Abstract

ZANLORENZI, Amanda Cristina; RODRIGUES DA SILVA UTIDA, Adriana  and  CORRADI PERINI, Carla. Bioethical Issues Related to End- of -Life Care: An Integrative Review. rev.latinoam.bioet. [online]. 2023, vol.23, n.1, pp.27-43.  Epub June 30, 2023. ISSN 1657-4702.  https://doi.org/10.18359/rlbi.5590.

this integrative review of the literature aims to highlight and discuss the bioethical aspects of end-of-life patient care in the Brazilian context. Specifically, it seeks to identify the circumstances related to these bioethical aspects and their triggering factors. Publications by Brazilian authors published between 2014 and 2020 were selected. The search was conducted in October 2020 through PubMed and SciELO electronic databases. Of the 231 articles found, 24 were selected. Two categories comprising bioethical aspects emerged from the thematic analysis: "(not) dying with dignity" and "therapeutic obstinacy and futility." Six circumstances related to these bioethical aspects and 15 triggering factors were identified. The aspects were mainly associated with the non-acceptance of death, failures in the academic training of health professionals, and insufficient knowledge about palliative care concepts and practices. Therefore, integrating bioethics teaching in professional training and practice becomes fundamental for the care of patients at the end of life.

Keywords : bioethics; palliative care; terminally ill; decision making; health education; health personnel..

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