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“Expectativas socio-técnicas de la telemedicina: una mirada sistémico-constructiva a la célula de cuidados paliativos y alivio del dolor en el Centro de Salud Familiar Hualpencillo”
(Universidad de Chile, 2023)
ejercer la medicina. Para ello, se plantea observar empíricamente un programa de telemedicina en la célula de cuidados paliativos y alivio del dolor del CESFAM Hualpencillo de la comuna de Hualpén. A través de una investigación cualitativa de carácter...
Patrones de conocimiento en la experiencia de enfermeras/os al acompañar el proceso de morir : un aporte para el desarrollo ético de la profesión
(Universidad de Chile, 2016)
Los profesionales de enfermería se desempeñan en diversos contextos lo que
determina la necesidad de aplicar saberes propios del cuidado y otras disciplinas.
Este cuerpo de conocimientos se organiza mediante patrones, descritos por Bárbara
Carper en...
Professional nurses are able to work in different contexts which determine the necessity of applying their own knowledge of caring and knowledge from other disci plines. This body of knowing, described by Bárbara Carper in the ´70, is organized through patterns that allow the thinking of practical phenomenon, and building knowledge of common interest to nurses. This study considered four patterns of knowing in nursing described by this author: Empirical, Personal, Ethical, and Aes thetic. Professional nurses accompany the dying process of their patients in the hos pital, facing many ethical issues in the management of caring in this kind of situations. The purpose of this study is to contribute to the comprehensive understanding of this experience, in order to deliver quality care according to ethical guidelines. Objective: to describe the patterns of knowing in the experience of nurses who accompany the dying process of their patients. A descriptive qualitative study with a hermeneutic ap proach was carried out. The selection of the participants was opinion based. The data was collected by a semi structured interview. Thirteen interviews were carried out, interpreting the information through content analysis. Conclusion: the patterns of knowing in nursing simultaneously appear, being the personal and ethical patterns more significant, determining the quality of caring....
Professional nurses are able to work in different contexts which determine the necessity of applying their own knowledge of caring and knowledge from other disci plines. This body of knowing, described by Bárbara Carper in the ´70, is organized through patterns that allow the thinking of practical phenomenon, and building knowledge of common interest to nurses. This study considered four patterns of knowing in nursing described by this author: Empirical, Personal, Ethical, and Aes thetic. Professional nurses accompany the dying process of their patients in the hos pital, facing many ethical issues in the management of caring in this kind of situations. The purpose of this study is to contribute to the comprehensive understanding of this experience, in order to deliver quality care according to ethical guidelines. Objective: to describe the patterns of knowing in the experience of nurses who accompany the dying process of their patients. A descriptive qualitative study with a hermeneutic ap proach was carried out. The selection of the participants was opinion based. The data was collected by a semi structured interview. Thirteen interviews were carried out, interpreting the information through content analysis. Conclusion: the patterns of knowing in nursing simultaneously appear, being the personal and ethical patterns more significant, determining the quality of caring....
CPC Centro Pediátrico de Cuidado Compasivos de Confort : Región Metropolitana de Chile
(Universidad de Chile, 2021)
los cuidados compasivos de confort. El diseño de un hospicio infantil con dos guías de base específicas: la conexión con la naturaleza y la creación de ambientes acogedores más cercanos a un hogar que a un hospital. El proceso tuvo entrevistas, visitas...
CICP: — Centro integral de cuidados paliativos: para pacientes con cáncer avanzado en etapa terminal
(Universidad de Chile, 2012)
Use of opioids in palliative care of children with advanced cancer Uso de opiáceos en niños con cáncer avanzado en cuidados paliativos
(Sociedad Chilena de Pediatria, 2016)
Use of opioids in palliative care of children with advanced cancer Uso de
opiáceos en niños con cáncer avanzado en cuidados paliativos
Fernández Urtubia, Belem
Trevigno Bravo, Antonella
Rodríguez Zamora, Natalie
Palma...
Conspiración del silencio por parte de familiares y/o cuidadores en pacientes con enfermedad oncológica terminal : percepción de profesionales de cinco unidades de un hospital público del Servicio de Salud Sur Oriente de Santiago
(Universidad de Chile, 2018)
público del área sur oriente de Santiago (Cuidados paliativos, Cirugía, Urología, Ginecología y Broncopulmonar) respecto al rol que poseen familiares y cuidadores en el proceso de información al paciente, los motivos que tendrían en caso de solicitar...
"Conspiracy of Silence" can be explained as an implicit or explicit agreement between family members, relatives and health care professionals to hide or distort information given to a patient about their condition, diagnosis and / or treatment, often under the principle of non-maleficence. In other words, the omission or distortion of the information in these cases usually aims at avoiding or reducing the patient’s damage, pain and suffering when receiving this information and facing the end of his life. In the Units of Palliative Care, lack of information is frequent seen in communications between relatives and / or caregivers and patients with stage IV cancer, with regards to the diagnosis and prognosis of their disease. While in many cases a patient’s choice not to acknowledge their condition and their choice to delegate their decision-making responsibilities to others may be respected by health care professionals, in any such cases the patient usually does not decide the level of knowledge and his participation in the events occurring towards the end of his life. This paternalistic attitude has been questioned for those cases in which they decide the amount and kind of information omitted from a patient without a clinically-based justification. It has been pointed out that in our culture, not only the health care professionals but also patients’ relatives have a role in communications with patients regarding their condition. Patients’ relatives are frequently the ones who request the professionals’ silence regarding the diagnosis and / or prognosis of the patient’s illness. This situation place professionals in a highly complex situation that ultimately leads to conflicts between the patient and / or their family members or between patient’s family members. However, even though experts acknowledge this situation, it cannot be ascertained by national data that may allow to explore the underlying motives. The purpose of this thesis is to address the above-described lack of knowledge. The objective is to explore experiences and perceptions of certain health care professionals working at five different medical specialty (palliative care, surgery, urology, gynecology and bronchopulmonary) units from a public hospital in the southeast area of Santiago regarding family members’ and caregivers’ roles in the process of providing information to the patient, the motives leading to hide the truth from a patient regarding the diagnosis and prognosis of terminal cancer affecting them and the behaviors and attitudes of those professionals towards any such request. To reach this objective, a descriptive cross study was designed using a quantitative data collection method. Based on different national and international studies, a self-administered questionnaire of approximately 10 questions was sent to a randomly-selected group of doctors, nurses, and psychologists from the specialty units of Palliative Care, Urology, Gynecology, and Bronchopulmonary Surgery in the Health Area of a public hospital South East of Santiago....
