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The practice of sedation in palliative care for oncologic patients: Fantasies reported by a nursing team in a specialized hospital in Brazil: A qualitative study

Published online by Cambridge University Press:  13 August 2021

E. Turato ,
C. Santos ,
J.R. Rodrigues ,
A.C. Bispo  and
C.S. Lima
E. Turato*
Affiliation:
Medical Psychology And Psychiatry, University of Campinas, Campinas, Brazil Lpcq - Laboratory Of Clinical-qualitative Research, University of Campinas, Campinas, Brazil
C. Santos
Affiliation:
Medical Psychology And Psychiatry, University of Campinas, Campinas, Brazil
J.R. Rodrigues
Affiliation:
Medical Psychology And Psychiatry, University of Campinas, Campinas, Brazil
A.C. Bispo
Affiliation:
Medical Psychology And Psychiatry, University of Campinas, Campinas, Brazil
C.S. Lima
Affiliation:
Medical Psychology And Psychiatry, University of Campinas, Campinas, Brazil
*
*Corresponding author.

Abstract

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Introduction

CONTEXTUALIZATION: Palliative sedation is a resource used to control symptoms of terminal patients in general. It is considered that it should be discussed by the professionals involved in the process, based on the competence of each one, as well as with family members and patients when possible.

Objectives

AIM: To understand symbolic meanings attributed by nursing professionals who provide assistance to the terminal patient regarding to the act of the palliative sedation.

Methods

Strategies: Clinical-qualitative design, semi-directed interview of open questions in depth. Nine oncologist nurses participated in the study; sample closed by the criterion of theoretical information saturation. Interviews were audio recorded, transcribed fully, categorized by qualitative content analysis. The results were discussed by colleagues of the Laboratory of Clinical Qualitative Research at the University of Campinas.

Results

FINDINGS: The treatment of the data led to 6 emerging categories: (1) death maintains its ambivalent values in our culture; (2) serving the death symbolically on a tray; (3) the act of sedation and its “unfortunate coincidences”; (4) palliative sedation: agent of a pious death; (5) late sedation: cause for distress to the professional; (6) the professional’s self-comfort considering certain psychological strength from the patient and family.

Conclusions

Final considerations: palliative sedation takes a general and individual meanings for the professional and even in case of experienced professionals regard to palliative sedation, the death phenomenon conduct them to expresses multiple and peculiar emotional issues, not ever perceveid.

Disclosure

No significant relationships.

Keywords

nursing psychologypalliative carresedation in oncologyQualitative Research
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S746
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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