Decisões partilhadas em cuidados intensivos neonatais – abordagem bioética
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v30.i1.20315Palavras-chave:
bioética, tomada de decisão, medicina narrativa, cuidados intensivos neonatais, recém-nascidoResumo
Os avanços tecnológicos e terapêuticos em cuidados intensivos neonatais levaram a uma diminuição da morbimortalidade neonatal nas últimas décadas. A par do conhecimento técnico e científico, é importante concentrar o cuidado do recém-nascido e sua família numa abordagem holística e abrangente. O objetivo desta revisão é descrever e analisar estratégias para melhorar a tomada de decisão através de um processo partilhado entre profissionais de saúde e cuidadores no contexto dos cuidados intensivos neonatais. O processo de tomada de decisão não é linear ou imutável no tempo e ainda não existe consenso na definição de ‘decisão partilhada’. Mais consensual é o papel da comunicação enquanto pilar da relação terapêutica. A ética profissional, bioética e medicina narrativa devem ser usadas como ferramentas para lidar com as vulnerabilidades de famílias e profissionais e como forma de consolidar e estruturar a dimensão relacional humana inerente à prática médica.
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Direitos de Autor (c) 2021 Carmen Carvalho, Ana Cristina Freitas, Liliana Pinho, Ana Novo
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