Advance directives of patients: process of implementation by palliative care teams.

Autor:	Nogario ACD; Universidade Federal do Rio Grande. Rio Grande, Rio Grande do Sul, Brazil., Barlem ELD; Universidade Federal do Rio Grande. Rio Grande, Rio Grande do Sul, Brazil., Tomaschewski-Barlem JG; Universidade Federal do Rio Grande. Rio Grande, Rio Grande do Sul, Brazil., Silveira RSD; Universidade Federal do Rio Grande. Rio Grande, Rio Grande do Sul, Brazil., Cogo SB; Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil., Carvalho DP; Universidade Federal do Rio Grande. Rio Grande, Rio Grande do Sul, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2020 Dec 21; Vol. 73 (suppl 6), pp. e20190567. Date of Electronic Publication: 2020 Dec 21 (Print Publication: 2020).
DOI:	10.1590/0034-7167-2019-0567
Abstrakt:	Objectives: to investigate the process of implementing advance directives in palliative care teams in southern Brazil. Methods: an exploratory-descriptive study with a qualitative approach conducted with 51 professionals from seven palliative care teams from December 2018 to April 2019. Data were collected through semi-structured online interviews and submitted to discursive textual analysis. Results: the implementation process starts on approach of the advance directives with patients, so that their wishes and desires are the guiding axis for planning care and conduct. Final Considerations: the palliative philosophy is important with regard to advance directives, due to the preparation of these professionals in the search for dignity, quality of life and respect for patient autonomy, in addition to reducing suffering and offering dignified death, based on the understanding of human finitude as a natural process that belongs to life.
Databáze:	MEDLINE
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