title: [Nurses' participation in the development of a multidisciplinary team for chronic and terminal patients].
abstract: Since long ago the nurse has become more concerned about the delivery of care for patients with chronic and degeneratives diseases. Nevertheless, the accomplishment of this task is not an easy one. Moreover, when the patient reaches the final stage. Usually this patient experiences emotional and physical alteration. The family is deeply involved in this process and generally they seek nurses help because they are the closest ones to the patient and his/her family. When the patient go trough this dramatic acute change in health condition or in face of chronic degenerative or final stage disease is made, the relationship with the family becomes more difficult demanding nursing intervention. The objective of this study is to report the experience of nurse's participation in the implantation and development of multidisciplinary group for treatment of chronical and final stage patients. This group has been working for two years and has had good results. This group has worked treatment schemes for treatment used by all members of multidisciplinary team. From previous experiences, we knew that there is always a discrepancy between the information given by professional and friends and relatives ones. Which could increase fear and anxiety the reassurance given by the health team, a fair distribution of tasks and the information delivery to the patient proved to be successful.
authors.affiliation: UTI da Clínica Médica do Hospital Universitário da Universidade de São Paulo.
authors.forename: H E
authors.initials: HE
authors.lastname: Shimizu
authors.forename: B A
authors.initials: BA
authors.lastname: Guitierrez
mesh_terms: D001291:Attitude of Health Personnel; D002908:Chronic Disease / Q000451:nursing*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010348:Patient Care Team / Q000458:organization & administration*; D016730:Program Development; D013727:Terminal Care / Q000458:organization & administration*