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Intensive care unit team perception of palliative care: the discourse of the collective subject* * Extracted from the thesis “Protocolo interdisciplinar para o controle da dor, dispneia e hipersecreção em pacientes sob cuidado paliativo na Unidade de Terapia Intensiva”, Programa de Pós-Graduação em Enfermagem, Universidade Federal de Santa Catarina, 2016.

El equipo de la unidad de cuidados intensivos ante el cuidado paliativo: discurso del sujeto colectivo

Abstract

OBJECTIVE

To learn the perception of health professionals in an intensive care unit towards palliative care.

METHOD

This was a descriptive and qualitative study based on the converging care approach conducted at an intensive care unit in the South of Brazil. Semi-structured interviews were used to investigate the understanding of the professionals about palliative care in this unit. The data were organized and analyzed using the discourse of the collective subject method with the help of Qualiquantisoft® software.

RESULTS

Participants included 37 professionals (12 nurses, 11nursing technicians, 5 physical therapists and 9 doctors). The key ideas extracted from the interviews were: care in the end stage of life that avoids futile measures; comfort care; lack of standardized care and lack of team training.

CONCLUSION

The professionals perceived palliative care as appropriate in the last stages of life, with no need for futile treatment or as comfort measures. However, they are aware of the lack of standardization and lack of capacity building in this area, which leads them to conceive palliative care as terminal care, and measures are recommended to break with this stigma.

Descriptors
Palliative Care; Intensive Care Units; Nursing Team; Patient Care Team

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