A ATUAÇÃO DA EQUIPE DE SAÚDE NA COMUNICAÇÃO DO DIAGNÓSTICO DE MORTE ENCEFÁLICA E NA GESTÃO DO CUIDADO
Abstract
Communicating a diagnosis of brain death represents a critical moment in healthcare practice, requiring an ethical, sensitive, and humanized approach from the multidisciplinary team. When inadequately performed, this communication may lead to family resistance, hinder acceptance of loss, and negatively affect decision-making regarding organ donation. This study aimed to analyze the role of healthcare teams in communicating the diagnosis of brain death and to identify strategies that promote a humanized approach. An integrative literature review was conducted using articles published between 2022 and 2025 in the PubMed, SciELO, and Virtual Health Library (BVS) databases. The descriptors “Brain Death,” “Health Communication,” and “Humanization of Assistance” were combined using the Boolean operator AND. Eleven studies met the inclusion criteria. The findings indicate that clear, empathetic, and structured communication reduces family rejection of the diagnosis and facilitates acceptance of death. The use of protocols such as SPIKES stands out for promoting clarity and emotional support during the delivery of bad news. Additionally, the involvement of psychologists and social workers proved essential for providing emotional support to families and assisting in decision-making. Humanized communication is therefore essential to improving the quality of care.
Fields of Study & Subjects
Organ Donation and Transplantation
Palliative and Oncologic Care
Death Anxiety and Social Exclusion
Publication details
- Journal / source
- Revista fisio&terapia.
- Publisher
- Revista ft Ltda
- Volume
- 30
- Issue
- 154
- Pages
- 25–26
- Publication date
- 13 January 2026