Cuidados paliativos na UTI: compreensão, limites e possibilidades por enfermeiros

Barros, Nara Calazans Balbino; Oliveira, Cecília Danielle Bezerra; Alves, Estela Rodrigues Paiva; França, Inacia Sátiro Xavier de; Nascimento, Raquel Medeiros; Freire, Maria Eliane Moreira

doi:10.5902/217976925857

Cited by 20 publications

(24 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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.…”

mentioning

confidence: 99%

“…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] .…”

mentioning

confidence: 99%

“…However, medical schools with curricula that aim to humanize patient treatment are on the upswing, and, furthermore, there are professors that promote debate regarding the issue and encourage students to reflect on the feelings and emotions that are involved in health care, specifically with respect to death and the process of dying 18 . Considering that the purpose of nursing is to promote not only the integration of the multidisciplinary staff, but also the relationship between hospital personnel, the patient and his or her relatives, the insertion of palliative care techniques in the planning and guidelines of intensive care wards is of fundamental importance 14 .…”

mentioning

confidence: 99%

See 2 more Smart Citations

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

Vicensi

2016

Rev. Bioét.

View full text Add to dashboard Cite

This article is a reflexive analysis with bioethical concerns on death and the process of dying in intensive care from a professional perspective, employing the bibliographic review method. It should be emphasized that despite death being part of the working context of these health professionals, it brings about feelings of impotence, indifference and even of flight and denial. The professionals demonstrate uneasiness or even attempt to hide their real feelings about death. Death is thus conceived as loss, suffering, uneasiness, unhappiness, fear, absence and the end of everything. The present study evidences the difficulties experienced by health professionals in accepting the idea of death in an ICU where an intensive struggle for life occurs. Such difficulty is the result of contemporary education and of non-humanized training, removed from an awareness of death and the concept of the death process as part of life. Keywords: Death. Terminal care, hospice care. Patient care team. Intensive care units. ResumoReflexão sobre a morte e o morrer na UTI: a perspectiva do profissional Este artigo trata de análise reflexiva, com preocupações bioéticas, sobre a morte e o processo de morrer na perspectiva do profissional em terapia intensiva, por meio do método de revisão bibliográfica. Busca ressaltar que esse processo, embora faça parte do contexto laboral desses profissionais, desperta sentimentos de impotência, de indiferença e até mesmo de fuga e negação, demonstrando desconforto ou, ainda, certa tentativa de camuflar o verdadeiro sentimento em relação à morte. Procura-se também discorrer sobre a morte concebida como perda, sofrimento, mal-estar, tristeza, medo, ausência e fim de tudo. O estudo evidencia as dificuldades sentidas pelos profissionais, ao admitirem a morte em uma UTI, local onde se luta intensamente pela vida. Constatou-se que essa dificuldade é fruto não apenas da educação contemporânea, mas também da formação desses profissionais, pouco humanizada e distante da conscientização da morte e do processo de morrer como parte da vida. Palavras-chave: Morte. Cuidados paliativos na terminalidade da vida. Equipe de assistência ao paciente. Unidades de terapia intensiva. ResumenReflexión sobre la muerte y el morir en la UCI a partir de la perspectiva profesional en cuidados intensivos Este artículo se ocupa del análisis reflexivo de las preocupaciones bioéticas sobre la muerte y el proceso de morir desde el punto de vista profesional en cuidados intensivos, a través del método de revisión bibliográfica. Se busca resaltar que a pesar de que la muerte es parte del contexto laboral de estos profesionales, despierta sentimientos de impotencia, de indiferencia e incluso de evasión y negación, visibilizando incomodidad o algún intento de camuflar el verdadero sentimiento en relación a la muerte. Se busca también discutir sobre la muerte concebida como pérdida, dolor, malestar, tristeza, miedo, ausencia y el final de todo. El estudio evidencia las dificultades sentidas por los profesionales a la hora de veri...

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

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

Vicensi

2016

Rev. Bioét.

View full text Add to dashboard Cite

show abstract

“…The DCS is the gathering of the speeches, written in the first person singular, that present central ideas or similar anchorages. 10 The process for constructing the data itself was based on the following steps: selection of KE; grasp of the CI and construction of the DCS of each KE; identification of similar or complementary CIs, transcribing in full the terms used by the participant of the study, besides the concentration of the KEs referring to the CIs in a synthesis speech, thus constituting the DCS.…”

Section: Methodsmentioning

confidence: 99%

The family caregiver’s discourse on the hospitalization of the elderly with Alzheimer’s disease O discurso do cuidador familiar sobre a hospitalização do idoso com doença de Alzheimer

