Dilemmas of the end-of-life: information about the medical practice in the ICUs

The objective of this research was to investigate the knowledge, opinion and practice of critical care physician concerning end-of-life decisions. In this descriptive and cross-sectional study a questionnaire was applied to the physicians working in Intensive Care Unit (ICU) or Semi-ICU of 5 Hospita...

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Published inCiência & saude coletiva Vol. 16 Suppl 1; p. 813
Main Authors Gaudencio, Debora, Messeder, Octavio
Format Journal Article
LanguagePortuguese
Published Brazil 01.03.2011
Subjects
Adult
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Intensive Care Units
Male
Middle Aged
Physicians
Retrospective Studies
Surveys and Questionnaires
Terminal Care - ethics
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Summary:The objective of this research was to investigate the knowledge, opinion and practice of critical care physician concerning end-of-life decisions. In this descriptive and cross-sectional study a questionnaire was applied to the physicians working in Intensive Care Unit (ICU) or Semi-ICU of 5 Hospitals in Salvador, Bahia State. Currently the physicians dealing with terminal patients are indeed concerned about providing comfort to their patients, and at times even avoiding the use of life support measures. Nevertheless, many of the participants admitted that they have omitted information regarding these decisions in the medical records, as they fear consequences with the Medical Council or civil actions against them. This insecurity is related to the lack of information and the absence of an established and clear legislation on these matters. More discussions on this important subject are necessary, involving physicians, hospitals and patients.
ISSN:1678-4561
DOI:10.1590/S1413-81232011000700012