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Cuidados al final de la vida en la unidad de cuidados intensivos: revisión de alcance.

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Title: Cuidados al final de la vida en la unidad de cuidados intensivos: revisión de alcance.
Alternate Title: End-of-Life Care in the Intensive Care Unit: Scope Review.
Cuidados de final de vida na unidade de terapia intensiva: revisão de escopo.
Authors: Alvarado Caro, Laura Valentina1, Henao-Castañoa, Ángela María1 angmhenaocas@unal.edu.co
Source: Investigación en Enfermería: Imagen y Desarrollo. 2023, Vol. 25, p1-11. 11p.
Subjects: INTENSIVE care units, ONLINE information services, CINAHL database, OCCUPATIONAL roles, HOSPICE care, TERMINAL care, MEDICAL information storage & retrieval systems, LORAZEPAM, SYSTEMATIC reviews, ATTITUDES of medical personnel, FAMILY support, CRITICALLY ill patient psychology, FAMILY health, MEDICAL personnel, MORPHINE, PATIENTS' families, COMMUNICATION, NURSES, PSYCHOLOGY of the terminally ill, MEDLINE, DATA analysis software, PATIENT care, MIDAZOLAM, PATIENT-professional relations, HOLISTIC nursing, MEDICAL needs assessment, FAMILY services, ADULTS
Abstract (English): Introduction: End-of-life care in the Intensive Care Unit (ICU) is aimed at offering care to the person who is near the end of their life, and its objective is to alleviate suffering and attend to mental, emotional and spiritual needs. Objective: Identify end-of-life care for adult patients in ICUs. Method: Scoping review of the literature was carried out following the PRISMA-ScR. A search was made for articles in Spanish, English and Portuguese in 16 databases during the period 2001-2022. The extraction and selection of data were carried out using the Rayyan web tool. Finally, 35 articles were selected. Results: The predominant language of the selected articles was English (82 %), and the country of origin was United States (31 %). The results were presented in three categories: a) patient care, b) family care, and c) perceptions of health personnel. Conclusions: The most reported end-of-life care is the use of drugs such as morphine, midazolam and lorazepam, as well as early communication between health personnel, patients and their families. Within care, nursing has a very important role, since it provides care in a holistic way, being a guide and educator, and providing comprehensive support to the family during and after the end-of-life process. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: los cuidados al final de la vida en la Unidad de Cuidado Intensivo (UCI) están orientados a ofrecer atención a la persona que está cerca del final su vida, su objetivo es aliviar el sufrimiento y atender sus necesidades mentales, emocionales y espirituales. Objetivo: identificar los cuidados al final de la vida del paciente adulto en las UCI. Metodología: se realizó una revisión de literatura tipo scoping review, siguiendo el PRISMA-ScR. Se hizo la búsqueda de artículos en español, inglés y portugués en 16 bases de datos durante el periodo 2001-2022. La extracción y selección de datos se realizó con la herramienta web Rayyan. Finalmente, se seleccionaron 35 artículos. Resultados: el idioma predominante de los artículos seleccionados fue inglés (82 %), y el país de mayor procedencia fue Estados Unidos (31 %). Los resultados se presentaron en tres temáticas: a) cuidados al paciente, b) cuidados a la familia, y c) percepciones del personal de salud. Conclusiones : se encontró que los cuidados al final de la vida que más se reportan son el uso de fármacos como morfina, midazolam y lorazepam, así como la comunicación temprana entre el personal de salud, el paciente y su familia. Dentro de los cuidados, enfermería tiene un rol muy importante, pues esta brinda la atención de manera holística, al ser orientadora y educadora y al dar acompañamiento integral a la familia durante y después del proceso del final de vida. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Introdução: os cuidados de fim de vida na Unidade de Terapia Intensiva (UTI) visam oferecer cuidados à pessoa que se aproxima do fim da vida, e cujo objetivo é aliviar o sofrimento e atender às suas necessidades mentais, emocionais e espirituais. Objetivo: identificar os cuidados de fim de vida para pacientes adultos em UTI. Método : foi realizada uma scoping review da literatura seguindo o PRISMA-ScR. Foi feita uma busca de artigos em espanhol, inglês e português em 16 bases de dados durante o período 2001-2022. A extração e seleção de dados foi realizada usando a ferramenta web Rayyan. Ao final, foram selecionados 35 artigos. Resultados : o idioma predominante dos artigos selecionados foi o inglês (82 %) e o país de maior procedência foram os Estados Unidos (31 %). Os resultados foram apresentados em três temas: a) assistência ao paciente, b) assistência à família ec) percepções do pessoal de saúde. Conclusões : constatou-se que os cuidados de fim de vida mais relatados são o uso de medicamentos como morfina, midazolam e lorazepam, bem como a comunicação precoce entre profissionais de saúde, pacientes e seus familiares. No cuidado, a enfermagem tem um papel muito importante, pois presta cuidados de forma holística, sendo orientadora e educadora, e dando suporte integral à família durante e após o processo de terminalidade da vida. [ABSTRACT FROM AUTHOR]
Copyright of Investigación en Enfermería: Imagen y Desarrollo is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Cuidados al final de la vida en la unidad de cuidados intensivos: revisión de alcance.
