Strategies used in the practice of palliative care in neopediatric intensive therapy

Detalhes bibliográficos
Autor(a) principal: Silva, Alexandre Ernesto
Data de Publicação: 2021
Outros Autores: Silva, Rosimeire de Paula, Silva, Danyelle Maria, Moraes, Hellen Carolina Ferreira, Miranda, Carolina Eloi, Inácio, Jaqueline Layane da Silva, Ribeiro, Stefãne Amorim, Carvalho, Thayane Vieira
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/18277
Resumo: When one thinks about the natural course of life, one imagines that the human being is born, grows, grows old and only then goes through the process of death. In a neonatal and pediatric intensive care unit - Neopediatric ICU, the course of life can be shortened, and the end of life can become a real fact for the newborn/child. When analyzing the actions taken towards the patient, in the case of nursing, the palliative approach follows a macro line of care, restricted to compliance with medical prescriptions and carrying out procedures. Given the importance of the palliative care approach, we raise the following question: What are the strategies used by physicians and nurses in the eligibility and palliative care of patients hospitalized in a neopediatric ICU, and their families? The articles were selected and organized following the PICO strategy. After delimiting the available literature, a careful analysis was carried out so that the most relevant topics in the articles could be organized. Several obstacles directly affect care, such as training, complexity of procedures, lack of privacy with patients and family members, professional unpreparedness, among others. Finally, it is concluded that the literature review managed to gather a consistent and very useful content, contributing to the enrichment of knowledge about Palliative Care and how medical and nursing professionals are able to approach palliative care in the neonatal ICU, always seeking to offer the best assistance to their patients and families despite all the challenges encountered in the routine of the service.
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spelling Strategies used in the practice of palliative care in neopediatric intensive therapyEstrategias utilizadas en la prática de cuidados paliativos en terapia intensiva neopediátricaEstratégias utilizadas na prática dos cuidados paliativos em terapia intensiva neopediátricaCuidados paliativoscuidados paliativosneonatologiaNeonatologiapediatriaPediatriaUnidad de Terapia Intensiva.unidad de terapia intensivaCuidados paliativoscuidados paliativosNeonatologianeonatologiaPediatriapediatriaUnidade de Terapia Intensiva.unidade de terapia intensivaPalliative carepalliative careneonatologyNeonatologypediatricsPediatricsintensive care unitIntensive Care Unit.When one thinks about the natural course of life, one imagines that the human being is born, grows, grows old and only then goes through the process of death. In a neonatal and pediatric intensive care unit - Neopediatric ICU, the course of life can be shortened, and the end of life can become a real fact for the newborn/child. When analyzing the actions taken towards the patient, in the case of nursing, the palliative approach follows a macro line of care, restricted to compliance with medical prescriptions and carrying out procedures. Given the importance of the palliative care approach, we raise the following question: What are the strategies used by physicians and nurses in the eligibility and palliative care of patients hospitalized in a neopediatric ICU, and their families? The articles were selected and organized following the PICO strategy. After delimiting the available literature, a careful analysis was carried out so that the most relevant topics in the articles could be organized. Several obstacles directly affect care, such as training, complexity of procedures, lack of privacy with patients and family members, professional unpreparedness, among others. Finally, it is concluded that the literature review managed to gather a consistent and very useful content, contributing to the enrichment of knowledge about Palliative Care and how medical and nursing professionals are able to approach palliative care in the neonatal ICU, always seeking to offer the best assistance to their patients and families despite all the challenges encountered in the routine of the service.Cuando se piensa en el curso natural de la vida, se imagina que el ser humano nace, crece, envejece y sólo entonces pasa por el proceso de la muerte. En una unidad de cuidados intensivos neonatales y pediátricos, la UCI neopediátrica, el curso de la vida se puede acortar y el final de la vida puede convertirse en un hecho real para el recién nacido / niño. Al analizar las acciones realizadas hacia el paciente, en el caso de la enfermería, el abordaje paliativo sigue una macrolínea de cuidados, restringida al cumplimiento de las prescripciones médicas y realización de procedimientos. Dada la importancia del enfoque de cuidados paliativos, nos planteamos la siguiente pregunta: ¿Cuáles son las estrategias que utilizan los médicos y enfermeras en la elegibilidad y cuidados paliativos de los pacientes hospitalizados en una UCI neopediátrica y sus familias? Los artículos fueron seleccionados y organizados siguiendo la estrategia PICO. Luego de delimitar la literatura disponible, se realizó un análisis cuidadoso para que se pudieran organizar los temas más relevantes de los artículos. Varios obstáculos afectan directamente la atención, como la capacitación, la complejidad de los procedimientos, la falta de privacidad con los pacientes y familiares, la falta de preparación profesional, entre otros. Finalmente, se concluye que la revisión de la literatura logró recoger un contenido consistente y muy útil, contribuyendo al enriquecimiento del conocimiento sobre Cuidados Paliativos y cómo los profesionales médicos y de enfermería son capaces de abordar los cuidados paliativos en la UCI neonatal, buscando siempre ofrecer el la mejor asistencia a sus pacientes y familiares a pesar de todos los desafíos encontrados en la rutina del servicio.Quando se pensa no curso natural da vida imagina-se que o ser humano nasce, cresce, envelhece e só após isso passa pelo processo de morte. Em uma unidade de tratamento intensivo neonatal e pediátrica - UTI-Neopediátrica, o percurso da vida pode se mostrar encurtado, e o fim da vida pode se tornar um fato real ao recém-nascido/criança. Ao analisar as condutas tomadas frente ao paciente, tratando-se da enfermagem, a abordagem paliativa segue uma linha macro de cuidado, se restringindo ao cumprimento de prescrições médicas e realização de procedimentos. Diante da importância da abordagem dos cuidados paliativos, levantamos a seguinte pergunta: Quais são as estratégias utilizadas por médicos e enfermeiros na elegibilidade e assistência paliativa aos pacientes internados em uma UTI neopediátrica, e aos seus familiares? Os artigos foram selecionados e organizados seguindo a estratégia PICO. Após realizar a delimitação da literatura disponível, uma análise criteriosa foi feita para que as temáticas mais relevantes dos artigos pudessem ser organizadas. Diversos obstáculos afetam diretamente a assistência como a formação, a complexidade dos procedimentos, a falta de privacidade com paciente e familiares, despreparo profissional, dentre outros. Por fim, conclui-se que a revisão de literatura conseguiu reunir um conteúdo consistente e muito proveitoso, contribuindo para o enriquecimento do conhecimento acerca dos Cuidados Paliativos e como os profissionais médicos e da enfermagem conseguem abordar cuidados paliativos na uti neonatal buscando sempre oferecer a melhor assistência a seus pacientes e familiares apesar de todos os desafios encontrados na rotina do serviço.Research, Society and Development2021-08-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1827710.33448/rsd-v10i10.18277Research, Society and Development; Vol. 10 No. 10; e506101018277Research, Society and Development; Vol. 10 Núm. 10; e506101018277Research, Society and Development; v. 10 n. 10; e5061010182772525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/18277/17079Copyright (c) 2021 Alexandre Ernesto Silva; Rosimeire de Paula Silva; Danyelle Maria Silva; Hellen Carolina Ferreira Moraes; Carolina Eloi Miranda; Jaqueline Layane da Silva Inácio; Stefãne Amorim Ribeiro; Thayane Vieira Carvalhohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, Alexandre Ernesto Silva, Rosimeire de Paula Silva, Danyelle Maria Moraes, Hellen Carolina Ferreira Miranda, Carolina Eloi Inácio, Jaqueline Layane da Silva Ribeiro, Stefãne Amorim Carvalho, Thayane Vieira 2021-10-02T21:49:16Zoai:ojs.pkp.sfu.ca:article/18277Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:26.402800Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Strategies used in the practice of palliative care in neopediatric intensive therapy
Estrategias utilizadas en la prática de cuidados paliativos en terapia intensiva neopediátrica
Estratégias utilizadas na prática dos cuidados paliativos em terapia intensiva neopediátrica
title Strategies used in the practice of palliative care in neopediatric intensive therapy
spellingShingle Strategies used in the practice of palliative care in neopediatric intensive therapy
Silva, Alexandre Ernesto
Cuidados paliativos
cuidados paliativos
neonatologia
Neonatologia
pediatria
Pediatria
Unidad de Terapia Intensiva.
