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Advisor(s)
Abstract(s)
Introdução: O envelhecimento populacional tem sido acompanhado pelo aumento da
prevalência de doenças crónicas, com consequente aumento da dependência de terceiros para
a satisfação de necessidades básicas e, por vezes, necessidade de institucionalização da pessoa
idosa.
Tornam-se cada vez mais complexas as situações clínicas dos idosos institucionalizados em
estruturas residenciais para pessoas idosas. A integração de cuidados paliativos permitirá
eliminar situações passíveis de gerar sofrimento e adequando as intervenções e o plano de
cuidados.
Metodologia: Pretendeu-se identificar as necessidades em cuidados paliativos nos idosos
institucionalizados em estruturas residenciais para pessoas idosas, caracterizando a sua
condição de saúde referente a comorbilidades, sintomatologia presente e níveis de depen dência, de modo a contribuir para um novo olhar e uma reflexão sobre esta realidade.
Trata-se de um estudo quantitativo, transversal, exploratório-descritivo, realizado em 6 estru turas residenciais para pessoas idosas.
Foram incluídos os idosos com Pergunta Surpresa positiva, que se encontravam institucio nalizados à data da colheita de dados, segundo o profissional de saúde de cada instituição que
colaborou com o estudo. Para a recolha de dados foi elaborado um instrumento para a recolha
das características sociodemográficas dos idosos com a inclusão do NECPAL CCOMS-ICO (versão
3.1 espanhola).
Resultados: De entre os 488 idosos institucionalizados, 126 tiveram Pergunta Surpresa positiva.
Encontrou-se uma prevalência de 100% de necessidades paliativas, sendo que apenas 3,1% se
encontravam referenciados para cuidados paliativos, o que alerta para as questões da baixa
referenciação.
Conclusões: Conclui-se que a percentagem de idosos institucionalizados a carecer de cuidados
paliativos é elevada, sendo fundamental a sua implementação nestas instituições. O
reconhecimento dos cuidados paliativos, enquanto elemento constituinte do percurso de
evolução de uma doença crónica e progressiva, permitiria uma trajetória da doença mais
acompanhada, com mais qualidade de vida e a vivência de uma morte digna.
Introduction: Population aging has been accompanied by an increase in the prevalence of chronic diseases, with a consequent increase in the dependence on third parties to meet basic needs and, sometimes, the need for institutionalization of the elderly. The clinical situations of elderly people institutionalized in residential facilities for the elderly are becoming increasingly complex. The integration of palliative care will allow eliminating situations that may generate suffering and adapting interventions and the care plan. Methodology: We aimed to identify the palliative care needs of the elderly institutionalised in residential care facilities for the elderly, characterising their health condition in terms of comorbidities, symptoms and levels of dependence, so as to contribute to a new perspective and reflection on this reality. This is a quantitative, cross-sectional, exploratory-descriptive study, carried out in 6 residential structures for elderly people. We included the elderly with a positive Surprise question, who were institutionalized at the date of data collection, according to the health professional of each institution that collaborated with the study. For data collection, an instrument was designed to collect the sociodemographic characteristics of the elderly with the inclusion of the NECPAL CCOMS-ICO (Spanish version 3.1). Results: Among the 488 institutionalized elderly, 126 had positive Surprise Question. A 100% prevalence of palliative needs was found, and only 3.1% were referred for palliative care, which alerts to the issues of low referral. Conclusions: We conclude that the percentage of institutionalized elderly in need of palliative care is high, and its implementation in these institutions is fundamental. The recognition of palliative care, as an element of the evolution of a chronic and progressive disease, would allow for a more monitored disease trajectory, with more quality of life and the experience of a dignified death.
Introduction: Population aging has been accompanied by an increase in the prevalence of chronic diseases, with a consequent increase in the dependence on third parties to meet basic needs and, sometimes, the need for institutionalization of the elderly. The clinical situations of elderly people institutionalized in residential facilities for the elderly are becoming increasingly complex. The integration of palliative care will allow eliminating situations that may generate suffering and adapting interventions and the care plan. Methodology: We aimed to identify the palliative care needs of the elderly institutionalised in residential care facilities for the elderly, characterising their health condition in terms of comorbidities, symptoms and levels of dependence, so as to contribute to a new perspective and reflection on this reality. This is a quantitative, cross-sectional, exploratory-descriptive study, carried out in 6 residential structures for elderly people. We included the elderly with a positive Surprise question, who were institutionalized at the date of data collection, according to the health professional of each institution that collaborated with the study. For data collection, an instrument was designed to collect the sociodemographic characteristics of the elderly with the inclusion of the NECPAL CCOMS-ICO (Spanish version 3.1). Results: Among the 488 institutionalized elderly, 126 had positive Surprise Question. A 100% prevalence of palliative needs was found, and only 3.1% were referred for palliative care, which alerts to the issues of low referral. Conclusions: We conclude that the percentage of institutionalized elderly in need of palliative care is high, and its implementation in these institutions is fundamental. The recognition of palliative care, as an element of the evolution of a chronic and progressive disease, would allow for a more monitored disease trajectory, with more quality of life and the experience of a dignified death.
Description
Keywords
Cuidados paliativos Estruturas residenciais para pessoas idosas Necessidades paliativas Palliative care Residential care facilities for the elderly Palliative needs