"Conspiracy of Silence" can be explained as an implicit or explicit agreement between family members, relatives and health care professionals to hide or distort information given to a patient about their condition, diagnosis and / or treatment, often under the principle of non-maleficence. In other words, the omission or distortion of the information in these cases usually aims at avoiding or reducing the patient’s damage, pain and suffering when receiving this information and facing the end of his life. In the Units of Palliative Care, lack of information is frequent seen in communications between relatives and / or caregivers and patients with stage IV cancer, with regards to the diagnosis and prognosis of their disease. While in many cases a patient’s choice not to acknowledge their condition and their choice to delegate their decision-making responsibilities to others may be respected by health care professionals, in any such cases the patient usually does not decide the level of knowledge and his participation in the events occurring towards the end of his life. This paternalistic attitude has been questioned for those cases in which they decide the amount and kind of information omitted from a patient without a clinically-based justification. It has been pointed out that in our culture, not only the health care professionals but also patients’ relatives have a role in communications with patients regarding their condition. Patients’ relatives are frequently the ones who request the professionals’ silence regarding the diagnosis and / or prognosis of the patient’s illness. This situation place professionals in a highly complex situation that ultimately leads to conflicts between the patient and / or their family members or between patient’s family members. However, even though experts acknowledge this situation, it cannot be ascertained by national data that may allow to explore the underlying motives. The purpose of this thesis is to address the above-described lack of knowledge. The objective is to explore experiences and perceptions of certain health care professionals working at five different medical specialty (palliative care, surgery, urology, gynecology and bronchopulmonary) units from a public hospital in the southeast area of Santiago regarding family members’ and caregivers’ roles in the process of providing information to the patient, the motives leading to hide the truth from a patient regarding the diagnosis and prognosis of terminal cancer affecting them and the behaviors and attitudes of those professionals towards any such request. To reach this objective, a descriptive cross study was designed using a quantitative data collection method. Based on different national and international studies, a self-administered questionnaire of approximately 10 questions was sent to a randomly-selected group of doctors, nurses, and psychologists from the specialty units of Palliative Care, Urology, Gynecology, and Bronchopulmonary Surgery in the Health Area of a public hospital South East of Santiago....
La despenalización del delito de auxilio al suicidio y la legalización de la eutanasia en Chile
(Universidad de Chile, 2024)
casos los cuidados
paliativos no son suficientes para enfrentar la crítica situación en la que se encuentran, al
padecer un evidente dolor y sufrimiento. En virtud de aquello, el presente trabajo pretende
realizar una investigación y análisis respecto al...
Cuidados paliativos en personas con demencia severa: reflexiones y desafíos
(SOC MEDICA SANTIAGO, 2016)
94
ARTÍCULO DE REVISIÓN
Rev Med Chile 2016; 144: 94-101
Cuidados paliativos en personas
con demencia severa:
reflexiones y desafíos
AndreA slAcHeVsky cH.1-7,a,b,
mª teresA Abusleme l.6,8,c,
ánGelA ArenAs mAssA6...
lo que según recomendaciones de la Organización Mundial de la Salud, los cuidados paliativos deberían aplicarse desde las primeras etapas de la enfermedad crónica y fatal6 (Figura 1). En el caso de las demencias parece adecuado diferenciar los...
lo que según recomendaciones de la Organización Mundial de la Salud, los cuidados paliativos deberían aplicarse desde las primeras etapas de la enfermedad crónica y fatal6 (Figura 1). En el caso de las demencias parece adecuado diferenciar los...
Proceso de terminalidad y muerte: experiencias y significados en usuarios(as) con cáncer, sus familiares y el equipo de salud en el modelo de cuidados paliativos de Clínica Familia
(Universidad de Chile, 2015-07)
DE CHILE
Facultad de Ciencias Sociales
Proceso de terminalidad y muerte: experiencias y
significados en usuarios(as) con cáncer, sus
familiares y el equipo de salud en el modelo de
cuidados paliativos de Clínica Familia
Memoria...
(AS) CON CÁNCER, SUS FAMILIARES Y EL EQUIPO DE SALUD EN EL MODELO DE CUIDADOS PALIATIVOS DE CLINICA FAMILIA” 1 “En Occidente, donde quiera que vaya me llama la atención el gran sufrimiento mental generado por el miedo a...
(AS) CON CÁNCER, SUS FAMILIARES Y EL EQUIPO DE SALUD EN EL MODELO DE CUIDADOS PALIATIVOS DE CLINICA FAMILIA” 1 “En Occidente, donde quiera que vaya me llama la atención el gran sufrimiento mental generado por el miedo a...