CUIDADOS PALIATIVOS EM TERAPIA INTENSIVA: VISÃO DA EQUIPE MULTIPROFISSIONAL EM SAÚDE

Ana Paula De Magalhães  Barbosa; Fátima Helena Do Espírito  Santo; Michelle Freitas De  Souza

doi:10.51161/rems/1436

CUIDADOS PALIATIVOS EM TERAPIA INTENSIVA: VISÃO DA EQUIPE MULTIPROFISSIONAL EM SAÚDE

Autores

Ana Paula De Magalhães Barbosa
Fátima Helena Do Espírito Santo
Michelle Freitas De Souza

DOI:

https://doi.org/10.51161/rems/1436

Palavras-chave:

CUIDADOS CRÍTICOS, EQUIPE DE ASSISTÊNCIA AO PACIENTE, CUIDADOS PALIATIVOS

Resumo

Introdução: A Unidade de Terapia Intensiva (UTI) é o serviço hospitalar destinado a usuários em situação grave ou de risco que necessitam de cuidados intensivos, assistência ininterrupta e monitorização contínua. É nessa unidade que encaramos com frequência as realidades humanas mais temidas, como dor, sofrimento e morte. Nesse contexto, os cuidados paliativos trazem uma abordagem que visa melhorar a qualidade de vida de pacientes e seus familiares quando enfrentam problemas inerentes a uma doença com risco de vida. Objetivo: analisar a visão dos profissionais de saúde frente ao paciente fora de possibilidade terapêutica na UTI. Material e Métodos: estudo descritivo, de abordagem qualitativa, realizado com 15 profissionais de saúde da UTI de um Hospital Universitário. Foram incluídos profissionais com tempo mínimo de seis meses de experiência no setor, presentes no plantão diurno, no momento da coleta, que ocorreu entre outubro e dezembro de 2018, através de entrevistas semiestruturadas, gravadas em áudio e, posteriormente, transcritas e submetidas à análise temática de conteúdos. O estudo foi aprovado pelo Comitê de Ética em Pesquisa do Hospital Universitário Antônio Pedro da Universidade Federal Fluminense sob o parecer de n°1.693.754. Resultados: os participantes relataram que veem os pacientes em cuidados paliativos como pessoas que necessitam de medidas que tornem o processo de morte menos sofrido e mais digno, também demonstram insatisfação com a realidade do cenário atual dos cuidados paliativos na terapia intensiva e muitas vezes se sentem despreparados para prestar a assistência adequada, sendo a dificuldade de comunicação entre a equipe um problema recorrente nas falas dos entrevistados. Os participantes sugeriram a elaboração de treinamentos para a equipe, implementação de uma comissão multidisciplinar de cuidados paliativos, maior interação entre profissionais e família e necessidade de humanização do cuidado prestado. Conclusão: A implementação dos cuidados paliativos na UTI é um desafio para toda a equipe, visando o equilíbrio entre medidas paliativas e curativas. Muitos avanços precisam acontecer, principalmente em pesquisas na área bem como no campo da legislação. Os resultados obtidos possibilitaram traçar metas para avanços no campo prático em direção a uma assistência mais centrada no indivíduo e na sua autonomia.

Publicado

2021-07-28

Como Citar

Barbosa, A. P. D. M. ., Santo, F. H. D. E. ., & Souza, M. F. D. . (2021). CUIDADOS PALIATIVOS EM TERAPIA INTENSIVA: VISÃO DA EQUIPE MULTIPROFISSIONAL EM SAÚDE. Revista Multidisciplinar Em Saúde, 2(3), 34. https://doi.org/10.51161/rems/1436

Baixar Citação

Edição

v. 2 n. 3 (2021)

Seção

II Congresso Brasileiro de Saúde On-line

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2]) % line  132, file: DAO.inc.php
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600) % line   91, file: ArticleSearchDAO.inc.php
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line  201, file: SubmissionSearch.inc.php
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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