Advance directives in palliative care-a new tool to improve the communication between patients and caregivers?

Data de publicação:

Autores da FMUP

  • Rui Manuel Lopes Nunes

    Autor

Participantes de fora da FMUP

  • Martins, CS
  • Cadavez, E

Unidades de investigação

Abstract

Background: In palliative care, caregivers frequently act as surrogate decision-makers, but their knowledge of patients' preferences for end-of-life care is sometimes scarce and incorrect. Advance Directives might be a powerful communication tool to promote the dialogue between patients and caregivers. Aims: This work aims to find evidence supporting the use of the Advance Directives documents by health practitioners as a communication tool to improve caregivers' capacity as health surrogates in palliative care. Methods: A literature review was conducted in four databases- Medline, Web of Science, Scopus, and Cochrane to identify studies published until February 27th, 2021, analysing advance directive's use as a communication tool between palliative patients and their caregivers. Findings: Of the 1251 papers screened, only one article met the defined criteria, presenting results statistically favourable to advance directive's use, although with the risk of significant bias. Conclusions: Although the results seem promising, more studies are needed to validate this strategy scientifically.

Dados da publicação

ISSN/ISSNe:
1357-6321, 2052-286X

International Journal of Palliative Nursing  MA Healthcare Ltd

Tipo:
Article
Páginas:
344-349
Link para outro recurso:
www.scopus.com

Documentos

  • Não há documentos

Métricas

Filiações mostrar / ocultar

Keywords

  • palliative care; advance directives; surrogate; communication

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