Práticas de cuidado hospitalares no final de vida: revisão integrativa
DOI:
https://doi.org/10.33448/rsd-v10i2.12276Palavras-chave:
Cuidados Paliativos; Tomada de decisões; Cuidados de Enfermagem; Cuidados Médicos; Revisão.Resumo
Decisões sobre cuidados às pessoas em final de vida envolvem diversos aspectos, representando desafio e mobilizando médicos e enfermeiros, profissionais que se sobressaem na tomada de decisões. Esta revisão integrativa de literatura objetivou identificar práticas de cuidado de médicos e enfermeiros em final de vida no hospital. A coleta de dados ocorreu entre janeiro e fevereiro de 2020 nas bases de dados Web of Science, Scopus e na Medical Literature and Retrivial System Online (MEDLINE). 58 artigos foram selecionados com os seguintes temas: sedação paliativa, ordem de não reanimação cardiopulmonar, comunicação e tomada de decisão, eutanásia e suicídio assistido, retirada ou limitação de tratamentos mantenedores da vida, tratamentos oncológicos e cuidados terminais. Conclui-se que as práticas de cuidado em final de vida centralizam-se em sintomas físicos e possuem o intuito de aliviar sofrimento. Suspender ou limitar reanimação cardiopulmonar, hidratação, nutrição e hemodiálise, bem como realização de eutanásia ou suicídio assistido apresentam maior controvérsia.
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