– Name: TitleAlt
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  Data: End-of-Life Care in the Intensive Care Unit: Scope Review.<br />Cuidados de final de vida na unidade de terapia intensiva: revisão de escopo.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Alvarado+Caro%2C+Laura+Valentina%22">Alvarado Caro, Laura Valentina</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Henao-Castañoa%2C+Ángela+María%22">Henao-Castañoa, Ángela María</searchLink><relatesTo>1</relatesTo><i> angmhenaocas@unal.edu.co</i>
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  Data: <searchLink fieldCode="JN" term="%22Investigación+en+Enfermería%3A+Imagen+y+Desarrollo%22">Investigación en Enfermería: Imagen y Desarrollo</searchLink>. 2023, Vol. 25, p1-11. 11p.
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  Data: <searchLink fieldCode="DE" term="%22INTENSIVE+care+units%22">INTENSIVE care units</searchLink><br /><searchLink fieldCode="DE" term="%22ONLINE+information+services%22">ONLINE information services</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22OCCUPATIONAL+roles%22">OCCUPATIONAL roles</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPICE+care%22">HOSPICE care</searchLink><br /><searchLink fieldCode="DE" term="%22TERMINAL+care%22">TERMINAL care</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+information+storage+%26+retrieval+systems%22">MEDICAL information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22LORAZEPAM%22">LORAZEPAM</searchLink><br /><searchLink fieldCode="DE" term="%22SYSTEMATIC+reviews%22">SYSTEMATIC reviews</searchLink><br /><searchLink fieldCode="DE" term="%22ATTITUDES+of+medical+personnel%22">ATTITUDES of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22FAMILY+support%22">FAMILY support</searchLink><br /><searchLink fieldCode="DE" term="%22CRITICALLY+ill+patient+psychology%22">CRITICALLY ill patient psychology</searchLink><br /><searchLink fieldCode="DE" term="%22FAMILY+health%22">FAMILY health</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+personnel%22">MEDICAL personnel</searchLink><br /><searchLink fieldCode="DE" term="%22MORPHINE%22">MORPHINE</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENTS'+families%22">PATIENTS' families</searchLink><br /><searchLink fieldCode="DE" term="%22COMMUNICATION%22">COMMUNICATION</searchLink><br /><searchLink fieldCode="DE" term="%22NURSES%22">NURSES</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOLOGY+of+the+terminally+ill%22">PSYCHOLOGY of the terminally ill</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22DATA+analysis+software%22">DATA analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+care%22">PATIENT care</searchLink><br /><searchLink fieldCode="DE" term="%22MIDAZOLAM%22">MIDAZOLAM</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT-professional+relations%22">PATIENT-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22HOLISTIC+nursing%22">HOLISTIC nursing</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+needs+assessment%22">MEDICAL needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22FAMILY+services%22">FAMILY services</searchLink><br /><searchLink fieldCode="DE" term="%22ADULTS%22">ADULTS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: End-of-life care in the Intensive Care Unit (ICU) is aimed at offering care to the person who is near the end of their life, and its objective is to alleviate suffering and attend to mental, emotional and spiritual needs. Objective: Identify end-of-life care for adult patients in ICUs. Method: Scoping review of the literature was carried out following the PRISMA-ScR. A search was made for articles in Spanish, English and Portuguese in 16 databases during the period 2001-2022. The extraction and selection of data were carried out using the Rayyan web tool. Finally, 35 articles were selected. Results: The predominant language of the selected articles was English (82 %), and the country of origin was United States (31 %). The results were presented in three categories: a) patient care, b) family care, and c) perceptions of health personnel. Conclusions: The most reported end-of-life care is the use of drugs such as morphine, midazolam and lorazepam, as well as early communication between health personnel, patients and their families. Within care, nursing has a very important role, since it provides care in a holistic way, being a guide and educator, and providing comprehensive support to the family during and after the end-of-life process. