35(1):139-41. https://doi.org/10.1080/08998280.2021.1981674 DOI: https://doi.org/10.1080/08998280.2021.1981674

Pesut B, Wright D, Thorne S, Hall MI, Puurveen G, Storch J. What’s suffering got to do with it? A qualitative study of suffering in the context of Medical Assistance in Dying (MAID). BMC Palliative Care. 2021; 20(1). https://doi.org/10.1186/s12904-021-00869-1 DOI: https://doi.org/10.1186/s12904-021-00869-1

Tweed R, Bergen TP, Castaneto KK, Ryder AG. Martin Buber: guide for a psychology of suffering. Frontiers in Psychology. 2023; 14. https://doi.org/10.3389/fpsyg.2023.1154865 DOI: https://doi.org/10.3389/fpsyg.2023.1154865

Alfahmi M. Justification for requiring disclosure of diagnoses and prognoses to dying patients in Saudi medical settings: a Maqasid Al-Shariah-based Islamic bioethics approach. BMC Medical Ethics. 2022; 23(1). https://doi.org/10.1186/s12910-022-00808-6 DOI: https://doi.org/10.1186/s12910-022-00808-6

Weber AS. Clinical Applications of the History of Medicine in Muslim-Majority Nations. Journal of the History of Medicine and Allied Sciences. 2023; 78(1):46-61. https://doi.org/10.1093/jhmas/jrac039 DOI: https://doi.org/10.1093/jhmas/jrac039

Kalra S, Priya G, Grewal E, Aye T, Waraich BK, SweLatt T, et al. Lessons for the healthcare practitioner from Buddhism. Indian Journal of Endocrinology and Metabolism. 2018;22(6). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330872/ DOI: https://doi.org/10.4103/ijem.IJEM_286_17

Kleber RJ. Trauma and Public Mental Health: A Focused Review. Frontiers in Psychiatry. 2019; 10. https://doi.org/10.3389/fpsyt.2019.00451 DOI: https://doi.org/10.3389/fpsyt.2019.00451

Sheng K. Buddhist Faith and Lifestyles in the Ming and Qing Dynasties. A History of Chinese Buddhist Faith and Life; 2020:440-547. https://doi.org/10.1163/9789004431775_006 DOI: https://doi.org/10.1163/9789004431775_006

Bohr A, Memarzadeh K. The rise of artificial intelligence in healthcare applications. Artificial Intelligence in Healthcare; 2020:25-60. https://doi.org/10.1016/B978-0-12-818438-7.00002-2 DOI: https://doi.org/10.1016/B978-0-12-818438-7.00002-2

Reynolds C, Jeste D, Sachdev P, Blazer D. Mental health care for older adults: recent advances and new directions in clinical practice and research. World Psychiatry. 2022; 21(3):336-63. https://doi.org/10.1002/wps.20996 DOI: https://doi.org/10.1002/wps.20996

Desmet L, Dezutter J, Vandenhoeck A, Dillen A. Religious Coping Styles, and Depressive Symptoms in Geriatric Patients: Understanding the Relationship through Experiences of Integrity and Despair. International Journal of Environmental Research and Public Health. 2022; 19(7). https://doi.org/10.3390/ijerph19073835 DOI: https://doi.org/10.3390/ijerph19073835

Ginsberg SD, van Leeuwen KM, van Loon MS, van Nes FA, Bosmans JE, de Vet H. What does quality of life mean to older adults? A thematic synthesis. Plos One. 2019; 14(3). https://doi.org/10.1371/journal.pone.0213263 DOI: https://doi.org/10.1371/journal.pone.0213263

Yeh H-F, Shao J-H. Quality of Life and Associated Factors in Older Adults With Heart Failure. Journal of Nursing Research. 2021; 29(5). https://doi.org/10.1097/JNR.0000000000000445 DOI: https://doi.org/10.1097/JNR.0000000000000445

Malone J, Dadswell A. The Role of Religion, Spirituality and/or Belief in Positive Ageing for Older Adults. Geriatrics. 2018; 3(2). https://doi.org/10.3390/geriatrics3020028 DOI: https://doi.org/10.3390/geriatrics3020028

Lane T. Homily for the Twenty-Second Sunday of Year [Internet]. 2008. Disponible en: https://www.4catholiceducators.com/gospel-matthew-16-21-bible.htm