unidad de terapia intensiva
Cuidados paliativos
cuidados paliativos
Neonatologia
neonatologia
Pediatria
pediatria
Unidade de Terapia Intensiva.
unidade de terapia intensiva
Palliative care
palliative care
neonatology
Neonatology
pediatrics
Pediatrics
intensive care unit
Intensive Care Unit.
title_short Strategies used in the practice of palliative care in neopediatric intensive therapy
title_full Strategies used in the practice of palliative care in neopediatric intensive therapy
title_fullStr Strategies used in the practice of palliative care in neopediatric intensive therapy
title_full_unstemmed Strategies used in the practice of palliative care in neopediatric intensive therapy
title_sort Strategies used in the practice of palliative care in neopediatric intensive therapy
author Silva, Alexandre Ernesto
author_facet Silva, Alexandre Ernesto
Silva, Rosimeire de Paula
Silva, Danyelle Maria
Moraes, Hellen Carolina Ferreira
Miranda, Carolina Eloi
Inácio, Jaqueline Layane da Silva
Ribeiro, Stefãne Amorim
Carvalho, Thayane Vieira
author_role author
author2 Silva, Rosimeire de Paula
Silva, Danyelle Maria
Moraes, Hellen Carolina Ferreira
Miranda, Carolina Eloi
Inácio, Jaqueline Layane da Silva
Ribeiro, Stefãne Amorim
Carvalho, Thayane Vieira
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Alexandre Ernesto
Silva, Rosimeire de Paula
Silva, Danyelle Maria
Moraes, Hellen Carolina Ferreira
Miranda, Carolina Eloi
Inácio, Jaqueline Layane da Silva
Ribeiro, Stefãne Amorim
Carvalho, Thayane Vieira
dc.subject.por.fl_str_mv Cuidados paliativos
cuidados paliativos
neonatologia
Neonatologia
pediatria
Pediatria
Unidad de Terapia Intensiva.
unidad de terapia intensiva
Cuidados paliativos
cuidados paliativos
Neonatologia
neonatologia
Pediatria
pediatria
Unidade de Terapia Intensiva.
unidade de terapia intensiva
Palliative care
palliative care
neonatology
Neonatology
pediatrics
Pediatrics
intensive care unit
Intensive Care Unit.
topic Cuidados paliativos
cuidados paliativos
neonatologia
Neonatologia
pediatria
Pediatria
Unidad de Terapia Intensiva.
unidad de terapia intensiva
Cuidados paliativos
cuidados paliativos
Neonatologia
neonatologia
Pediatria
pediatria
Unidade de Terapia Intensiva.
unidade de terapia intensiva
Palliative care
palliative care
neonatology
Neonatology
pediatrics
Pediatrics
intensive care unit
Intensive Care Unit.
description When one thinks about the natural course of life, one imagines that the human being is born, grows, grows old and only then goes through the process of death. In a neonatal and pediatric intensive care unit - Neopediatric ICU, the course of life can be shortened, and the end of life can become a real fact for the newborn/child. When analyzing the actions taken towards the patient, in the case of nursing, the palliative approach follows a macro line of care, restricted to compliance with medical prescriptions and carrying out procedures. Given the importance of the palliative care approach, we raise the following question: What are the strategies used by physicians and nurses in the eligibility and palliative care of patients hospitalized in a neopediatric ICU, and their families? The articles were selected and organized following the PICO strategy. After delimiting the available literature, a careful analysis was carried out so that the most relevant topics in the articles could be organized. Several obstacles directly affect care, such as training, complexity of procedures, lack of privacy with patients and family members, professional unpreparedness, among others. Finally, it is concluded that the literature review managed to gather a consistent and very useful content, contributing to the enrichment of knowledge about Palliative Care and how medical and nursing professionals are able to approach palliative care in the neonatal ICU, always seeking to offer the best assistance to their patients and families despite all the challenges encountered in the routine of the service.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/18277
10.33448/rsd-v10i10.18277
url https://rsdjournal.org/index.php/rsd/article/view/18277
identifier_str_mv 10.33448/rsd-v10i10.18277
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/18277/17079
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 10; e506101018277
Research, Society and Development; Vol. 10 Núm. 10; e506101018277
Research, Society and Development; v. 10 n. 10; e506101018277
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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