Terminal patient care: advantages on the applicability of anticipated will directives in the hospital context.

Objective: To know the advantages related to the applicability of the advance directives of will in the hospital context from the perspective of nurses, doctors and family members.

Method: Qualitative, descriptive and exploratory study with semi structured interviews carried out from October to November 2014, with nurses, doctors and family members of patients in the final stage. Afterwards, a discursive textual analysis was carried out.

Challenges to implementation of advance directives of will in hospital practice.

Objective:: to understand the difficulties and limitations in the implementation of advance directives of will in the hospital context.

Method:: qualitative, exploratory and descriptive study conducted by means of semi-structured interviews with nurses, resident physicians and family caregivers. The data were analyzed by using discursive textual analysis based on the framework of bioethics principles.

Terminal patient autonomy: perceptions of nursing blood cancer hospitalization unit.

Objective: to know the perception of nursing professionals about autonomy of the terminally ill patient.

Methods: qualitative research, exploratory and descriptive with 23 professionals from nursing staff (auxiliaries nursing, nursing technicians, and nurses) of a teaching Hospital in southern Brazil. Semi-directed interview was, applied recorded during September and October 2013, which were transcribed and analyzed after.

LIFE SUPPORT USE: PERCEPTION OF THE NURSING STAFF IN HAEMATO ONCOLOGY.

The aim was to understand the perception of the nursing staff of a haemato-oncology inpatient unit on the use of life support in case of offend-of-life situations. This is qualitative research, with 23 professionals from nursing staff (nurses, nursing technicians and nursing assistants) of a teaching Hospital in southern Brazil. For the production of the data the semi-directed interview was used, recorded during September and October 2013, being interpreted by category content analysis.

[Terminal patient home care: the family caregivers perspective].

This study was aimed at getting to know the relationships built among patients, family caregivers and the health care team, during home care,from the perspective of the family caregiver It is a qualitative study with 11 family caregivers of terminal patients, registered on a home care service of a university hospital in the South of Brazil. Data collection was carried out through narrative interviews that were recorded transcribed and analyzed through content analysis. Three categories were built from data analysis: relationships among the family caregiver, the patient and the health care team; awareness of the patient's terminal condition.

[Reflections about death: a challenge for nursing].

This reflection proposes a reinsertion on the death theme, in a more present form, in the daily routine of the nurse and its similar, starting with a historic on death, focusing on the transfer of it, that occurred in the bedroom of the moribund, to the hospital bedroom. Soon after, some considerations about the reason to fear death and the need of discussing it, as well as a reflexion on the planning of actions looking as much as to care as to confort the dying patient. With that, it is easy to realize the relevance of the come back of the approach of the subject in the professional daily basis, considering the need to demystify it, to allow that nurses and its similars plan actions of confort to the dying patient.