CONSPIRACY OF SILENCE IN PALLIATIVE CARE: LITERATURE REVIEW

Abstract

Introduction: The diagnosis of advanced diseases triggers complex emotional reactions in patients and family members, often resulting in hesitation to discuss with the health professional about the process of imminent death the junction of feelings of the patient and family, known as the conspiracy of silence. Objective: To understand the impact of the conspiracy of silence on patients in palliative care.  Methodology: The research was carried out through a bibliographic search in the Pubmed and Virtual Health Library databases, using the health descriptors: "Decision making"; "Palliative Care"; "Health Communication" in the last five years and aims to understand the impact of the conspiracy of silence for patients in palliative care. Results: The lack of transparency hinders open communication, which is essential for the patient to express their desires and fears, and for the family to offer the necessary support. Conclusion: The need for professional communication is evident as a tool to assist the expression of patients and their families.