[The nursing profession regarding limitation of life support treatment in the intensive care units. Technical and practical features].
The scientific and technical developments in medicine in the recent decades have greatly helped to increase life expectancy and quality of life of many patients. In hospitals, this technological scenario has clearly influenced patient care, for example, in the Intensive Medicine Departments, leading to new clinical perspectives and has made the growing complexity of giving treatment and making decisions more evident. In some cases, it is difficult to predict how beneficial intensive medical care can be when there is no reasonable prospect of improving the patient's health, prolonging their life in situations with poor prognosis or dramatically reducing their quality of life. The clinical diagnosis of irreversibility, through indicators of severity and principles of beneficence, autonomy and justice in the professional conduct are the elements that give rise to the consideration of withholding and withdrawing treatment in the critical patient. However, there are other factors that need to be taken into consideration and that are analyzed by professional ethics and bioethics. It is from this approach that any decision involving withholding and withdrawing treatment should be taken so that these decisions can be considered estimable form an ethical point of view. The nursing professional in intensive care units is expected to actively participate in decision making by contributing with their humanizing vision and care ethics. They should be aware of their contribution in the medical team behaving, representing and encouraging the requirements of bioethics.
Departamento de Enfermería Fundamental y Médico-quirúrgica, Escuela de Enfermería, Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, España. annafalco@ub.edu
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Falcó-Pegueroles
D003422:Critical Care; D004993:Ethics, Nursing; D005190:Family; D006801:Humans; D007362:Intensive Care Units; D009729:Nursing; D026684:Personal Autonomy; D028761:Withholding Treatment / Q000941:ethics