Atuação da enfermeira nos cuidados paliativos em unidades de terapia intensiva: teoria final de vida pacífico

Abstract

Nurses experience daily care for people who are out of the possibility of cure and who are in the terminal phase. This study had as a general objective, to apprehend the nurse's performance in palliative care in the Intensive Care Unit and as specific objectives: 1. Identifythe nurse's knowledge about Palliative Care; 2. Know the nurse's facilities and difficulties in caring for palliative patients in the Intensive Care Unit; 3. Identify how the nurse provides comfort and well-being to palliative patients in the Intensive Care Unit; 4. Identify how the nurse takes care of the emotional aspects of the patient under palliation in the Intensive Care Unit. This is a study with a qualitative approach, characterized as descriptive and exploratory, carried out with the participation of 14 intensive care nurses from an Intensive Care Unit of a private hospital, in the city of Salvador, Bahia. The testimonies were collected through a semi-structured interview, recorded on the Smartphone, from November 2018 to May 2019. The testimonies were verified through thematic Content Analysis and later discussed in the light of the Theory Peaceful End of Life and Palliative Care literature. The following categories were apprehended: 1. Nurses' understanding of Palliative Care in the Intensive Care Unit; 2. Nurses' perception of patient comfort in Palliative Care; 3. The nurse allows proximity of the patient in palliation with the family in the intensive care unit; 4. The nurse allows the patient to be at peace; 5. Facilities and difficulties of nurses in patient care in Palliative Care in the Intensive Care Unit. It is concluded that nurses direct their actions towards the integrality of care, considering the dimensions that make up the Being. The priorities of the work are comfort and well-being, with the purpose of reducing the discomfortcaused by the progression of the pathology. They also facilitate the proximity of family members, in order to provide tranquility and compassion to your loved one..