**Author details**

*Neuroethics in Principle and Praxis - Conceptual Foundations*

human existence [23].

**3. Conclusion**

any cost.

**Conflict of interest**

professionals of the nursing team.

It is believed that curricular changes, which deepen the ethical debate around issues related to the dying process, are necessary in the training of the nurse since the proximity of the nursing team with the hospitalized patient provides emotional exhaustion, and these professionals feel they are helpless before death. It is necessary that the process of dying be debated within educational institutions, so future nursing professionals understand and respect terminality as a phase present in

Rethinking treatment related to terminal patient care within higher education institutions favors the reduction of difficulties in dealing with the death process and

Thus, it is important that the future nurse be encouraged to know the ADs during the professional training process, to understand its applicability in their clinical practice and to stimulate its use by patients, terminal or not, informing the possibility of construction and the importance of the ADs and presenting the necessary

In Brazil, there is still no legislation that deals with ADs, which makes this topic little debated and diffused among health professionals, more specifically among the

The main challenge found during the dying process is to ensure that in practice,

the patient's wishes are met. It is noticeable that the implications and obstacles resulting from the ceaseless transformations of the right to health as a whole are far from over, especially the relationships inherent to the principle of human dignity,

There is a need to disseminate among nursing professionals the importance of encouraging the free and informed autonomy of patients and of the Federal Nursing Council regulation that supports professionals who respect the ADs of the individuals under their care. The knowledge of the Code of Ethics of Nursing Professionals and the inclusion of ADs in the curricula of Nursing Undergraduate Courses are essential for Brazil to make a positive contribution to this issue.

In view of the current Brazilian health scene, the ADs are characterized as a new subject, and its applicability involves cultural change, family and health professionals' agreement, and an early approach in both undergraduate and care education.

individual freedom, and the practices of health professionals.

We declare there is no conflict of interest in this research.

Guaranteeing the individuals the right to carry out their wills in terminality through the ADs is still not enough since collective work is indispensable and necessary to respect their autonomy and reflections on the cultural actions of professionals' health and family members that determine the paradigm of sustaining life at

therapeutic obstinacy and providing more humanized care [29].

explanations for the elaboration of a document of this nature [28].

**56**

Jacqueline Resende Boaventura, Juliana Dias Reis Pessalacia\*, Luciana Ferreira Da Silva, Ana Paula Da Silva, Larissa Da Silva Barcelos, Carlos Eduardo Pereira Furlani and Adriano Menis Ferreira Federal University of Mato Grosso do Sul, Três Lagoas, Mato Grosso do Sul, Brazil

\*Address all correspondence to: juliana@pessalacia.com.br

© 2019 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
