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Advisor(s)
Abstract(s)
Introducão: As crises humanitárias (CH) são eventos de larga escala que podem resultar na disrupção dos sistemas de saúde e sociedade, bem como em elevadas taxas de mortalidade e sofrimento – físico, psicológico e espiritual. Os Cuidados Paliativos (CP) visam aliviar o sofrimento em todas estas dimensões, pelo que é crucial integrá-los na resposta humanitária. A recente pandemia COVID-19 enquadra-se na categoria de CH, sobretudo nas fases iniciais, em que os recursos eram deficitários. Considera-se assim que os modelos de integração de CP em CH podem adaptar-se à pandemia COVID-19; no entanto, a evidência é limitada. Com este estudo pretendeu-se mapear o conhecimento existente quanto aos modelos organizacionais de integração dos CP em CH e na pandemia COVID-19. Material e métodos: Procedeu-se a uma revisão scoping, segundo as normas definidas pelo Joanna Briggs Institute. A pesquisa foi efetuada recorrendo às bases de dados PUBMED, CINHAL e SCOPUS e incluiu artigos publicados entre 2011 e 2021. A pesquisa foi realizada por dois revisores independentes, com recurso a um terceiro em caso de discordância. Resultados: De um total de 8494 artigos, 28 foram incluídos na revisão. A maioria dos artigos refere-se à temática de CP e COVID-19 (61%). Alguns dos elementos da resposta frequentemente encontrados foram: integração das abordagens curativa e paliativa; disponibilidade de medicação essencial em CP; formação básica transversal em CP; hierarquização de recursos; telemedicina; disponibilização de materiais de consulta. Discussão e conclusões: A informação respeitante à integração dos CP em CH é escassa e a disponibilidade de protocolos e guidelines é limitada. Inversamente, a evidência respeitante aos CP na pandemia COVID-19 é abundante, detalhada e concreta. Este estudo sugere que os modelos de integração dos CP na pandemia COVID-19 podem informar a resposta de CP em CH. Esta dissertação providencia uma súmula interpretativa das medidas recomendadas para a integração dos CP em CH.
Introduction: Humanitarian crises (HC) are large scale events that may result in massive disruption of health care systems and society, as well as high rates of mortality and suffering – physical, psychological, and spiritual. Palliative care (PC) aims to relief suffering in all these dimensions, which is why it is crucial to integrate them in humanitarian response. The recent COVID-19 pandemic falls into the category of HC, especially in the early stages when resources were deficient. Considering this, models of PC integration in HC may be successfully adapted to the COVID-19 response; however, research on this topic is limited. Therefore, this study aimed to map the existing knowledge regarding organizational models of PC integration in HC and COVID-19. Materials and methods: a scoping review was carried out, following guidelines outlined by the Joanna Briggs Institute. The literature search was performed using PUBMED, CINHAL and SCOPUS databases and included articles published between 2011 and 2021. The search was conducted by two independent reviewers, disagreements were resolved by a third reviewer. Results: A total of 8494 articles were screened and 28 were included in this review. Most articles (61%) referred to COVID-19 and PC. Response elements frequently found were: palliative and curative approach integration; essential PC medication availability; transversal basic PC training; resource hierarchization; telehealth; and consult material. Discussion and conclusion: Information regarding PC integration in HC is scarce and availability of protocols and guidelines is limited. Conversely, evidence concerning PC in the COVID-19 pandemic is abundant, detailed, and concrete. This study suggests that models of PC integration in HC may be informed by PC response to the COVID-19 pandemic. This dissertation provides an interpretative summary of compiled recommendations for PC integration in humanitarian crises.
Introduction: Humanitarian crises (HC) are large scale events that may result in massive disruption of health care systems and society, as well as high rates of mortality and suffering – physical, psychological, and spiritual. Palliative care (PC) aims to relief suffering in all these dimensions, which is why it is crucial to integrate them in humanitarian response. The recent COVID-19 pandemic falls into the category of HC, especially in the early stages when resources were deficient. Considering this, models of PC integration in HC may be successfully adapted to the COVID-19 response; however, research on this topic is limited. Therefore, this study aimed to map the existing knowledge regarding organizational models of PC integration in HC and COVID-19. Materials and methods: a scoping review was carried out, following guidelines outlined by the Joanna Briggs Institute. The literature search was performed using PUBMED, CINHAL and SCOPUS databases and included articles published between 2011 and 2021. The search was conducted by two independent reviewers, disagreements were resolved by a third reviewer. Results: A total of 8494 articles were screened and 28 were included in this review. Most articles (61%) referred to COVID-19 and PC. Response elements frequently found were: palliative and curative approach integration; essential PC medication availability; transversal basic PC training; resource hierarchization; telehealth; and consult material. Discussion and conclusion: Information regarding PC integration in HC is scarce and availability of protocols and guidelines is limited. Conversely, evidence concerning PC in the COVID-19 pandemic is abundant, detailed, and concrete. This study suggests that models of PC integration in HC may be informed by PC response to the COVID-19 pandemic. This dissertation provides an interpretative summary of compiled recommendations for PC integration in humanitarian crises.
Description
Keywords
Palliative care Palliative medicine Relief work Disaster planning Covid-19 Pandemics