Terminal patient care: advantages on the applicability of anticipated will directives in the hospital context.

Autor:	Cogo SB; Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil., Lunardi VL; Universidade Federal de Rio Grande (FURG). Programa de Pós-Graduação em Enfermagem. Rio Grande, Rio Grande do Sul, Brasil., Quintana AM; Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Psicologia. Santa Maria, Rio Grande do Sul, Brasil., Girardon-Perlini NMO; Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil., Silveira RSD; Universidade Federal de Rio Grande (FURG). Programa de Pós-Graduação em Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista gaucha de enfermagem [Rev Gaucha Enferm] 2018 Jun 07; Vol. 38 (4), pp. e65617. Date of Electronic Publication: 2018 Jun 07.
DOI:	10.1590/1983-1447.2017.04.65617
Abstrakt:	Objective: To know the advantages related to the applicability of the advance directives of will in the hospital context from the perspective of nurses, doctors and family members. Method: Qualitative, descriptive and exploratory study with semi structured interviews carried out from October to November 2014, with nurses, doctors and family members of patients in the final stage. Afterwards, a discursive textual analysis was carried out. Results: Four categories emerged: respect for patient's autonomy; support in confrontation of conflicts with and from family members; reduction of conflicts in the team about treatments and conducts; disclosure and instrumentation for application of the Advance Directives of Will. Conclusion: The respect for personal autonomy permeates the advantages when relating the conduct of treatments at the end of life with the Advance Directives of Will. Thus, disagreements involving the processes at the end of life would be supported by the patient's desire, besides implying in the reduction of the fear of professionals in facing lawsuits and in the support of the family.
Databáze:	MEDLINE
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