Diretivas antecipadas de vontade em geriatria
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/62024 |
Resumo: | Abstract:Advance directives represent the decisions about medical care and treatment that a patient wishes to receive, if unable to express their will. We evaluated the knowledge of elderly caregivers in a geriatric outpatient clinic (n=66), lecturers (n=60) and medical students (n=72) regarding these directives, the intention to create the document, and the conduct during this situation. The results show that only 20% of the participants knew, or at least have an idea of, what these directives are. The majority of terminally ill patients (72%) preferred to die at home, receiving palliative care; 32% preferred dying in a hospital; and 45% agreed to be taken to an intensive care unit. Only 40% opt for this expression of will, even after explanations. More than half (56%) trust that medical teams will respect their decisions, and 83% trust their family members. It is concluded that the subject should be discussed more in society, especially in the fields of teaching and health care. |
id |
UFMG_556721bcbf1eb8eb7f97b00ea9122667 |
---|---|
oai_identifier_str |
oai:repositorio.ufmg.br:1843/62024 |
network_acronym_str |
UFMG |
network_name_str |
Repositório Institucional da UFMG |
repository_id_str |
|
spelling |
2023-12-14T22:01:31Z2023-12-14T22:01:31Z2018-1226342943910.1590/1983-8042201826326319838034http://hdl.handle.net/1843/62024Abstract:Advance directives represent the decisions about medical care and treatment that a patient wishes to receive, if unable to express their will. We evaluated the knowledge of elderly caregivers in a geriatric outpatient clinic (n=66), lecturers (n=60) and medical students (n=72) regarding these directives, the intention to create the document, and the conduct during this situation. The results show that only 20% of the participants knew, or at least have an idea of, what these directives are. The majority of terminally ill patients (72%) preferred to die at home, receiving palliative care; 32% preferred dying in a hospital; and 45% agreed to be taken to an intensive care unit. Only 40% opt for this expression of will, even after explanations. More than half (56%) trust that medical teams will respect their decisions, and 83% trust their family members. It is concluded that the subject should be discussed more in society, especially in the fields of teaching and health care.Diretivas antecipadas de vontade em geriatria Diretivas antecipadas de vontade representam as decisões sobre cuidados e tratamentos que um paciente deseja receber se incapacitado de expressar sua vontade. Foi avaliado o entendimento de acompanhantes de idosos (n=66) em ambulatório geriátrico, professores (n=60) e alunos de medicina (n=72) quanto a essas diretivas, a intenção de fazer o documento e as condutas durante essa situação. Os resultados mostram que somente 20% dos participantes sabem ou ao menos têm ideia do que sejam essas diretivas. A maioria dos pacientes em estado terminal (72%) prefere falecer em casa, recebendo cuidados paliativos; 32% preferem o hospital; e 45% aceitam ser levados à terapia intensiva. Poucos optam por essa manifestação de vontade, mesmo após explicações. Mais da metade (56%) confia que equipes médicas respeitarão suas decisões, e 83% confiam em familiares. Conclui-se que o assunto deve ser mais discutido na sociedade, principalmente nas áreas de ensino e assistência à saúde.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE CLÍNICA MÉDICARevista BioéticaAdvance DirectivesAgedPersonal AutonomyPalliative MedicineDeathAdvance DirectivesAgedPersonal AutonomyPalliative MedicineDeathDiretivas antecipadas de vontade em geriatriaAdvance directives in geriatric medicineinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.1590/1983-80422018263263Bruna Mota Machado GomesLorena Araújo SalomãoAratti Cândido SimõesBárbara Otoni RebouçasLuciana DadaltoMaira Tonidandel Barbosaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/62024/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALAdvance directives in geriatric medicine pdfa.pdfAdvance directives in geriatric medicine pdfa.pdfapplication/pdf286100https://repositorio.ufmg.br/bitstream/1843/62024/2/Advance%20directives%20in%20geriatric%20medicine%20pdfa.pdf6e748bc10c57fe8fac256fd82736eed6MD521843/620242023-12-14 20:11:12.838oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-12-14T23:11:12Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Diretivas antecipadas de vontade em geriatria |
