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On-line version ISSN 1988-348X


PEREZ HERRERA, Alicia  and  GARCIA HERNANDEZ, Alfonso Miguel. Therapeutic effort adaptation in critical units. Ene. [online]. 2021, vol.15, n.2, 1173.  Epub Jan 31, 2022. ISSN 1988-348X.

The purpose of this study is a systematized bibliographical review, about the Therapeutic Effort Adaptation (TEA) in critical units, through the study of published literature allow us to know the current competencies of the adaptation of therapeutic effort, from the medical and nursing point of view. A bibliographic review is made where the main resource is the Puntoq, and the databases: Pubmeb, MEDLINE, CINAHL, Scielo, Sciencedirect - Electronic journals (Elsevier), Free-e journals, Ebscohost. From the search strategy are got 602 articles. After reading the summaries, 39 articles are selected which ones live up with the inclusion perspectiv to carry out the current study. These publications are analyzed and three interesting areas are identified to be studied: the current situation of the TEA, the value of it in the area of nursing and the ethical and moral aspects when the decision has to be taken by the TEA. The results show the need to improve the implementation of end-of-life guidelines and identify some factors associated with such decisions, such as age, geographical areas, quality of life and co-morbidities. In addition, nurses' participation in the decision-making of TEA, LET and LSTV is low.

Keywords : Therapeutic effort; Critical Care.

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