Grillo

Marins

Mello

2017

R. pesq. cuid. fundam. online

View full text Add to dashboard Cite

ResumoObjetivo: Conhecer a percepção do cuidador sobre a hospitalização do idoso com Doença de Alzheimer. Método: Trata-se de um estudo descritivo, exploratório, de natureza qualitativa, realizado com onze cuidadores familiares de idosos com doença de Alzheimer. Os dados foram coletados no período de Abril a Junho de 2013 por meio de entrevista semiestruturada. A análise dos dados foi pautada no Discurso do Sujeito Coletivo. Resultados: Emergiram duas ideias centrais síntese: piora da função cognitiva do idoso com doença de Alzheimer durante o processo de hospitalização e o despreparo da equipe de saúde para cuidar de um idoso com demência.Conclusão: De acordo com os resultados obtidos, urge a necessidade de capacitação e/ou especialização dos profissionais de saúde para atender o idoso com demência e sua família. A família é parte integrante do cuidado a esse idoso, sendo fundamental compreendê-la e assisti-la como uma unidade social complexa.Descritores: Cuidadores, Doença de Alzheimer, Idoso, Hospitalização. AbstractObjective: To investigate the perception of the caregiver about the hospitalization of the elderly with Alzheimer disease. Method: This is a descriptive study, exploratory and qualitative in nature, performed with 11 family caregivers of elderly with Alzheimer disease. The data were collected during the period from April to June 2013 through semi-structured interview. The data analysis was based on the Collective Discourse of the Subjects. Results: Two summary central ideas emerged: worsening of cognitive function in the elderly with Alzheimer disease during the process of hospitalization and the lack of health staff to take care of an elderly with dementia. Conclusion: According to the results obtained, there is urgent need for training and/or specialization of health professionals to meet the elderly with dementia and their families. The family is an integral part of the care that elderly, being critical to understand it and watched it as a social unit complex.Descriptors: Caregivers, Alzheimer Disease, Elderly, Hospitalization. ResumenObjetivo: Investigar la percepción del cuidador acerca de la hospitalización de las personas mayores con la enfermedad de Alzheimer. Método: Este es un estudio descriptivo, exploratorio y de naturaleza cualitativa, realizado con 11 cuidadores familiares de ancianos con enfermedad de Alzheimer. Los datos fueron recolectados durante el periodo de abril a junio de 2013 a través de la entrevista semi-estructurada. El análisis de los datos se basa en el discurso de los sujetos colectivos. Resultados: Surgieron dos ideas centrales resumen: empeoramiento de la función cognoscitiva en los ancianos con enfermedad de Alzheimer durante el proceso de hospitalización y la Falta de personal sanitario a cuidar de un anciano con demencia. Conclusión: De acuerdo a los resultados obtenidos, existe la urgente necesidad de formación y/o especialización de los profesionales de la salud para atender a los ancianos con demencia y sus familias. La familia es una parte integral de la atención que los ancianos, siendo fundamental para entenderla y verla como una unidad social compleja.Descriptores: Cuidadores, Enfermedad de Alzheimer, Ancianos, Hospitalización.

show abstract

“…1 Under this view, the act of caring should cover actions that respect the dignity, considering the patient in their uniqueness by means of a dynamic relationship involving the humanistic view of being. 2 With regard to care, specifically with regard to the terminally ill patient, attention and care in their practices have essentially aimed at the biopsychosocial and spiritual wellbeing of the individual, provide them with a better quality of life and minimize their suffering during the process of terminallity.…”

mentioning

confidence: 99%

Palliative care and mourning: the understanding of medical residents

Fernandes¹,

Platel²,

Costa³

et al. 2015

R. pesq. cuid. fundam. online

View full text Add to dashboard Cite

Objective: Investigating the understanding of medical residents about palliative care and mourning. Method: an exploratory study with a qualitative approach, conducted in august 2013 with 18 residents of a university hospital in the city of João Pessoa / Paraiba / Brazil. To enable the collection of data, was used an instrument containing relevant questions to the study objective. The analysis was performed using the Technique of Content Analysis. Results: From the analysis of the empirical material, two categories emerged: "Care that can provide relief of pain and suffering with an emphasis on the quality of life and promotion of dignity" and "Mourning is the feeling of loss on the death of a loved dear". Conclusion: It is considerable that the study demonstrated the understanding of resident physicians about palliative care and mourning, and support further researches on the theme

show abstract

Cuidados paliativos na UTI: compreensão, limites e possibilidades por enfermeiros

Cited by 20 publications

References 11 publications

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

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

The family caregiver’s discourse on the hospitalization of the elderly with Alzheimer’s disease O discurso do cuidador familiar sobre a hospitalização do idoso com doença de Alzheimer

Palliative care and mourning: the understanding of medical residents

Contact Info

Product

Resources

About