Dilemas éticos vividos pelos enfermeiros diante da ordem de não reanimação

Trigueiro, Tatiane Herreira; Labronici, Liliana Maria; Raimondo, Maria Lúcia; Paganini, Maria Cristina

doi:10.4025/cienccuidsaude.v9i4.13824

Cited by 4 publications

(7 citation statements)

References 7 publications

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“…Some studies show that the acceptance of death on its right time is a point of view of nursing, not only because it is part of life, but also because nursing is a profession that emphasizes sympathy, accommodation and human care. This is a differential from medical training, which focuses on healing and reestablishing health (8) . When interacting, the individuals become social objects to one another, they use symbols, self-guide, engage in mental actions, make decisions, change directions, share perspectives, define the situation and assume another person's role (19) .…”

Section: At the Beginning The Assistance Is For The Patient To Livementioning

confidence: 99%

“…Orthothanasia practice, therefore, aim to follow the terminal infirm for a painless death, without using disproportional methods for life extension (6,8) . In opposition to orthothansia is dysthansia, which means to extend life at any cost.…”

Section: Introductionmentioning

confidence: 99%

“…This activity is a severe event and the quickest way to revert it is cardiopulmonary resuscitation (CPR). The do-not-resuscitate-order (DNR) may be indicated for certain patients without prognosis of cure (8) . However, such situation generates doubts for patients and families, and ethical dilemmas for the nursing team (12) .…”

Section: Introductionmentioning

confidence: 99%

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Da frustração ao enfrentamento do cuidado para a morte por técnicos de enfermagem

2015

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Objective: to understand nurse technicians' experience with caring for the death of terminal patients in ICUs and to confi gure a theoretical model. Method: qualitative study with theoretical saturation when analyzing the 10 th non-directive interview, having as reference Grounded Theory, Symbolic Interactionism and Bioethics. Results: the core category -from frustration to coping with dignifi ed nursing care for fi nitude: the acceptance of death as a therapeutic and intervenient component -emerged from the comparison of the sub-processes: when the nurse does not feel prepared for caring for death, accepting death as a therapeutic phenomenon and developing coping strategies. Conclusion: according to Symbolic Interactionism, a novice professional's frustration in caring for an individual for death is related to his/her interaction and interpretation of the situation as he/she feels prepared only to care for individuals for life. Key words: Death; Nursing Care; Intensive Care Units. RESUMO Objetivo: compreender a experiência de técnicos de enfermagem com o cuidado para a morte de pacientes terminais em UTI e confi gurar um modelo teórico. Método: estudo qualitativo, com saturação teórica mediante a análise da 10 a entrevista não diretiva, tendo como referenciais a Teoria Fundamentada nos Dados, o Interacionismo Simbólico e a Bioética. Resultados: a categoria central -da frustração ao enfrentamento do cuidado digno de enfermagem para a fi nitude: a aceitação da morte como componente terapêutico e interveniente -emergiu da comparação dos subprocessos: não se sentindo preparado para o cuidado para a morte, aceitando a morte como um fenômeno terapêutico, desenvolvendo estratégias de enfrentamento. Conclusão: segundo o Interacionismo Simbólico, a frustração do profi ssional iniciante em cuidar da pessoa para a morte está relacionada à sua interação e interpretação da situação, por sentir-se preparado somente para assistir a pessoa para a vida. Descritores: Morte; Cuidados de Enfermagem; Unidades de Terapia Intensiva. RESUMEN Objetivo: comprender la experiencia del personal de enfermería con el cuidado a la muerte de pacientes terminales en UTI y confi gurar un modelo teórico. Método: pesquisa cualitativa, con saturación teórica a través del análisis de la 10ª entrevista. Los referenciales son la Teoría Fundamentada en los Datos, el Interaccionismo Simbólico y la Bioética. Resultados: la categoría central -desde la frustración al afrontamiento del cuidado digno de enfermería para la fi nitud: la aceptación de la muerte como componente terapéutico e interviniente -emergió de la comparación de los sub procesos no sintiéndose preparado para el cuidado a la muerte, aceptando la muerte como un fenómeno terapéutico, desarrollando estrategias de afrontamiento. Conclusión: según el Interaccionismo Simbólico, la frustración del profesional iniciante en los cuidados de la persona a la muerte está relacionada a su interacción e interpretación de la situación. Palabras clave:

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Section: At the Beginning The Assistance Is For The Patient To Livementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Da frustração ao enfrentamento do cuidado para a morte por técnicos de enfermagem

2015

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“…Cardiac arrest is a severe and often fatal problem, and its reversion demands immediate cardiopulmonary resuscitation (CPR). ( 2 ) When CPR is applied to patients beyond the possibilities of cure, death can be postponed, and the state of persistent coma can be determined, with disastrous consequences for the patient, family and community. ( 3 )…”

Section: Introductionmentioning

confidence: 99%

“…This imposes the need for standardized conducts, taking into account moral and ethical aspects of each situation, aiming for the individual's wellbeing. ( 2 )…”

Section: Introductionmentioning

confidence: 99%

Do not attempt resuscitation orders at the emergency department of a teaching hospital

Campanharo

Vancini

Netto³

et al. 2017

Einstein (São Paulo)

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ObjectiveTo identify factors associated with not attempting resuscitation.MethodsA cross-sectional study conducted at the emergency department of a teaching hospital. The sample consisted of 285 patients; in that, 216 were submitted to cardiopulmonary resuscitation and 69 were not. The data were collected by means of the in-hospital Utstein Style. To compare resuscitation attempts with variables of interest we used the χ2 test, likelihood ratio, Fisher exact test, and analysis of variance (p<0.05).ResultsNo cardiopulmonary resuscitation was considered unjustifiable in 56.5% of cases; in that, 37.7% did not want resuscitation and 5.8% were found dead. Of all patients, 22.4% had suffered a previous cardiac arrest, 49.1% were independent for Activities of Daily Living, 89.8% had positive past medical/surgical history; 63.8% were conscious, 69.8% were breathing and 74.4% had a pulse upon admission. Most events (76.4%) happened at the hospital, the presumed cause was respiratory failure in 28.7% and, in 48.4%, electric activity without pulse was the initial rhythm. The most frequent cause of death was infection. The factors that influenced non-resuscitation were advanced age, history of neoplasm and the initial arrest rhythm was asystole.ConclusionAdvanced age, past history of neoplasia and asystole as initial rhythm were factors that significantly influenced the non-performance of resuscitation. Greater clarity when making the decision to resuscitate patients can positively affect the quality of life of survivors.

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Acurácia Do Diagnostico Eletrocardiografico Na Sindrome De Wolff-Parkinson-White

Borges¹,

Nunes²,

Brito³

et al. 2019

Diário Da Teoria E Prática Na Enfermagem 2

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Dilemas éticos vividos pelos enfermeiros diante da ordem de não reanimação

Cited by 4 publications

References 7 publications

Da frustração ao enfrentamento do cuidado para a morte por técnicos de enfermagem

Da frustração ao enfrentamento do cuidado para a morte por técnicos de enfermagem

Do not attempt resuscitation orders at the emergency department of a teaching hospital

Acurácia Do Diagnostico Eletrocardiografico Na Sindrome De Wolff-Parkinson-White

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