Autonomy in palliative care: concepts and perceptions of a health teamwork

OLIVEIRA, Aline Cristine de  e  SILVA, Maria Júlia Paes da.

Acta paul. enferm. [online]. 2010, vol.23, n.2, pp. 212-217.

OBJECTIVES: To analyze the concept that a health teamwork, acting on the field of palliative care, has about the terminal patient’s autonomy and to identify the attitude of professionals facing the manifestation of that autonomy. METHODS: Exploratory and descriptive study with a qualitative approach. 22 members of a palliative care team were interviewed. The data was analyzed using the content analysis methodology. RESULTS: Three different categories were obtained from each professional group (Groups I and II): understanding the autonomy of terminal patients in a palliative care context, reactions of professionals on the daily assistance services, and, limitations of the relationship (autonomy vs. palliative care). CONCLUSION: Autonomy is an essential component in the palliative care philosophy; it must be able of creating ethical sustainability, applicable to therapeutic projects of terminal patients.

Palavras-chave : Palliative care; Multiprofessional team; Communication; Bio-ethics.

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