Importância da atuação do enfermeiro na assistência a potenciais doadores de órgãos em morte encefálica

Abstract

The nurses role in the maintenance of the organ and tissue donor, after the diagnosis of brain death, is essential, considering that it is the nurses duty to plan and implement interventions that can minimize the organic damage resulting from the metabolic process arising from brain death, in order to preserve their dignity and contribute to the viability of the organs that are going to be donated. In this regard, this study aims to identify in the literature the importance of the nurse's assistance in the physiological maintenance of a potential organ and tissue donation after brain death. The method of an integrative literature review was adopted, concerning the incorporation of seven Brazilian papers, in which it was analyzed the relevance of health care and the nurses knowledge to the potential organ donor after brain death during the period from 2010 to 2016 in the following electronic databases: Scientific Electronic Library Online (SCIELO); Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS); Medical Literature Analysis and Retrieval System online (MEDLINE); Biblioteca Virtual de Saúde (BIREME) e Bancos de Dados em Enfermagem (BDENF). It was concluded that patients care after brain death is a complex situation, which usually develops due to severe processes. Accordingly, it was corroborated that brain death is a clinical condition that requires immediate intervention, demanding that nurses have scientific and ethical knowledge regarding possible pathophysiological changes, as well as the hemodynamic maintenance of the organs or tissues that are going to be donated, since their viability depends directly on proper conservation