Medical and family caregivers' conceptions in the face of advance directives

Objective: To understand how doctors and family caregivers understand the applicability of the Advance Directives to end-of-life care. Method: qualitative, descriptive and exploratory research, conducted with seven doctors of a university hospital in southern Brazil and seven family caregivers of pa...

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Published inRevista de Enfermagem da UFSM Vol. 9; p. e34
Main Authors Silvana Bastos Cogo, Marcio Rossato Badke, Luiza Carolina Santos Malheiros, Daiana de Araújo, Aline Gomes Ilha
Format Journal Article
LanguagePortuguese
Published Universidade Federal de Santa Maria 01.10.2019
Subjects
diretivas antecipadas
doente terminal
medicina
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Summary:Objective: To understand how doctors and family caregivers understand the applicability of the Advance Directives to end-of-life care. Method: qualitative, descriptive and exploratory research, conducted with seven doctors of a university hospital in southern Brazil and seven family caregivers of patients at the end-of-life, from October to December 2014, from semi-structured interviews, submitted to discursive textual analysis. Results: two categories emerged: Advance Directives: the right to personal autonomy and conflicts and dilemmas in the applicability of Advance Directives. Conclusion: The Advance Directives are related to the respect of personal autonomy, professional support and reduction of the anguish and suffering of family care in view of the decision-making processes that involve the end of life. However, it is a practice surrounded by fears and concerns about its applicability and compliance by the professional.
ISSN:2179-7692
2179-7692
DOI:10.5902/2179769233083