Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: End of life care in Brazil: the long and winding road. | Soares Critical Care 2011 15 110 http content 15 1 110 CRITICAL CARE COMMENTARY L__ End of life care in Brazil the long and winding road Márcio Soares - 2 See related research by Fumis and Deheinzelin http content 14 6 R235 Abstract Disagreements between the perceptions of nurses and physicians regarding end-of-life EOL decisions are frequent. In a survey carried out in 3 Brazilian ICUs Fumis and Deheinzelin reported that the majority of nurses physicians and family members are in favor of limiting life-sustaining therapies in terminally ill patients and that such decisions should involve the ICU team patients and family members. However they also observed significant differences among the attitudes when faced with an incompetent patient. The present commentary evaluates the potential implications of the study results contextualizing with the current scenario surrounding EOL care in Brazil. In a recent issue of Critical Care Fumis and Deheinzelin 1 evaluated the attitudes regarding end-of-life EOL decisions of physicians nurses and family members in 13 Brazilian ICUs. Participants were asked whether mechanical ventilation should be withdrawn from two hypothetical terminally ill patients one incompetent and another competent and who should be involved in the decision-making process. The authors demonstrated that three-quarters of all groups of respondents agreed that withdrawal from mechanical ventilation should be considered for the competent patient. On the other hand when faced with the clinical scenario of the incompetent patient physicians were less likely to propose such a decision in disagreement with nurses and family preferences. Additionally most respondents shared the opinion that physicians nurses family members and patients themselves should necessarily be involved in the decision to withdraw life-sustaining therapies regardless of the scenario. Correspondence marciosoaresms@ D Or Institute for Research and .
