RESUMO
Advance directives are a controversial subject in Portugal at present, particularly among health professionals. Although some health professionals consider them to be important tools that are helpful in making proper decisions and promoting patient autonomy, others think that they may interfere with the human and relational dimension of care. It is therefore timely to investigate health professionals' views of advance directives in more detail. This study aimed to identify and reflect on Portuguese palliative care professionals' perspectives of advanced directives and their relevance to end-of-life decision making. A qualitative exploratory methodology was adopted in which interviews were conducted with two physicians, six nurses, two psychologists, and one social worker from four palliative care teams based across Portugal. The findings emphasize the relevance of advance directives to ethical decision-making processes in palliative care. However, debates are needed regarding whether advance directives should be legally binding.
Assuntos
Atitude do Pessoal de Saúde , Cuidados Paliativos , Diretivas Antecipadas , Tomada de Decisões , Pessoal de Saúde , HumanosRESUMO
Presenta Guía de monitoreo de unidades de salud del primer nivel de atención: puestos de salud, dirigidas especialmente a los aspectos gerenciales desarrollados en la unidad de salud; cuyos resultados fortalecen la articulación del primero con el segundo nivel de atención en los territorios y su coordinación por la instancia del SILAIS. Se busca con este instrumento unificar los diferentes esfuerzos que hasta la fecha han venido desarrollando los distintos programas y proyectos dentro del Ministerio de Salud, y brindar al personal de las unidades de salud, muncipios y SILAIS una herramienta de mejoramiento. Incluye un resumen del marco conceptual que soporta la guía, se hace una descripción de la misma y se precisan algunos aspectos de su utilización
