| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 934.96 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: Tem como principais objetivos identificar os doentes adultos com necessidades paliativas internados nos hospitais de agudos da Ilha da Madeira e conhecer a utilização do Liverpool Care Pathway, como guia orientador dos cuidados prestados em final de vida.
Metodologia: É um estudo descritivo, transversal e observacional. Foi efetuado com recurso ao preenchimento de um formulário, efetuado com base no instrumento Prognostic Indicator Guidance do Gold Standards Framework, apresentado aos médicos responsáveis dos doentes e ao enfermeiro-chefe do serviço.
Resultados: Foram avaliados 385 doentes, tendo-se identificado 129 (33,5%) com necessidades paliativas. A média de idade foi 73 anos, 70% dos doentes apresentavam doença paliativa “não oncológica” e o tempo médio de internamento foi de 15 dias. Foi no serviço de Medicina Interna que se identificou um maior número de doentes (39%), seguindo-se os serviços de Cirurgia Geral (12%) e Ortopedia (11%). O serviço de Hemato-Oncologia foi o que apresentou uma maior taxa de ocupação (73%) por doentes paliativos. No grupo dos doentes “oncológicos”, as patologias digestivas e respiratórias foram as prevalentes, enquanto nos “não oncológicos” foram as doenças respiratórias e cardiovasculares. Não se encontram referenciados para o serviço de Cuidados Paliativos 94% dos doentes, sendo o principal motivo “ainda está a fazer tratamento ativo”. Responderam ao formulário 96 profissionais de saúde e destes, 94% não conheciam a Liverpool Care Pathway. Discussão: A prevalência dos doentes com necessidades paliativas identificados neste estudo parece ser semelhante ao encontrado na literatura científica. É necessário criar ou adaptar programas e políticas de saúde que visem responder às necessidades desta população. Quanto ao conhecimento da Liverpool Care Pathway, parece existir um grande desconhecimento deste instrumento. Seria importante criar um programa de divulgação e formação para os profissionais de saúde.
Conclusão: Identificaram-se 129 (33,5%) doentes com necessidades paliativas nos hospitais de agudos da ilha da Madeira e, 94% dos profissionais de saúde responderam que não conheciam o Liverpool Care Pathway.
Introduction: The main aims are to identify adult patients in need of palliative care who are interned in acute care hospitals on the island of Madeira and to learn more about the use of the Liverpool Care Pathway as a guideline for the care provided in the last phases of life. Methodology: This is a descriptive, transversal, observational study. It was carried out by means of the completion of a form, based on the Gold Standards Framework Prognostic Indicator Guidance, which was given to the doctors in charge of the patients and to the department head nurse. Results: 385 patients were evaluated, of whom 129 (33,5%) were identified as needing palliative care. The average age was 73 years. The average length of internment was 15 days. 70% of the patients presented with "non-oncological" disease requiring palliative care and 30% with “oncological” disease. The majority of patients in the study were in Internal Medicine (39%), followed by those in General Surgery (12%) and Orthopaedics(11%). The greatest percentage of occupation of beds was in Haemato-Oncolology (73%). In the “oncological” group, digestive and respiratory pathologies were the most prevalent, while in the “non-oncological” group respiratory and cardiovascular pathologies were predominant. 94% of patients had not been referred to the Palliative Care department, the main reason being that “They are still receiving active treatment”. 96 health professionals responded to the form. Of these, 94% were unaware of the Liverpool Care Pathway. Discussion: The prevalence of patients in need of palliative care identified in this study appears to be similar to that found in the scientific literature. It is necessary to create or adapt health programmes and policies that are aimed at the needs of this population. There appears to be considerable lack of awareness of the Liverpool Care Pathway. It is important that a programme of dissemination and of training for health professionals be created. Conclusion: 129 patients (33.5% of the total) in need of palliative care were identified in the acute care hospitals on the island of Madeira. 94% of healthcare professionals responded that they were unaware of the Liverpool Care Pathway.
Introduction: The main aims are to identify adult patients in need of palliative care who are interned in acute care hospitals on the island of Madeira and to learn more about the use of the Liverpool Care Pathway as a guideline for the care provided in the last phases of life. Methodology: This is a descriptive, transversal, observational study. It was carried out by means of the completion of a form, based on the Gold Standards Framework Prognostic Indicator Guidance, which was given to the doctors in charge of the patients and to the department head nurse. Results: 385 patients were evaluated, of whom 129 (33,5%) were identified as needing palliative care. The average age was 73 years. The average length of internment was 15 days. 70% of the patients presented with "non-oncological" disease requiring palliative care and 30% with “oncological” disease. The majority of patients in the study were in Internal Medicine (39%), followed by those in General Surgery (12%) and Orthopaedics(11%). The greatest percentage of occupation of beds was in Haemato-Oncolology (73%). In the “oncological” group, digestive and respiratory pathologies were the most prevalent, while in the “non-oncological” group respiratory and cardiovascular pathologies were predominant. 94% of patients had not been referred to the Palliative Care department, the main reason being that “They are still receiving active treatment”. 96 health professionals responded to the form. Of these, 94% were unaware of the Liverpool Care Pathway. Discussion: The prevalence of patients in need of palliative care identified in this study appears to be similar to that found in the scientific literature. It is necessary to create or adapt health programmes and policies that are aimed at the needs of this population. There appears to be considerable lack of awareness of the Liverpool Care Pathway. It is important that a programme of dissemination and of training for health professionals be created. Conclusion: 129 patients (33.5% of the total) in need of palliative care were identified in the acute care hospitals on the island of Madeira. 94% of healthcare professionals responded that they were unaware of the Liverpool Care Pathway.
Description
Keywords
Cuidados paliativos Liverpool Care Pathway Necessidades paliativas Final de vida