Familiares de pacientes com diagnóstico de Morte Encefálica e a relação com a equipe multiprofissional em uma Unidade de Terapia Intensiva

Abstract

Brain death represents the irreversible clinical state in which brain functions (telencephalon and diencephalon) and brainstem are irremediably impaired. Although often avoided in our society, the theme of death and dying should be discussed multiprofessionally, aiming at an integrate and humanized attention to the patient and family. The research aimed to investigate, retrospectively, the meanings attributed by family members on the relationship established with the professionals of the multiprofessional health team in the process of verification and diagnosis of brain death. The sample consisted of relatives of 13 patients who were diagnosed during the study period and admitted to the Adult ICU, with semi-structured interviews and self-administered questionnaires. When submitted to inclusion and exclusion criteria, the study was performed with relatives of two patients included. After conducting the interviews and transcriptions in full, the Discourse Analysis methodology was used to categorize the thematic axes and qualitative data analysis, being divided from discursive cuts in "before", "during" and "after", using as reference the hospitalization of the patient. The results aim to propose improvements and advances in the multiprofessional performance and established relationship with the relatives in front of the diagnosis of Brain Death. According to the literature consulted, it was based on the importance of the relationship established with the multiprofessional team, in the way in which the team-family bonding and the communication contribute with the coping, with the understanding of the diagnosis, the decision process on organ donation and mourning the relatives.