Integración de los principios de cuidados paliativos en cuidados intensivos

  1. M. Begoña Girbau Campo
  2. Pablo Monedero Rodríguez
  3. Carlos Centeno Cortés
Revue:
Cuadernos de bioética

ISSN: 1132-1989,  2386-3773

Année de publication: 2016

Volumen: 27

Número: 90

Pages: 175-184

Type: Article

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D'autres publications dans: Cuadernos de bioética

Résumé

Recent scientific literature has shown a growing interest to integrate palliative medicine principles into the daily workflow in the intensive care unit (ICU). This article reviews this trend with the goal that its application might provide more understanding in the resolution of some current ethical issues. Patients with an advanced disease process and at the end of life who are admitted in the intensive care unit are in such a profound level of suffering and vulnerability that only an holistic and comprehensive approach can provide adequate relief to them. Nevertheless, the reality of the clinical care of these patients in the ICU is far beyond that ideal. Our primary end point is the improvement in the clinical care provided, especially when the patient is dying. It is indeed very complex to make progress in this field, but an effort has to be made. The project is to turn to palliative medicine as a role model for end of life care and as an holistic approach, and introduce palliative medicine principles in the ICU. The goal of this article is to reveal a practical approach to accomplish this, and make it functional in order to improve our patients’ clinical and ethical care

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