Palliative care and nursing to the patient in an intensive care unit: An integrative review
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
DOI: | 10.33448/rsd-v10i9.18209 |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/18209 |
Resumo: | The intensive care unit (ICU) is defined by the set of functionally grouped elements, which is intended for the care of critically ill and/or at-risk patients who need medical care, nursing and physiotherapists continuously, in addition to modern technological equipment and specialized human resources of several professionals focused on health. In order to centralize the care applied to the patient, the nursing professional who works in intensive care is challenged by the specificities of this assistance to each patient, respecting their uniqueness. This is a descriptive study with a qualitative focus of the integrative review type, which comprises the analysis of relevant research, allowing the synthesis of information about a given context and pointing out gaps that need to be filled based on a defined and characteristic theme. Although nursing professionals understand and recognize the importance of palliative care, there is a weakened understanding, correlating them only to patients suffering from life, so professionals focus on focusing on the physical care of this patient and not on other patient needs as a singular subject. There are still difficulties in screening, prognosing, recognizing this type of patient, delaying the start of palliative care, sharing the decision-making process between a multidisciplinary team, planning care comprehensively, factors that negatively influence the achievement palliative care in the ICU. |
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Research, Society and Development |
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Palliative care and nursing to the patient in an intensive care unit: An integrative reviewCuidados paliativos y enfermería al paciente en una unidad de cuidados intensivos: Una revisión integradoraCuidados paliativos e a enfermagem ao paciente em unidade de terapia intensiva: Revisão integrativaEnfermeríaCuidados paliativosUnidad de Terapia Intensiva.NursingPalliative careIntensive Care Unit.EnfermagemCuidados paliativosUnidade de Terapia Intensiva.The intensive care unit (ICU) is defined by the set of functionally grouped elements, which is intended for the care of critically ill and/or at-risk patients who need medical care, nursing and physiotherapists continuously, in addition to modern technological equipment and specialized human resources of several professionals focused on health. In order to centralize the care applied to the patient, the nursing professional who works in intensive care is challenged by the specificities of this assistance to each patient, respecting their uniqueness. This is a descriptive study with a qualitative focus of the integrative review type, which comprises the analysis of relevant research, allowing the synthesis of information about a given context and pointing out gaps that need to be filled based on a defined and characteristic theme. Although nursing professionals understand and recognize the importance of palliative care, there is a weakened understanding, correlating them only to patients suffering from life, so professionals focus on focusing on the physical care of this patient and not on other patient needs as a singular subject. There are still difficulties in screening, prognosing, recognizing this type of patient, delaying the start of palliative care, sharing the decision-making process between a multidisciplinary team, planning care comprehensively, factors that negatively influence the achievement palliative care in the ICU.La unidad de cuidados intensivos (UCI) se define por el conjunto de elementos agrupados funcionalmente, que está destinado a la atención de pacientes críticamente enfermos y / o en riesgo que necesitan atención médica, enfermería y fisioterapeutas de manera continua, además de modernos equipos tecnológicos y recursos humanos especializados de varios profesionales enfocados a la salud. Para centralizar los cuidados aplicados al paciente, el profesional de enfermería que trabaja en cuidados intensivos se ve desafiado por las especificidades de esta asistencia a cada paciente, respetando su singularidad. Se trata de un estudio descriptivo con enfoque cualitativo del tipo revisión integradora, que comprende el análisis de investigaciones relevantes, permitiendo la síntesis de información sobre un contexto dado y señalando los vacíos que deben ser llenados en base a un tema definido y característico. Si bien los profesionales de enfermería comprenden y reconocen la importancia de los cuidados paliativos, existe un entendimiento debilitado, correlacionándolos solo con pacientes que sufren de la vida, por lo que los profesionales se enfocan en enfocarse en el cuidado físico de este paciente y no en otras necesidades del paciente como un tema singular. Aún persisten dificultades en el cribado, el pronóstico, el reconocimiento de este tipo de pacientes, retrasar el inicio de los cuidados paliativos, compartir el proceso de toma de decisiones entre un equipo multidisciplinario, planificar la atención de manera integral, factores que influyen negativamente en el logro de los cuidados paliativos en la UCI.A unidade de terapia intensiva (UTI), se define pelo conjunto de elementos funcionalmente agrupados, que se destina ao atendimento de pacientes graves e/ de riscos que precisam de assistência médica, enfermagem e fisioterapeutas continuamente, além de equipamentos tecnológicos modernos e recursos humanos especializados de diversas profissionais voltados à saúde. Para centralizar os cuidados aplicados ao paciente, o profissional de enfermagem que atua em terapia intensiva é desafiado pelas especificidades dessa assistência a cada paciente respeitando sua singularidade. Trata-se de um estudo descritivo com enfoque qualitativo do tipo revisão integrativa, a qual compreende a análise de pesquisas relevantes, permitindo sintetizar a informação sobre um determinado contexto e apontar lacunas que necessitam ser preenchidas a partir de um tema definido e característico. Embora os profissionais de enfermagem compreendem e