Aghakhani N, Park CS. Spiritual well-being promotion for older adults: Implication for healthcare policy makers’ decision making on cost savings. J Educ Health Promot. 2019; 8:165. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796292/

Skirbekk V, Potančoková M, Hackett C, Stonawski M. Religious Affiliation Among Older Age Groups Worldwide: Estimates for 2010 and Projections Until 2050. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2016. https://doi.org/10.1093/geronb/gbw144 DOI: https://doi.org/10.1093/geronb/gbw144

Magiera A, Pac A. Determinants of Quality of Life among Adolescents in the Małopolska Region, Poland. International Journal of Environmental Research and Public Health.2022; 19(14). https://doi.org/10.3390/ijerph19148616 DOI: https://doi.org/10.3390/ijerph19148616

Escourrou E, Laurent S, Leroux J, Oustric S, Gardette V. The shift from old age to very old age: an analysis of the perception of aging among older people. BMC Primary Care. 2022; 23(1). https://doi.org/10.1186/s12875-021-01616-4 DOI: https://doi.org/10.1186/s12875-021-01616-4

Adamowicz D, Lee E. Predicting and improving hospital outcomes for older adults. International Psychogeriatrics. 2021; 33(3):205-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842567/ DOI: https://doi.org/10.1017/S1041610220003580

Kotsani M, Kravvariti E, Avgerinou C, Panagiotakis S, Bograkou Tzanetakou K, Antoniadou E, et al. The Relevance and Added Value of Geriatric Medicine (GM): Introducing GM to Non-Geriatricians. Journal of Clinical Medicine. 2021;10(14). https://doi.org/10.3390/jcm10143018 DOI: https://doi.org/10.3390/jcm10143018

Bories M, Bouzillé G, Cuggia M, Le Corre P. Drug–Drug Interactions in Elderly Patients with Potentially Inappropriate Medications in Primary Care, Nursing Home, and Hospital Settings: A Systematic Review and a Preliminary Study. Pharmaceutics. 2021; 13(2). https://doi.org/10.3390/pharmaceutics13020266 DOI: https://doi.org/10.3390/pharmaceutics13020266

Krysa K, Kowalczyk E, Borysowski J, Lachota M, Pasierski T. Exclusion of older adults from clinical trials in cancer-related pain. Frontiers in Medicine. 2022; 9. https://doi.org/10.3389/fmed.2022.945481 DOI: https://doi.org/10.3389/fmed.2022.945481

Endo M, Kawahara S, Sato T, Tokunaga M, Hara T, Mawatari T, et al. Protocol for the RETHINK study: a randomized, double-blind, parallel-group, non-inferiority clinical trial comparing acetaminophen and NSAIDs for treatment of chronic pain in elderly patients with osteoarthritis of the hip and knee. BMJ Open. 2023; 13(2). http://dx.doi.org/10.1136/bmjopen-2022-068220 DOI: https://doi.org/10.1136/bmjopen-2022-068220

Barber S. The applied implications of age-based stereotype threat for older adults. Journal of Applied Research in Memory and Cognition. 2020; 9(3):274-85. https://doi.org/10.1016/j.jarmac.2020.05.002 DOI: https://doi.org/10.1016/j.jarmac.2020.05.002

Yen H-Y, Lin L-J. Quality of life in older adults: Benefits from the productive engagement in physical activity. Journal of Exercise Science & Fitness. 2018; 16(2):49-54. https://doi.org/10.1016/j.jesf.2018.06.001 DOI: https://doi.org/10.1016/j.jesf.2018.06.001

Jadidi A, Khatiban M, Oshvandi K, Khodaveisi M, Maghsoudi Z, Razavi M. Transcendence, the Most Important Spiritual Need of Muslim Older Adults: A Content Analysis Study. Journal of Religion and Health. 2022; 61(2):1529-47. https://doi.org/10.1007/s10943-021-01474-5 DOI: https://doi.org/10.1007/s10943-021-01474-5

Guzder S, Jain R, Sharma N, Gopalakrishnan C, Shah Y, Morawala-Patell V. The A V E S T A G E N O M E project™ a discovery model for disease genomics and beyond. Genome Biology. 2010; 11(Suppl 1). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3026244/ DOI: https://doi.org/10.1186/1465-6906-11-S1-P16