dc.title.alternative.pt_BR.fl_str_mv |
Advance directives in geriatric medicine |
title |
Diretivas antecipadas de vontade em geriatria |
spellingShingle |
Diretivas antecipadas de vontade em geriatria Bruna Mota Machado Gomes Advance Directives Aged Personal Autonomy Palliative Medicine Death Advance Directives Aged Personal Autonomy Palliative Medicine Death |
title_short |
Diretivas antecipadas de vontade em geriatria |
title_full |
Diretivas antecipadas de vontade em geriatria |
title_fullStr |
Diretivas antecipadas de vontade em geriatria |
title_full_unstemmed |
Diretivas antecipadas de vontade em geriatria |
title_sort |
Diretivas antecipadas de vontade em geriatria |
author |
Bruna Mota Machado Gomes |
author_facet |
Bruna Mota Machado Gomes Lorena Araújo Salomão Aratti Cândido Simões Bárbara Otoni Rebouças Luciana Dadalto Maira Tonidandel Barbosa |
author_role |
author |
author2 |
Lorena Araújo Salomão Aratti Cândido Simões Bárbara Otoni Rebouças Luciana Dadalto Maira Tonidandel Barbosa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Bruna Mota Machado Gomes Lorena Araújo Salomão Aratti Cândido Simões Bárbara Otoni Rebouças Luciana Dadalto Maira Tonidandel Barbosa |
dc.subject.por.fl_str_mv |
Advance Directives Aged Personal Autonomy Palliative Medicine Death |
topic |
Advance Directives Aged Personal Autonomy Palliative Medicine Death Advance Directives Aged Personal Autonomy Palliative Medicine Death |
dc.subject.other.pt_BR.fl_str_mv |
Advance Directives Aged Personal Autonomy Palliative Medicine Death |
description |
Abstract:Advance directives represent the decisions about medical care and treatment that a patient wishes to receive, if unable to express their will. We evaluated the knowledge of elderly caregivers in a geriatric outpatient clinic (n=66), lecturers (n=60) and medical students (n=72) regarding these directives, the intention to create the document, and the conduct during this situation. The results show that only 20% of the participants knew, or at least have an idea of, what these directives are. The majority of terminally ill patients (72%) preferred to die at home, receiving palliative care; 32% preferred dying in a hospital; and 45% agreed to be taken to an intensive care unit. Only 40% opt for this expression of will, even after explanations. More than half (56%) trust that medical teams will respect their decisions, and 83% trust their family members. It is concluded that the subject should be discussed more in society, especially in the fields of teaching and health care. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-12 |
dc.date.accessioned.fl_str_mv |
2023-12-14T22:01:31Z |
dc.date.available.fl_str_mv |
2023-12-14T22:01:31Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/62024 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1590/1983-80422018263263 |
dc.identifier.issn.pt_BR.fl_str_mv |
19838034 |
identifier_str_mv |
10.1590/1983-80422018263263 19838034 |
url |
http://hdl.handle.net/1843/62024 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Revista Bioética |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
instname_str |
Universidade Federal de Minas Gerais (UFMG) |
instacron_str |
UFMG |
institution |
UFMG |
reponame_str |
Repositório Institucional da UFMG |
collection |
Repositório Institucional da UFMG |
bitstream.url.fl_str_mv |
https://repositorio.ufmg.br/bitstream/1843/62024/1/License.txt https://repositorio.ufmg.br/bitstream/1843/62024/2/Advance%20directives%20in%20geriatric%20medicine%20pdfa.pdf |
bitstream.checksum.fl_str_mv |
fa505098d172de0bc8864fc1287ffe22 6e748bc10c57fe8fac256fd82736eed6 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
|
_version_ |
1803589281187364864 |