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Órgano Oficial del Hospital Angeles Health System

2012, Number 4

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Acta Med 2012; 10 (4)

Experience in care at the end of life in the critical care unit of the Hospital Ángeles Mocel

Rodríguez MV, Pizaña DA, Morales CI

Language: Spanish
References: 40
Page: 170-175
PDF size: 354.71 Kb.


ABSTRACT

Introduction: The perspectives at the end of life vary widely depending on the patient’s socio-cultural environment. In some regions of the world, the objective of maintaining life at all cost has been replaced by the wish to avoid prolonging the dying process when there is no reasonable expectation of a return to an acceptable quality of life. In Mexico, the paternalistic focus has persisted in the medical decision-making process, thus preventing the adoption of new measures in end-to-life care in critical medicine, making it harder the transition from cure care methodology to one more focused on patient comfort. Objetive: To propose the implementation of end-of-life palliative care in critical patients in the Critical Medicine Unit. Material and methods: Prospective, observational, descriptive and longitudinal study. Fourteen critical patients were included, over the age of 18, who received end-of-life care based on the experience of the medical specialists under our service. Results: Between October 1, 2011 and June, 2012, 504 patients were admitted of whom 34 (6.74%) passed away. 14 of the patients who died received end-of-life palliative care. Conclusions: Palliative focus in critical patient care must be adopted as part of the procedures provided in this area based in either of these approaches, integrated or consultative.


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