Garagnani P, Marquis J, Delledonne M, Pirazzini C, Marasco E, Kwiatkowska K. Whole-genome sequencing analysis of semi-supercentenarians. eLife. 2021;10. https://doi.org/10.7554/eLife.57849 DOI: https://doi.org/10.7554/eLife.57849

Belkacem A, Jamil N, Palmer J, Ouhbi S, Chen C. Brain-Computer Interfaces for Improving the Quality of Life of Older Adults and Elderly Patients. Frontiers in Neuroscience. 2020; 14. https://doi.org/10.3389/fnins.2020.00692 DOI: https://doi.org/10.3389/fnins.2020.00692

Baric-Parker J, Anderson E. Patient Data-Sharing for AI: Ethical Challenges, Catholic Solutions. The Linacre Quarterly. 2020; 87(4):471-81.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551527/ DOI: https://doi.org/10.1177/0024363920922690

Tanioka R, Betriana F, Locsin RC. Treatise on the influence of theism, transhumanism, and posthumanism on nursing and rehabilitation healthcare practice. Nursing Philosophy. 2021; 22(3). https://doi.org/10.1111/nup.12350 DOI: https://doi.org/10.1111/nup.12350

Blagosklonny M. No limit to maximal lifespan in humans: how to beat a 122-year old record. Oncoscience. 2021; 8:110-9. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8636159/ DOI: https://doi.org/10.18632/oncoscience.547

Khavinson V, Popovich I, Mikhailova O. Towards realization of longer life. Acta Biomed. 2020; 91(3):e2020054. https://doi.org/10.23750/abm.v91i3.10079

Mirkes R. Transhumanist Medicine: Can We Direct Its Power to the Service of Human Dignity? The Linacre Quarterly. 2019; 86(1):115-26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537347/ DOI: https://doi.org/10.1177/0024363919838134

McKie R. No death and an enhanced life: Is the future transhuman? The Guardian [Internet]. 2019. Disponible en: https://www.theguardian.com/technology/2018/may/06/no-death-and-an-enhanced-life-is-the-future-transhuman

Tai M-T. The impact of artificial intelligence on human society and bioethics. Tzu Chi Medical Journal. 2020; 32(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605294/ DOI: https://doi.org/10.4103/tcmj.tcmj_71_20

Wong B, Siepmann I, Rangan A, El-Omrani O, Davis D, Arias-Casais N, et al. Involving Young People in Healthy Ageing: A Crucial Facet to Achieving the Decade of Healthy Ageing (2021-2030). Frontiers in Public Health. 2021; 9. https://doi.org/10.3389/fpubh.2021.723068 DOI: https://doi.org/10.3389/fpubh.2021.723068

Urtamo A, Jyvakorpi SK, Strandberg T. Definitions of successful aging: a brief review of a multidimensional concept. Acta Biomed. 2019; 90(2):359-63. https://doi.org/10.23750/abm.v90i2.8376

Pradhan S, Mohapatra A, Ramasamy S, Agrawal S. Artificial Intelligence (AI) and Robotics in Elderly Healthcare: Enabling Independence and Quality of Life. Cureus. 2023. https://doi.org/10.7759/cureus.42905 DOI: https://doi.org/10.7759/cureus.42905

Blasimme A. The plasticity of aging and the rediscovery of ground-state prevention. History and Philosophy of the Life Sciences. 2021; 43(2). https://doi.org/10.1007/s40656-021-00414-6 DOI: https://doi.org/10.1007/s40656-021-00414-6

Xu J. Buddhism-as-a-meaning-system for coping with late-life stress: a conceptual framework. Aging & Mental Health. 2016; 22(1):100-8. https://doi.org/10.1080/13607863.2016.1227767 DOI: https://doi.org/10.1080/13607863.2016.1227767

IHPI. National poll on healthy aging [internet]. 2023. Disponible en: https://ihpi.umich.edu/featured-work/national-poll-healthy-aging

Araujo de Carvalho I, Epping-Jordan J, Pot A, Kelley E, Toro N, Thiyagarajan JA. Organizing integrated healthcare services to meet older people’s needs. Bulletin of the World Health Organization. 2017; 95(11):756-63. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5677611/ DOI: https://doi.org/10.2471/BLT.16.187617