Título:	Diretivas antecipadas de vontade : um estudo de revisão de literatura à luz da Bioética
Autor(es):	Vieira, Ticiana Garcia Fernandes
Orientador(es):	Seidl, Eliane Maria Fleury
Assunto:	Bioética Testamento vital Pacientes terminais
Data de publicação:	9-Jul-2018
Data de defesa:	26-Fev-2018
Referência:	VIEIRA, Ticiana Garcia Fernandes. Diretivas antecipadas de vontade: um estudo de revisão de literatura à luz da Bioética. 2018. 90 f., il. Dissertação (Mestrado em Bioética)—Universidade de Brasília, Brasília, 2018.
Abstract:	Advanced Care Documents, commonly called living wills, are a report that sets forth the last wishes  those concerning health care , where the terminally ill patient will leave a record, when it is no longer capable of expressing his will, about the treatments he accepts or doesn’t. The main objective of the present literature review was to analyze, from a bioethical perspective, the thinking of brazilian physicians and health professionals about this institute, taking as theoretical premises the principles of autonomy and dignity of the human person. For this purpose, articles published in peer-reviewed journals, on empirical researches (qualitative and quantitative) carried out with brazilian participants / samples, with access to full text and in portuguese language, without any date delimitation, available in the Virtual Health Library and in the Scientific Electronic Library Online (SciELO) databases, were stipulated as inclusion criteria. The descriptors included the two terms in independent searches, associated with the terms physician, nurse and health professional, inserted separately. It was also defined that the selection would occur if the objectives of the pre-selected articles would be the existence of verbs or expressions that indicate the intention of the authors to know what doctors, nurses and other brazilians health professionals think about the Advanced Care Documents. As for the exclusion criteria, it has been established: (1) theoretical articles, literature reviews, editorials, summaries of annals, chapters and books, dissertations and theses; (2) articles by foreign authors; and (3) articles published in other languages. In the online survey, 66 articles were identified, of which 55 were excluded, 35 because they were not in accordance with the established inclusion criteria and 20 because they were repeated in the databases used. Therefore, 11 publications were selected. Issues related to the termination of life, the difficulty of doctors and nurses to deal with the matter of death, the lack of knowledge of health professionals about Advanced Care Documents, and the need for an early directives law regulating, as well as the importance of addressing this subject with health students, have been analyzed. Despite the obscurantism that surrounds the argument, it has been observed that it is a skillful instrument to assert the autonomy of the patient, ensuring a dignified death to those who suffer and also facilitating the dialogue in the medical-professional relationship of health-patient, avoiding paternalisms. It has been concluded that the Advanced Care Documents meet the aspirations of autonomy and dignity desired by the terminally ill patients, foster a sincere and honest dialogue in the relationship with doctors and health professionals, put away the practice of dysthanasia and promote orthothanasia. The present study had the merit of expand the understanding about the Advanced Care Documents, given the bibliography scarcity in the brazilian context.
Unidade Acadêmica:	Faculdade de Ciências da Saúde (FS)
Informações adicionais:	Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Bioética, 2018.
Programa de pós-graduação:	Programa de Pós-Graduação em Bioética
Aparece nas coleções:	Teses, dissertações e produtos pós-doutorado

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