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- W3133670367 abstract "Aims & Objectives: Professionals often quote cultural and socio-economic differences to explain lower indices of Withdrawal of Life-Sustaining Therapy (WLST) in Brazil compared to developed countries’ PICUs. We aimed to study the Brazilian PICU team’s perspectives on End of Life (EoL) care. Methods: A survey tested beforehand, containing Likert style answers and few open questions, was sent via email to professionals in 3 PICUs in Brazil’s center-south hospitals (A.Private, B.Public and a C.University Oncology) as a pilot study. Institutional ethics committees, Gov. research registry and individual consent were obtained. During the 3 months (09-11/2019), 3 reminders were sent. Three open questions were applied, and a thematic analysis was taken. Results: Overall 136 surveys returned (response rate: 23% total; Physicians: A.31%, B.25%, and C.60%), Overall 35% Physicians, 31% Nurses, 20% Nurses technicians and 14% Physiotherapists responded. Only 25% of professionals consider their EOL care excellent or very good. The majority (65%) indicated that the main barrier to implement WLST was the families’ cultural/ social context. Common words were “cultural”, “hope”, “fear” and “family”, as in “The family always hopes for a miracle, making decisions difficult.” Professional’s attitude was the second most common reason (15%), albeit it was the highest reason for Oncology PICU professionals (73%). “Death is a failure”; “Team does not know how to reason with families or openly talk about prognosis”. Conclusions: Brazilian professionals consider their EoL care not adequate and quote families’ resistance and high hopes for a cure as the main reasons for not practicing active WLST. Further studies are needed in this field." @default.
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- W3133670367 date "2021-03-01" @default.
- W3133670367 modified "2023-10-16" @default.
- W3133670367 title "P0450 / #919: END OF LIFE CARE PRACTICES IN PICUS IN BRAZIL" @default.
- W3133670367 doi "https://doi.org/10.1097/01.pcc.0000740140.04464.2e" @default.
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