scholarly journals Cardiological instrument for assistance in the elderly's terminal life: parameters of medicine and nursing

2020 ◽  
Vol 5 (2) ◽  
pp. 55-59
Author(s):  
Souza MC ◽  
Luiz Amaro do Nascimento Neto ◽  
Lucas Afonso Barbosa Saraiva ◽  
Caio Vinicius Afonso Barbosa Saraiva ◽  
Ariosto Afonso de Morais ◽  
...  
Keyword(s):  
Palliative Care ◽  
Intensive Care ◽  
Elderly Patients ◽  
Terminally Ill ◽  
Family Satisfaction ◽  
Patient Comfort ◽  
Care Process ◽  
Health Team ◽  
Information And Communication ◽  
Nursing Professionals

Goal: Describe the use of a cardiological instrument developed by medicine and nursing with the use of information technology to assist terminally ill elderly patients. Introduction: The use of interventional medical technology in cardiac and terminally ill elderly patients needs to be associated with palliative care as clinical support measures in intensive care. This resource assists in decisions at the end of the patient's life and directs the attention of the health team to ensure patient comfort and family satisfaction. In this regard, information and communication technology assist the entire care process. Method: It is a descriptive and exploratory study of quantitative and statistical character. Based on the innovative methodology of the current times, using uniform and ethical parameters for the elaboration of assistance based on auxiliary technology and the knowledge of medical and nursing professionals. Results and Discussion: 99 articles were analyzed, discussed and quantified, showing experiences of palliative care in intensive care units using the variables of technology and cardiologic instruments and the participation of medicine and nursing. Conclusion: The theme “palliative care” should be further investigated in order to improve the relationship between patients, their families and the health team. Considering the increase in the number of elderly people in intensive care, it is essential to improve the training of health professionals to face the challenges that involve the end of life and cardiology.

scholarly journals ASSISTÊNCIA DE ENFERMAGEM NOS CUIDADOS PALIATIVOS AO PACIENTE IDOSO EM UNIDADE DE TERAPIA INTENSIVA / NURSING CARE IN PALLIATIVE CARE FOR ELDERLY PATIENTS IN AN INTENSIVE CARE UNIT

2020 ◽  
Vol 6 (12) ◽  
pp. 102261-102281
Author(s):  
Airton César Leite ◽  
Jaiciane Jorge da Silva ◽  
Maria Merciane Medeiros do nascimento Ferreira ◽  
Vanessa Bonfim Mendes ◽  
Lianna Emanuelli Carvalho Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Elderly Patients ◽  
Nursing Care ◽  
Terapia Intensiva

scholarly journals The existence of nursing in caring for terminally ills’life: a phenomenological study

2014 ◽  
Vol 48 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Carla Simone Leite de Almeida ◽  
Catarina Aparecida Sales ◽  
Sônia Silva Marcon
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Phenomenological Study ◽  
Terminally Ill ◽  
Phenomenological Research ◽  
Human Beings ◽  
Structured Interviews ◽  
Nursing Experience ◽  
Oncology Ward ◽  
Nursing Professionals

By taking care of cancer patients in their process of end of life, nursing experience situations of suffering before the anguish of others. This study aimed to understand the meaning and significance attributed by the nurses from the palliative care cancer hospital. This is a phenomenological research, grounded in Heidegger’s thinking, performed with 13 nurses, who work at Oncology hospitalward, through semi-structured interviews, which were analyzed according to the steps recommended by Josgrilberg. From understanding the statementsof the subjects, two ontological themesemerged: Feeling satisfaction and love in the care offered and Feeling anger and inabilitytowards terminally ill patients.We inferred that working in Oncology Ward is something rewarding for these professionals, but it entails physical and mental suffering, from feeling helpless before the death-dying process. Thus, we showedthat nursing professionals need to be recognized as human beings and as such, also deserving of care.

