O conforto da pessoa em final de vida em contexto domiciliário: perceção do enfermeiro

Introduction: Comfort is a key element in the provision of nursing care to patients with Palliative Care. Comfort is a complex act. To promote comfort is to be attentive to all manifestations of distress, to take into account all dimensions of the human being and to provide measures for the relief of suffering (Morse, 2000). We can see that there is no clear definition for the concept of comfort, however, it is unanimous that this emerges as a lifelong need in health and illness, therefore, providing comfort is one of the main functions and a challenge for the Practice of nursing care (Ribeiro and Costa 2012). Objective: The objective of this study is to understand the nurses' perception regarding the comfort of the person at the end of life in a home context, identifying the comfort conception for the nurse with respect to the person at the end of life. Material and Methods: A qualitative, descriptive study was carried out through semi-structured interviews with 8 participants. The methodology used for data processing was content analysis. (Bardin, 2014) Results: After analyzing our data, we can say that, in terms of Comfort Design (Domain), four categories were found: Physical Expression, Multifocal / Multidimensional Expression of Comfort, Affective Expression and Basic Needs Fulfilled). Conclusion: The main contribution of this study is to explore the phenomenon of comfort with regard to the end-of-life person in a home context, reinforcing the importance that nurses assume in the implementation of comforting care. Based on a humanistic-affective approach, the comfort process is mediated by the nurse-patient / family interaction.