reconheçam, a importância dos cuidados paliativos, existe um entendimento fragilizado, correlacionando-os apenas aos pacientes em sofrimento de vida, sendo assim os profissionais focam no enfoque no cuidado físico desse paciente e não nas outras necessidades do paciente como sujeito singular. Há ainda dificuldades para triar, prognosticar, reconhecer esse tipo de paciente, retardando o início dos cuidados paliativos, compartilhar o processo de tomada de decisão entre equipe multidisciplinar, planejar o cuidado de forma integral, fatores esses que influenciam do ponto de vista negativo para realização dos cuidados paliativos na UTI.Research, Society and Development2021-08-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1820910.33448/rsd-v10i9.18209Research, Society and Development; Vol. 10 No. 9; e53810918209Research, Society and Development; Vol. 10 Núm. 9; e53810918209Research, Society and Development; v. 10 n. 9; e538109182092525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/18209/16456Copyright (c) 2021 Daniel Santos dos Santos; Silvana Carloto Andres; Liane Bahú Machado; Marjana Pivoto Reginaldohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Daniel Santos dos Andres, Silvana Carloto Machado, Liane BahúReginaldo, Marjana Pivoto2021-09-12T14:28:06Zoai:ojs.pkp.sfu.ca:article/18209Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:23.562199Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Palliative care and nursing to the patient in an intensive care unit: An integrative review Cuidados paliativos y enfermería al paciente en una unidad de cuidados intensivos: Una revisión integradora Cuidados paliativos e a enfermagem ao paciente em unidade de terapia intensiva: Revisão integrativa |
title |
Palliative care and nursing to the patient in an intensive care unit: An integrative review |
spellingShingle |
Palliative care and nursing to the patient in an intensive care unit: An integrative review Palliative care and nursing to the patient in an intensive care unit: An integrative review Santos, Daniel Santos dos Enfermería Cuidados paliativos Unidad de Terapia Intensiva. Nursing Palliative care Intensive Care Unit. Enfermagem Cuidados paliativos Unidade de Terapia Intensiva. Santos, Daniel Santos dos Enfermería Cuidados paliativos Unidad de Terapia Intensiva. Nursing Palliative care Intensive Care Unit. Enfermagem Cuidados paliativos Unidade de Terapia Intensiva. |
title_short |
Palliative care and nursing to the patient in an intensive care unit: An integrative review |
title_full |
Palliative care and nursing to the patient in an intensive care unit: An integrative review |
title_fullStr |
Palliative care and nursing to the patient in an intensive care unit: An integrative review Palliative care and nursing to the patient in an intensive care unit: An integrative review |
title_full_unstemmed |
Palliative care and nursing to the patient in an intensive care unit: An integrative review Palliative care and nursing to the patient in an intensive care unit: An integrative review |
title_sort |
Palliative care and nursing to the patient in an intensive care unit: An integrative review |
author |
Santos, Daniel Santos dos |
author_facet |
Santos, Daniel Santos dos Santos, Daniel Santos dos Andres, Silvana Carloto Machado, Liane Bahú Reginaldo, Marjana Pivoto Andres, Silvana Carloto Machado, Liane Bahú Reginaldo, Marjana Pivoto |
author_role |
author |
author2 |
Andres, Silvana Carloto Machado, Liane Bahú Reginaldo, Marjana Pivoto |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos, Daniel Santos dos Andres, Silvana Carloto Machado, Liane Bahú Reginaldo, Marjana Pivoto |
dc.subject.por.fl_str_mv |
Enfermería Cuidados paliativos Unidad de Terapia Intensiva. Nursing Palliative care Intensive Care Unit. Enfermagem Cuidados paliativos Unidade de Terapia Intensiva. |
topic |
Enfermería Cuidados paliativos Unidad de Terapia Intensiva. Nursing Palliative care Intensive Care Unit. Enfermagem Cuidados paliativos Unidade de Terapia Intensiva. |
description |
The intensive care unit (ICU) is defined by the set of functionally grouped elements, which is intended for the care of critically ill and/or at-risk patients who need medical care, nursing and physiotherapists continuously, in addition to modern technological equipment and specialized human resources of several professionals focused on health. In order to centralize the care applied to the patient, the nursing professional who works in intensive care is challenged by the specificities of this assistance to each patient, respecting their uniqueness. This is a descriptive study with a qualitative focus of the integrative review type, which comprises the analysis of relevant research, allowing the synthesis of information about a given context and pointing out gaps that need to be filled based on a defined and characteristic theme. Although nursing professionals understand and recognize the importance of palliative care, there is a weakened understanding, correlating them only to patients suffering from life, so professionals focus on focusing on the physical care of this patient and not on other patient needs as a singular subject. There are still difficulties in screening, prognosing, recognizing this type of patient, delaying the start of palliative care, sharing the decision-making process between a multidisciplinary team, planning care comprehensively, factors that negatively influence the achievement palliative care in the ICU. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-02 |
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/18209 10.33448/rsd-v10i9.18209 |
url |
https://rsdjournal.org/index.php/rsd/article/view/18209 |
identifier_str_mv |
10.33448/rsd-v10i9.18209 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18209/16456 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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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. 9; e53810918209 Research, Society and Development; Vol. 10 Núm. 9; e53810918209 Research, Society and Development; v. 10 n. 9; e53810918209 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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1822178548152008704 |
dc.identifier.doi.none.fl_str_mv |
10.33448/rsd-v10i9.18209 |