Abstract
The article addresses the ethical dilemmas faced by nurses in the care of terminally ill patients, exploring the tension between patient autonomy, family expectations and institutional guidelines. Through a qualitative literature review, the main ethical dilemmas were identified, such as the use of palliative sedation, limiting invasive treatments, and making decisions in contexts where patients are unable to express their wishes. The results highlight that nurses experience moral stress when faced with decisions that could unnecessarily prolong the patient's suffering or go against their autonomy. It is concluded that there is a need to strengthen ethical training and institutional support through the creation of interdisciplinary ethics committees and the promotion of a culture of open communication. These strategies can improve ethical decision making and reduce the emotional impact on professionals.
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