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

Monteiro, Mayla Cosmo; Magalhães, Andréa Seixas; Féres-Carneiro, Terezinha; Machado, Rebeca Nonato

doi:10.4025/psicolestud.v21i1.28480

Cited by 11 publications

(20 citation statements)

References 17 publications

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“…The survey results show that the discovery of the diagnosis of cancer or other serious diseases, and their guarded prognoses, interrupts the life course of patients and their families. They see their present and future life plans threatened by the possibility of death (4) . At this moment the fear is confirmed, amid denial, revolt, sense of failure, fear or paralysis of all those involved (6) .…”

Section: Discussionmentioning

confidence: 99%

“…This factor balances the biotechnological advances in medicine and the exhaustive use of hard and soft technologies, along with the persistent efforts to increase life expectancy. This goal of "saving lives at all costs", characteristic of the practice of curative care, results, however, in processes that may neglect the success of the activity, mainly because it confronts the limitation of the act of healing (4) .…”

Section: Introductionmentioning

confidence: 99%

“…It is reinforced by a culture that denies and rejects human mortality and reveals the biological dimension as the only one worthy of care. In this context, the damage experienced in the ICU environment for patients in the process of finitude is immense, as they are isolated from their family, lose their autonomy and dignity, and experience their death with stress, sadness, anxiety, suffering and pain (4,6) .…”

Section: Introductionmentioning

confidence: 99%

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The person-environment relationship in the process of finitude

Costa¹,

Holanda²,

Melo³

et al. 2020

PSIC

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Objective: To understand the relationship between caregivers and patients who are undergoing the process of finitude with the environment where they are during this process. Method: This is a qualitative, exploratory and descriptive research. According to the saturation criterion, there were 19 participants: 10 patients (5 in palliative care at home and 5 in curative care in Intensive Care Units -ICU) and 9 relatives of the respective patients. They responded to a narrative interview, which is characterized as an instrument that makes it possible to understand how the participant perceives and experiences the environment around her/him. For the analysis of the material, the interview was interpreted through textual analysis using the Iramuteq software. Results: The results indicated great adversities in the process of finitude in both environments: ICU and home; however, the family environment is seen as promoting quality of life and of death with dignity by patients, due to the support network offered by family and friends. Conclusion: the person-environment relationship in the process of finitude is characterized by affections and meanings, and needs to be taken into account as a facilitator of quality of life. Keywords: Psychology of health; environmental psychology; palliative care; intensive care units; home assistance service.[es] La relación persona-ambiente en el proceso de finitud Resumen: Objetivo: comprender la relación de cuidadores y pacientes en el proceso de finitud con el entorno en el que se encuentran durante este proceso. Método: fue un acercamiento exploratorio y descriptivo, cualitativo. Los criterios de saturación incluyeron 19 participantes: 10 pacientes (5 en cuidados paliativos en cuidados domiciliarios y 5 en cuidados curativos en la UCI) y 9 familiares de los pacientes respectivos. Respondieron a un instrumento, la entrevista narrativa, que se caracteriza por ser un instrumento que permite comprender cómo el participante percibe y experimenta el entorno que lo rodea. Para el análisis del material, la entrevista se entendió a través del análisis textual en el software Iramuteq. Resultados: los resultados indicaron grandes adversidades en el proceso de finitud ARTÍCULOS Alves da Costa M., et al. Psicooncología 2020; 17(1): 131-148 132 en ambos entornos: UCI y hogar; sin embargo, se considera que el entorno familiar promueve la calidad de vida y de la muerte con dignidadla de los pacientes, debido a la red de apoyo que ofrecen familiares y amigos. Conclusión: la relación persona-ambiente en el proceso de finitud se caracteriza por afectos y significados, y debe tomarse en cuenta como facilitador de la calidad de vida. Palabras clave: Psicología de la salud; psicología ambiental; cuidados paliativos; unidades de cuidados intensivos; servicio de asistencia domiciliaria.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The person-environment relationship in the process of finitude

Costa¹,

Holanda²,

Melo³

et al. 2020

PSIC

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“…Por sua vez, o sentimento da morte de crianças e jovens foi considerado mais intenso e impactante, pois a morte destes é entendida como uma interrupção de um ciclo biológico, gerando insatisfação, desilusão e angústia nos profissionais 20 . A aceitação da finitude da vida em pacientes com idade avançada e com doença crônica foi maior, pois estes apresentam mais comorbidades e limitações 21 .…”

Section: Discussionunclassified

Significado da morte de pacientes para os profissionais de saúde em unidade de terapia intensiva

Martins

Cunha

Ferreira

et al. 2019

REFACS

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Esta é uma pesquisa descritiva e exploratória com abordagem qualitativa, realizada em 2017 e, que teve como objetivo descrever e analisar o significado da morte de pacientes para os profissionais de saúde que atuam na Unidade de Terapia Intensiva, realizado num hospital do interior de Minas Gerais. Os dados foram coletados por meio de roteiro semiestruturado e submetido à análise de conteúdo temática. Emergiram as categorias: “Significado da morte dos pacientes internados na Unidade de Terapia Intensiva Adulto”; “Emoções despertadas nos profissionais de saúde frente ao processo de morte de seus pacientes”; e, “Fatores dificultadores enfrentados pelos profissionais de saúde ao lidaram com a morte de seus pacientes”. Verificou-se que é relevante a gestão de equipes vinculadas a esta Unidade de Terapia Intensiva pesquisada se atentar para oferta de suporte psíquico e educação em serviço relacionada aos cuidados paliativos/finitude de vida aos seus profissionais de saúde.

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“…The advance of medical procedures such as mechanical ventilation, hemodialysis, and enteral and parenteral nutrition, among others, can favor the promotion of dysthanasia in ICUs, creating a scenario that is prone to produce conflicts between the family and the medical team. This issue's greatest difficulty is to determine whether a treatment is ordinary (obligatory to save the patient or to offer relief and control of his/her symptoms) or extraordinary (also known as futile) (Monteiro, Magalhães, Féres-Carneiro & Machado, 2016).…”

Section: Introductionmentioning

confidence: 99%

The decision-making process in families of terminal ICU patients

et al. 2019

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The objective of this research is to investigate family members’ perceptions as to the end-of-life decision-making process in an ICU. The authors conducted a qualitative descriptive study in which they interviewed six family members of critically ill patients admitted to the ICU of a private hospital. Five categories of analysis emerged from the examination of the material. This study will discuss two of those categories: the decision-making process and the relationship with the medical staff. The results indicate that family members were satisfied with communication with the medical staff, an important aspect for the decision-making process. Within this context, the shared model, prioritization of palliative care and identification of futile treatments prevailed, aimed at ensuring the patient’s comfort and dignity at the end of life. The results also reveal the need for integration of palliative care in ICUs, particularly in end-of-life situations.

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

Cited by 11 publications

References 17 publications

The person-environment relationship in the process of finitude

The person-environment relationship in the process of finitude

Significado da morte de pacientes para os profissionais de saúde em unidade de terapia intensiva

The decision-making process in families of terminal ICU patients

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