Living while aging in light of the bioethical principle of autonomy

Abstract

The increase in longevity rates has prompted discussions about the quality of aging, in which bioethical
principles, especially autonomy, emerge as central aspects. The aim of this study is to analyze how the
principle of autonomy manifests in the aging process. An integrative literature review was conducted
using the Medline, PubMed, SciELO, and Scopus databases, employing the descriptors “aging,”
“bioethics,” and “autonomy” in English and Portuguese. Discussions regarding autonomy in the aging
process of older adults were related to decision-making in the face of the need for clinical interventions
to address health conditions. Advance directives and informed consent stood out as strategies to ensure
autonomy. The preservation of autonomy was associated with better conditions for promoting quality
of life in old age.