Dexmedetomidine for dyspnoea

2020 ◽  
pp. bmjspcare-2020-002334
Author(s):  
Akiko Mano ◽  
Tomohiro Murata ◽  
Kazuma Date ◽  
Mitsuhiro Kawata ◽  
Miyuki Sato ◽  
...  
Keyword(s):  
Palliative Care ◽  
Intensive Care ◽  
Intravenous Infusion ◽  
Symptom Management ◽  
Care Setting ◽  
Terminally Ill ◽  
Pulmonary Haemorrhage ◽  
Continuous Intravenous Infusion ◽  
First Line ◽  
Palliative Care Setting

Dexmedetomidine is a selective α2-adrenoreceptor agonist with a broad range of effects, including easily controllable sedation, analgesia and anxiolysis. Because of these favorable features, it has replaced traditional sedatives, such as benzodiazepines, and is becoming the first-line sedative for the patients in intensive care units. Terminally ill patients often need sedatives for symptom management, especially for dyspnoea. However, the use of dexmedetomidine in a palliative care setting has rarely been recognised to date. We experienced a patient nearing the end of life due to uncontrollable pulmonary haemorrhage on ventilator, whose dyspnoea was successfully managed by dexmedetomidine in addition to continuous intravenous infusion of oxycodone.

Caring for terminally ill Muslim patients: Lived experiences of non-Muslim nurses

2016 ◽  
Vol 14 (6) ◽  
pp. 599-611 ◽  
Author(s):  
Gassan Abudari ◽  
Hassan Hazeim ◽  
Gilda Ginete
Keyword(s):  
Palliative Care ◽  
Saudi Arabia ◽  
End Of Life ◽  
Lived Experiences ◽  
Terminally Ill ◽  
Care Process ◽  
Religious Practices ◽  
Care Hospital ◽  
Cultural Education ◽  
Family Approach

AbstractObjective:The nursing profession demands knowledge, awareness, and experience regarding the ethnic, religious, cultural, and social constructs involved in patient care. Non-Muslim nurses must have theoretical and empirical insights into treatment methods and caring for terminally ill Muslim patients. In particular, non-Muslim nurses should acquire knowledge of Islamic rules and regulations. They should also be familiar with the unique religious and sociocultural practices that pertain to healthcare practices. Our study aimed to explore non-Muslim nurses' experiences in caring for terminally ill Muslim patients and their families regarding physical, social, cultural, spiritual, and religious practices. The study also sought to investigate the context or situations that influence these experiences as described by the nurses.Method:In this qualitative descriptive study, 10 nurses working in medical, oncology, and oncology/palliative care units in a tertiary care hospital in Saudi Arabia were interviewed. A modified Stevick–Colaizzi–Keen method was employed for data analysis.Results:Three main themes constituted the nurses' lived experiences: family matters, end-of-life practices, and nurse challenges. Cultural values, religious practices, and a family approach to the process of care influenced nurses' experiences. Issues related to an absence of palliative care integration and the unavailability of members in the interdisciplinary team also influenced their experiences. Nurses showed a lack of cultural knowledge of some practices due to a lack of awareness of cultural diversity and the unavailability of formal cultural education.Significance of Results:Provision of culturally competent care at the end of life for Muslim patients in Saudi Arabia requires a thoughtful understanding of religious and cultural practices as well as knowledge of the role of the family throughout the care process. The introduction of a cultural care nursing delivery model that incorporates a cultural education program with Islamic teachings and practices at its core is recommended.

scholarly journals Aspectos éticos relacionados ao processo de comunicação efetiva durante pandemia COVID-19: revisão integrativa

2021 ◽  
Vol 24 (278) ◽  
pp. 5902-5911
Author(s):  
Bruna Caroline Silva Falcão ◽  
Jocelha Maria Costa de Almeida ◽  
Adriana Torres dos Santos ◽  
Elza Lima da Silva ◽  
Nair Portela Silva Coutinho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Vulnerable Populations ◽  
Effective Communication ◽  
Health Science ◽  
The Other ◽  
Communication Process ◽  
Alternative Methods ◽  
Health Team

Objective: Investigate the production of literature on the communication of the health team with patients and families during the COVID-19 pandemic. Method: This is an integrative review carried out in the VHL, PubMed and Scopus databases, using the health science descriptors (DeCS): Coronavirus, Bioethics and Communication. Results: 139 articles were obtained, with 6 articles selected for analysis of this review. The most common findings were: challenges in the communication process, especially among the most vulnerable populations, such as oncology, palliative care and intensive care unit patients; at the other end, strategies aimed at mitigating this problem, such as alternative methods of communication, which include a video component. Conclusion: Effective communication was compromised during the COVID-19 pandemic, requiring the creation of protocols based on ethical and bioethical parameters according to the values of each society.

