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Abstract(s)
Introdução: A morte e os Cuidados Paliativos (CP) são duas realidades que suscitam, para muitas pessoas, dificuldades do ponto de vista clínico, bem como comunicacional, na medida em que, na maioria dos casos, é difícil dissociar a morte dos CP. Neste âmbito, os desejos expressos pela pessoa doente sobre as circunstâncias da sua morte, assim como o papel dos familiares e cuidadores assumem uma importância fundamental, sobretudo em CP domiciliários, sendo a comunicação uma ferramenta imprescindível nesse âmbito. Objetivo: Analisar, do ponto de vista ético, um caso de morte em contexto de CP domiciliários. Materiais e métodos: Um caso clínico de morte no domicílio de uma pessoa seguida por uma Equipa Comunitária de Suporte em Cuidados Paliativos (ECSCP), para o qual foram identificados os desafios éticos inerentes ao processo, à luz dos Princípios da Dignidade, da Vulnerabilidade e da Teoria do Principialismo – Autonomia, Beneficência, Não Maleficência e Justiça. Conclusão: A humanização dos cuidados de saúde exige abordar o tema da morte e sua vivência em CP. É fundamental preparar os profissionais de saúde para enfrentar essas questões complexas, com aptidões comunicacionais, respeitando as preferências da pessoa e considerando os aspetos éticos envolvidos.
Introduction: Death and Palliative Care (PC) are two realities that, for many people, raise difficulties from the clinical point of view as well as communication, since, in most cases, they are difficult to dissociate. Therefore, the wishes expressed by the sick person about the circumstances of their death, as well as the family members and caregivers, become fundamental, especially in home palliative care, being communication an essential tool. Objective: Analyze, from ethical point of view, a case of death in the context of home-based PC. Materials and Methods: A clinical case of death at home of a person followed by a home-based team of PC, in which the ethical challenges inherent in the process were identified, in the light of Dignity, Vulnerability and the Theory of Principlism – Autonomy, Beneficence, Non-Maleficence and Justice principles. Conclusion: The humanization of healthcare demands addressing the topic of death and its experience in PC. It is essential to prepare health professionals to face these complex issues, with communication skills, respecting the person’s preferences and considering the ethical aspects involved.
Introduction: Death and Palliative Care (PC) are two realities that, for many people, raise difficulties from the clinical point of view as well as communication, since, in most cases, they are difficult to dissociate. Therefore, the wishes expressed by the sick person about the circumstances of their death, as well as the family members and caregivers, become fundamental, especially in home palliative care, being communication an essential tool. Objective: Analyze, from ethical point of view, a case of death in the context of home-based PC. Materials and Methods: A clinical case of death at home of a person followed by a home-based team of PC, in which the ethical challenges inherent in the process were identified, in the light of Dignity, Vulnerability and the Theory of Principlism – Autonomy, Beneficence, Non-Maleficence and Justice principles. Conclusion: The humanization of healthcare demands addressing the topic of death and its experience in PC. It is essential to prepare health professionals to face these complex issues, with communication skills, respecting the person’s preferences and considering the ethical aspects involved.
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Keywords
Cuidados paliativos Morte Comunicação Ética Palliative care Death Communication Ethics