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Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking

Actions for patient safety at the end of life must be aligned with the principles of palliative care, such as promoting comfort and quality of life. Faced with this complex process, health professionals need to seek the central relationships of the concepts of safety and palliative care to the end o...

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Autores principales: Bittencourt, Nair Caroline Cavalcanti de Mendonça, Duarte, Sabrina da Costa Machado, Marcon, Sonia Silva, Chagas, Marléa Crescêncio, Telles, Audrei Castro, Sá, Eunice Maria Casimiro dos Santos, da Silva, Marcelle Miranda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10379371/
https://www.ncbi.nlm.nih.gov/pubmed/37510471
http://dx.doi.org/10.3390/healthcare11142030
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author Bittencourt, Nair Caroline Cavalcanti de Mendonça
Duarte, Sabrina da Costa Machado
Marcon, Sonia Silva
Chagas, Marléa Crescêncio
Telles, Audrei Castro
Sá, Eunice Maria Casimiro dos Santos
da Silva, Marcelle Miranda
author_facet Bittencourt, Nair Caroline Cavalcanti de Mendonça
Duarte, Sabrina da Costa Machado
Marcon, Sonia Silva
Chagas, Marléa Crescêncio
Telles, Audrei Castro
Sá, Eunice Maria Casimiro dos Santos
da Silva, Marcelle Miranda
author_sort Bittencourt, Nair Caroline Cavalcanti de Mendonça
collection PubMed
description Actions for patient safety at the end of life must be aligned with the principles of palliative care, such as promoting comfort and quality of life. Faced with this complex process, health professionals need to seek the central relationships of the concepts of safety and palliative care to the end of life, in line with the wishes and expectations of the person and family members/caregivers, as well as with available resources and the capacity of services but, above all, reinforcing the importance of a non-reductionist care approach, which encompasses the various aspects inherent to humans. Hence, we present a new vision of patient safety in palliative care at the end of life based on the complex thinking of Edgar Morin, scientific evidence, and health policies in the global context. We discuss the deficiencies and disjunctions in thought and practice of palliative care at the end of life and patient safety, as well as the challenges for the conjunction of these complex themes, to finally present potential ways to apply complex thinking in the safe care of the patient at the end of life. The problematization of different aspects for the interposition of knowledge about patient safety in palliative care at the end of life portrays the existence of intersubjective connections and the multidimensionality that permeate the guidelines, actions and relationships that sustain the disciplines.
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spelling pubmed-103793712023-07-29 Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking Bittencourt, Nair Caroline Cavalcanti de Mendonça Duarte, Sabrina da Costa Machado Marcon, Sonia Silva Chagas, Marléa Crescêncio Telles, Audrei Castro Sá, Eunice Maria Casimiro dos Santos da Silva, Marcelle Miranda Healthcare (Basel) Perspective Actions for patient safety at the end of life must be aligned with the principles of palliative care, such as promoting comfort and quality of life. Faced with this complex process, health professionals need to seek the central relationships of the concepts of safety and palliative care to the end of life, in line with the wishes and expectations of the person and family members/caregivers, as well as with available resources and the capacity of services but, above all, reinforcing the importance of a non-reductionist care approach, which encompasses the various aspects inherent to humans. Hence, we present a new vision of patient safety in palliative care at the end of life based on the complex thinking of Edgar Morin, scientific evidence, and health policies in the global context. We discuss the deficiencies and disjunctions in thought and practice of palliative care at the end of life and patient safety, as well as the challenges for the conjunction of these complex themes, to finally present potential ways to apply complex thinking in the safe care of the patient at the end of life. The problematization of different aspects for the interposition of knowledge about patient safety in palliative care at the end of life portrays the existence of intersubjective connections and the multidimensionality that permeate the guidelines, actions and relationships that sustain the disciplines. MDPI 2023-07-15 /pmc/articles/PMC10379371/ /pubmed/37510471 http://dx.doi.org/10.3390/healthcare11142030 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Bittencourt, Nair Caroline Cavalcanti de Mendonça
Duarte, Sabrina da Costa Machado
Marcon, Sonia Silva
Chagas, Marléa Crescêncio
Telles, Audrei Castro
Sá, Eunice Maria Casimiro dos Santos
da Silva, Marcelle Miranda
Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking
title Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking
title_full Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking
title_fullStr Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking
title_full_unstemmed Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking
title_short Patient Safety in Palliative Care at the End of Life from the Perspective of Complex Thinking
title_sort patient safety in palliative care at the end of life from the perspective of complex thinking
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10379371/
https://www.ncbi.nlm.nih.gov/pubmed/37510471
http://dx.doi.org/10.3390/healthcare11142030
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