Concepções da equipe multiprofissional sobre a implementação dos cuidados paliativos na unidade de terapia intensiva

Abstract

Concepções da equipe multiprofissional sobre a implementação dos cuidados paliativos na unidade de terapia intensivaPerceptions of the multi-professional team on the implementation of palliative care in intensive care units

Terminalidade Em Uti: Dimensões Emocionais E Éticas Do Cuidado Do Médico Intensivista

“…Há também um despreparo da equipe intensivista em indicar a abordagem paliativa, bem como um desconhecimento acerca dos aspectos ético-legais envolvidos (Silva, Souza, Pedreira, Santos & Faustino, 2013). Em resposta às novas demandas surgidas com o avanço da medicina, o Conselho Federal de Medicina elaborou a Resolução CFM 1.805/06 e legitimou em seu novo Código de Ética Médica a prática da ortotanásia.…”

Reflexão sobre a morte e o morrer na UTI: a perspectiva do profissional

“…A study that was conducted with ICU professionals from a Brazilian university hospital found that, although emphasis was given to aspects involving hygiene, aesthetics and physical comfort, such as the minimization of pain, frequently the reduction of psychological, spiritual and social suffering was left untreated, and the establishment of a friendly relationship between health care professional, family and patient went unaddressed 13 . Palliative measures remain ill-explored and are even considered inappropriate within the realm of the ICU, whose functioning is still based on mechanistic concepts 14 , which is probably indicative of the presuppositions adopted by the undergraduate disciplines that are related to health care -among them intensive care practices, which do not take more profound theoretical approaches seriously.…”

“…Treatment should indeed be multidisciplinary, for it presupposes that the comprehensive care of patients should, in fact, be balanced. In addition to promoting the integration of each agent that is involved in providing care, nursing professionals are directly responsible for procuring the resources that are necessary to improve the quality of life of the patient, and for adequately preparing him or her for the process of dying when it is inevitable [9][10][11][12][13][14] .…”

“…However, the lack of knowledge or motivation among ICU professionals to work with palliative techniques has become evident insofar as such professionals allege that they were trained to merely treat, rehabilitate and cure patients 13 . In reformulating their curricula, medical schools should, therefore, incorporate the tenets of palliative care in their courses so that comprehensive, multidisciplinary care may effectively assimilate those principles, resulting in their application by future health care professionals in the exercise of their daily activities.…”

“…These principles could be established by a national policy for palliative care, focused on caring for patients that are in critical or terminal condition, which involves comprehensiveness, communication and finality 13 . The humanization of health care is already recognized as a model for attaining more efficient comprehensive care, and is considered to be as important as the administration of medication and instrumental procedures 20 .…”