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: los cuidados al final de la vida en la Unidad de Cuidado Intensivo (UCI) están orientados a ofrecer atención a la persona que está cerca del final su vida, su objetivo es aliviar el sufrimiento y atender sus necesidades mentales, emocionales y espirituales. Objetivo: identificar los cuidados al final de la vida del paciente adulto en las UCI. Metodología: se realizó una revisión de literatura tipo scoping review, siguiendo el PRISMA-ScR. Se hizo la búsqueda de artículos en español, inglés y portugués en 16 bases de datos durante el periodo 2001-2022. La extracción y selección de datos se realizó con la herramienta web Rayyan. Finalmente, se seleccionaron 35 artículos. Resultados: el idioma predominante de los artículos seleccionados fue inglés (82 %), y el país de mayor procedencia fue Estados Unidos (31 %). Los resultados se presentaron en tres temáticas: a) cuidados al paciente, b) cuidados a la familia, y c) percepciones del personal de salud. Conclusiones : se encontró que los cuidados al final de la vida que más se reportan son el uso de fármacos como morfina, midazolam y lorazepam, así como la comunicación temprana entre el personal de salud, el paciente y su familia. Dentro de los cuidados, enfermería tiene un rol muy importante, pues esta brinda la atención de manera holística, al ser orientadora y educadora y al dar acompañamiento integral a la familia durante y después del proceso del final de vida. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Introdução: os cuidados de fim de vida na Unidade de Terapia Intensiva (UTI) visam oferecer cuidados à pessoa que se aproxima do fim da vida, e cujo objetivo é aliviar o sofrimento e atender às suas necessidades mentais, emocionais e espirituais. Objetivo: identificar os cuidados de fim de vida para pacientes adultos em UTI. Método : foi realizada uma scoping review da literatura seguindo o PRISMA-ScR. Foi feita uma busca de artigos em espanhol, inglês e português em 16 bases de dados durante o período 2001-2022. A extração e seleção de dados foi realizada usando a ferramenta web Rayyan. Ao final, foram selecionados 35 artigos. Resultados : o idioma predominante dos artigos selecionados foi o inglês (82 %) e o país de maior procedência foram os Estados Unidos (31 %). Os resultados foram apresentados em três temas: a) assistência ao paciente, b) assistência à família ec) percepções do pessoal de saúde. Conclusões : constatou-se que os cuidados de fim de vida mais relatados são o uso de medicamentos como morfina, midazolam e lorazepam, bem como a comunicação precoce entre profissionais de saúde, pacientes e seus familiares. No cuidado, a enfermagem tem um papel muito importante, pois presta cuidados de forma holística, sendo orientadora e educadora, e dando suporte integral à família durante e após o processo de terminalidade da vida. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Investigación en Enfermería: Imagen y Desarrollo is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=174585946
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        Value: 10.11144/Javeriana.ie25.cfvu
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      – SubjectFull: MEDICAL information storage & retrieval systems
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      – SubjectFull: LORAZEPAM
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      – SubjectFull: SYSTEMATIC reviews
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      – SubjectFull: ATTITUDES of medical personnel
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      – SubjectFull: FAMILY support
        Type: general
      – SubjectFull: CRITICALLY ill patient psychology
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              Text: 2023
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