Impact of Awareness of Terminal Illness and Use of Palliative Care or Intensive Care Unit on the Survival of Terminally Ill Patients With Cancer: Prospective Cohort Study

2011 ◽  
Vol 29 (18) ◽  
pp. 2474-2480 ◽  
Author(s):  
Young Ho Yun ◽  
Myung Kyung Lee ◽  
Seon Young Kim ◽  
Woo Jin Lee ◽  
Kyung Hae Jung ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Cohort Study ◽  
Intensive Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Terminal Illness ◽  
Group Performance ◽  
Terminally Ill ◽  
Care Facility

Purpose We conducted this study to evaluate the validity of the perception that awareness of their terminal prognosis and use of palliative care or nonuse of an intensive care unit (ICU) causes patients to die sooner than they would otherwise. Patients and Methods In this prospective cohort study at 11 university hospitals and the National Cancer Center in Korea, we administered questionnaires to 619 consecutive patients immediately after they were determined by physicians to be terminally ill. We followed patients during 6 months after enrollment and assessed how their survival was affected by the disclosure of terminal illness and administration of palliative care or nonuse of the ICU. Results In a follow-up of 481 patients and 163.8 person-years, we identified 466 deceased patients. Nineteen percent of the patients died within 1 month, while 41.3% lived for 3 months, and 17.7% lived for 6 months. Once the cancer was judged terminal, the median survival time was 69 days. On multivariate analysis, neither patient awareness of terminal status at baseline (adjusted hazard ratio [aHR], 1.20; 95% CI, 0.96 to 1.51), use of a palliative care facility (aHR, 0.96; 95% CI, 0.76 to 1.21), nor general prostration (aHR, 1.23; 95% CI, 0.96 to 1.57) was associated with reduced survival. Use of the ICU (aHR, 1.47; 95% CI, 1.06 to 2.05) and poor Eastern Cooperative Oncology Group performance status (aHR, 1.37; 95% CI, 1.10 to 1.71) were significantly associated with poor survival. Conclusion Patients' being aware that they are dying and entering a palliative care facility or ICU does not seem to influence patients' survival.

The feelings and spirituality identified in relatives of terminally ill patients in intensive care

2011 ◽  
Vol 5 (10) ◽  
pp. 2391
Author(s):  
Jefferson Nery Correia ◽  
Karina Da Rosa
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Family Members ◽  
Terminally Ill ◽  
Spiritual Needs ◽  
Adult Intensive Care Unit ◽  
Terminally Ill Patients ◽  
Registration Number ◽  
Terapia Intensiva

