Subjects
UNESCO::32 Medicina::3201 Ciencias clínicas::320199 Otras especialidades (Cuidados paliativos)
Planificación anticipada de la atención y toma de decisiones al final de la vida. Revisión sistemática
Abstract
Introducción: la planificación anticipada de la atención busca trazar un plan de atención
sanitaria conjuntamente entre profesionales, paciente y familia. Aunque el paciente tiene
derecho a ser informado para tomar decisiones al final de su vida, los profesionales siguen
encontrando dificultades para poder garantizarlo.
Objetivo: explorar la evidencia científica disponible referente a la planificación anticipada de
la atención y la toma de decisiones al final de la vida.
Metodología: revisión sistemática. Estrategia de búsqueda en bases de datos: Pubmed y
CINAHL.
Resultados: los profesionales sanitarios encuentran dificultades en el proceso de información
y toma de decisiones al final de la vida de sus pacientes que el registro de instrucciones
previas no parece resolver. La comunicación entre equipos de diferentes niveles asistenciales
es insuficiente y los pacientes son derivados tarde a los equipos específicos.
Conclusiones: la formación de los profesionales y la derivación temprana a equipos
específicos interdisciplinares emergen como elementos imprescindibles en la toma de
decisiones y planificación anticipada al final de vida.
Background: advance care planning is about planning healthcare together professionals, patient and family. Although the patient has the right to be informed in order to make decisions at the end of his life, professionals still find difficulties to guarantee it. Objective: to explore the scientific evidence available regarding advance care planning and decision-making at the end of life. Methods: systematic review. Search strategy in databases: Pubmed and CINAHL. Results: health professionals find difficulties in the process of information and decision making at the end of their patients' lives that the record of advanced directives does not seem to resolve. Communication between teams of different levels of care is insufficient and patients are referred late to specific palliative care teams. Conclusions: training of professionals and early referral to specific interdisciplinary teams emerge as the essential elements in decision making and early planning at the end of life.
Background: advance care planning is about planning healthcare together professionals, patient and family. Although the patient has the right to be informed in order to make decisions at the end of his life, professionals still find difficulties to guarantee it. Objective: to explore the scientific evidence available regarding advance care planning and decision-making at the end of life. Methods: systematic review. Search strategy in databases: Pubmed and CINAHL. Results: health professionals find difficulties in the process of information and decision making at the end of their patients' lives that the record of advanced directives does not seem to resolve. Communication between teams of different levels of care is insufficient and patients are referred late to specific palliative care teams. Conclusions: training of professionals and early referral to specific interdisciplinary teams emerge as the essential elements in decision making and early planning at the end of life.
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Materias, derechos, colecciones e identificadores
Keywords
Cuidados paliativos, Planificación anticipada de la atención, Toma de decisiones, Palliative care, Advance care planning, Decision making