Advance directives of patient’s will: A study among resident physicians

  • Victor Egypto Pereira
  • Francisco Márcio Leite Granjeiro
  • Marcelo Igor Leite Granjeiro
  • Tamiris Lanny Claudino Estrela Lins
  • Nadja Erlanda Pires Lima
  • Anderson Mesquita Nascimento
  • Márcia Adriana Dias Meirelles Moreira

Abstract

Introduction: The advance directives of the patient's will are a tool that prioritizes the will, intention and discernment of the patient, it was conducted in the form of a document that expresses the types of treatments that the individual wishes to receive in the instant that he or she is not able to make their own decisions anymore.


Objective: To investigate the level of agreement of resident physicians in a public hospital, about the Resolution 1995/2012 of the Federal Council of Medicine of Brazil which deals with Advance Directives.


Methods: This is a descriptive and exploratory study with a quantitative approach. To collect data, an adapted questionnaire containing socio-demographic questions and also questions about the subject was used, using the Likert scale. It was performed a descriptive and inferential statistical analysis by the Chi square adherence test.


Results: It was found that about 98% of the participants fully or partly agree to respect the wishes of the patients or their representatives, if they are unable to express themselves. However, 73% of participants reported to disregard the wishes of the patient if they contravene the Medical Ethics Code and 76.9% of physicians agree that advance directives should be recorded in the medical record. It is noteworthy that expressed favorable that the wishes of the patient prevails over the wishes of the family.


Conclusion: It is noticed that the physicians participating in the research, understand and agree with the assumptions of Resolution 1995/2012 of the Federal Council of Medicine of Brazil, which guides as the Advance Directives, considering it adequate and appropriate to direct medical action against dilemmas and conflictive situations that commonly arise in the management of patients in terminal condition.


 


DOI: http://dx.doi.org/10.3823/2354

References

1. Instituto Nacional de Câncer José Alencar Gomes da Silva – INCA. REDE CÂNCER: beleza terapêutica e a valorização da autoestima como auxiliar no tratamento do câncer. Rio de Janeiro: INCA [Internet]; 2013. Available from: http://bvsms.saude.gov.br/bvs/periodicos/revista_rede_cancer_21_abril_13.pdf
2. Molina JG, Díaz-Cortés MM, Hernández-Padilla JM, García-Caro MP, Fernández-Sola C. Loss of Dignity in End-of-Life Care in the Emergency Department: A Phenomenological Study with Health Professionals. Journal of Emergency Nursing. 2016; 42(3):233-239.
3. Moreira MADM, Dutra F, Zaccara AAL, Batista PSS, Felix ZC, Batista JBV. Testamento vital: revisão integrativa da literatura. Rev enferm UFPE. 2013; 7(10):6272-82.
4. Piccini FL, Steffani JA, Bonamigo EL, Bortoluzzi MC, Schlemper Jr BR. Testamento Vital na perspectiva de médicos, advogados e estudantes. Revista Bioethikos. 2011; 5(4):384-91.
5. Conselho Federal de Medicina. Resolução CFM nº. 1995/2012. Brasília (DF): CFM [Internet]; 2012. Available from: http://www.portalmedico.org.br/resolucoes/CFM/2012/1995_2012.pdf
6. Kayyali A, Rosenberg K. Advance Directives for Heart Failure Patients Underused. AJN, American Journal of Nursing. 2012 Dec; 112(12):41-42.
7. Knops RR, Kramer LC, Verhagen AA. Paediatric palliative care: recomendation for treatment of symptoms in the Netherlands. BMC Palliative Care, 2015; 14(1):57.
8. Prodanov CC, Freitas EC. Metodologia do trabalho científico: métodos e técnicas da pesquisa e do trabalho acadêmico. 2.ed. Novo Hamburgo: Feevale, 2013.
9. Richardson KJ. Pesquisa social: métodos e técnicas. 3ª ed. São Paulo: Atlas; 2008.
10. Viali L, Sebastiane RG. Estudos e Reflexões em Educação Estatística. São Paulo: Mercado de Letras; 2010.
11. BRASIL. Ministério da Saúde. Conselho Nacional de Saúde. Resolução nº. 466, de 12 de dezembro de 2012. Dispõe sobre a ética em pesquisa que envolve seres humanos. Available from: http://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf.
12. Dadalto L, Tupinambás U, Greco DB. Diretivas antecipadas de vontade: um modelo brasileiro. Rev. Bioét. 2013  Dec; 21(3):463-76.
13. Stolz C, Gehlen G, Bonamigo EL, Bortoluzzi MC. Manifestação das vontades antecipadas como fator inibidor da distanásia. Rev. Bioét. 2011; 19(3):833-45.
14. Monteiro DT, Reis CGC, Quintana AM, Mendes JMR. Morte: o difícil desfecho a ser comunicado pelos médicos. Estud. pesqui. psicol. 2015; 15(2):547-67.
15. Nunes R. Testamento Vital. Nascer e Crescer. 2012; 21(4):250-5
16. Dadalto L. Distorções acerca do testamento vital no Brasil (ou o porquê é necessário falar sobre uma declaração prévia de vontade do paciente terminal). Revista de Bioética y Derecho. 2013; (28):61-71.
17. Lima, EP; Goldin, JR. Diretivas antecipadas de vontade em unidades de terapias intensivas das regiões de norte e sul do Brasil. Dissertação [Doutorado] [Internet]. Rio Grande do Sul: Universidade Federal do Rio Grande do Sul; 2014. Available from: http://www.lume.ufrgs.br/handle/10183/104087
18. Cordeiro Q, Oliveira AM, Ribeiro RB, Rigonatti SP. Ética medica. Revista do Curso de Direito da Faculdade de Humanidades e Direito. 2011; 8(8):75-87.
19. Conselho Federal de Medicina. Resolução CFM n.º 1.638/2002. Brasília (DF): CFM [Internet]; 2002. Available from: http://www.portalmedico.org.br/resolucoes/cfm/2002/1638_2002.htm
20. RIBAS, José Maria. Autonomia e consentimento informado na escolha de tratamento médico.
21. Dadalto L. Reflexos jurídicos da Resolução CFM 1.995/12. Rev bioét (Impr.). 2013; 21(1):106-12.
22. Câmara dos Deputados (2013). Constituição da República Federativa do Brasil. (35a. ed.). Biblioteca Digital da Câmara dos Deputados.
23. Costa AMG. Inteligência emocional e assertividade nos enfermeiros. Dissertação [Doutorado] [Internet]. Faro: Universidade do Algarve; 2009. Available from: https://sapientia.ualg.pt/bitstream/10400.1/1556/1/Tese%20Doutoramento_Nuno%20Murcho.pdf
24. Menossi MJ, Zorzo JCC, Lima RAG. A dialógica vida/morte no cuidado do adolescente com câncer. Rev. Latino-Am. Enfermagem. 2012; 20(10):126-34.
25. Silva MIF, Gomes FB. Possibilidade de inclusão do testamento vital no ordenamento jurídico brasileiro. Rev de Direito. 2012;18:19- 22.
Published
2017-03-19
How to Cite
PEREIRA, Victor Egypto et al. Advance directives of patient’s will: A study among resident physicians. International Archives of Medicine, [S.l.], v. 10, mar. 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2435>. Date accessed: 28 june 2017.
Section
Medical Education

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.