ABSTRACT Objective: to analyze the feelings and the presence of spirituality on the behavior and decisions taken by relatives of patients without possibility of cure admitted to an adult intensive care unit. Methodology: this is qualitative study, conducted with the families of terminally ill patients hospitalized in a critical care unit. The criteria for inclusion in the study were: be over 18 years of a patient hospitalized in an adult intensive care unit with a diagnosis of pathology with no chance of cure. Data collection was performed through interviews. Data were examined using content analysis. The study was approved by the Ethics Committee of the Faculdade Integrado de Campo Mourão (PR) with the registration number 65457. Results: after analysis of the speeches, two categories were identified, the first related to the feelings experienced by family members, and the second on the presence of spirituality on the decision of palliative care in intensive care. Conclusion: the family members are influenced by feelings and spirituality regarding the decision to adopt orthothanasia to the terminal patient. The nurse should be aware of the holistic and humanizing aspects, especially the emotional and spiritual needs in the possibility of palliative care in the intensive care unit. Descriptors: palliative care, intensive care units, family, spirituality, nursing.RESUMO Objetivo: analisar os sentimentos e a presença da espiritualidade no comportamento e nas decisões tomadas por familiares de pacientes fora de possibilidade de cura internados em uma unidade de terapia intensiva adulto. Metodologia: estudo qualitativo, realizado com familiares de pacientes terminais internados em uma unidade de cuidados críticos. Os critérios de inclusão na pesquisa foram: ser familiar maior de 18 anos de paciente internado em uma unidade de terapia intensiva adulto com o diagnóstico de patologia fora de possibilidade de cura. A coleta de dados foi realizada por meio de entrevista. Os dados foram analisados pela técnica de análise de conteúdo. A pesquisa foi aprovada pelo Comitê de Ética da Faculdade Integrado de Campo Mourão (PR) com o registro número 52/10. Resultados: após análise das falas foram identificadas duas categorias, a primeira relacionada aos sentimentos vivenciados pelos familiares e a segunda sobre a presença da espiritualidade na decisão dos cuidados paliativos em terapia intensiva. Conclusão: os familiares são influenciados pelos sentimentos e pela espiritualidade quando se trata da decisão de adotar ortotanásia ao paciente terminal. O enfermeiro deve considerar maior atenção aos aspectos holísticos e de humanização, em especial as necessidades emocionais e espirituais na possibilidade de cuidados paliativos na unidade de terapia intensiva. Descritores: cuidados paliativos; unidades de terapia intensiva; família; espiritualidade; enfermagem.RESUMEN Objetivo: analizar los sentimientos de la espiritualidad y la presencia en el comportamiento y las decisiones adoptadas por familiares de pacientes ajenos a posibilidad de una curación ingresados en unidades de cuidados intensivos para adultos. Metodología: estudio cualitativo, realizado con familias de pacientes terminales hospitalizados en una unidad de cuidados intensivos. Los criterios de inclusión en el estudio fueron: la família, mayores de 18 años de pacientes ingresados en una unidad de cuidados intensivos de adultos, con un diagnóstico de la patología oportunidad ajena a curación. La recolección de datos se realizó mediante entrevistas. Los datos fueron analizados utilizando el análisis de contenido. El estudio fue aprobado por el Comité de Ética de la Faculdade Integrado de Campo Mourão (PR) con el número de registración 52/10. Resultados: tras el análisis de los discursos se identificaron dos categorías, la primera relacionada con los sentimientos que prueban los familiares y el segunda sobre la presencia de la espiritualidad en la decisión de los cuidados paliativos en terapia intensiva. Conclusión: los miembros familiares se influencian por los sentimientos y espiritualidad con respeto a la decisión para adoptar el ortotanasia al paciente terminal. La enfermera debe considerar uma mayor atención a los aspectos de humanización y holístico, sobre todo las necesidades emocionales y espirituales de la posibilidad de cuidado paliativo en la unidad del cuidado intensivo. Descriptores: cuidados paliativos, unidades de cuidados intensivos, familia, espiritualidad, enfermería.

The impact of a palliative care unit on mortality rate and length of stay for medical intensive care unit patients

2011 ◽  
Vol 9 (4) ◽  
pp. 387-392 ◽  
Author(s):  
Glen Digwood ◽  
Dana Lustbader ◽  
Renee Pekmezaris ◽  
Martin L. Lesser ◽  
Rajni Walia ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Mortality Rate ◽  
Length Of Stay ◽  
Medical Intensive Care Unit ◽  
Terminally Ill ◽  
Terminally Ill Patients ◽  
Medical Intensive Care ◽  
The Impact

AbstractObjective: This study evaluates the impact of a 10-bed inpatient palliative care unit (PCU) on medical intensive care unit (MICU) mortality and length of stay (LOS) for terminally ill patients following the opening of an inpatient PCU. We hypothesized that MICU mortality and LOS would be reduced through the creation of a more appropriate location of care for critically ill MICU patients who were dying.Method: We performed a retrospective electronic database review of all MICU discharges from January 1, 2006 through December 31, 2009 (5,035 cases). Data collected included MICU mortality, MICU LOS, and mean age. The PCU opened on January 1, 2008. We compared location of death for MICU patients during the 2-year period before and the 2-year period after the opening of the PCU.Results: Our data showed that the mean MICU mortality and MICU LOS both significantly decreased following the opening of the PCU, from 21 to 15.8% (p = 0.003), and from 4.6 to 4.0 days (p = 0.014), respectively.Significance of results: The creation of an inpatient PCU resulted in a statistically significant reduction in both MICU mortality rate and MICU LOS, as terminally ill patients were transitioned out of the MICU to the PCU for end-of-life care. Our data support the hypothesis that a dedicated inpatient PCU, capable of providing care to patients requiring mechanical ventilation or vasoactive agents, can protect terminally ill patients from an ICU death, while providing more appropriate care to dying patients and their loved ones.

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