| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.58 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A esperança média de vida tem vindo a aumentar significativamente na maioria dos países, refletindo-se em cada vez mais reclusos idosos, mas não só, a sofrer de doenças incuráveis com necessidades paliativas. Portugal centralizou os cuidados de saúde a estes reclusos num único hospital prisional. Pretende-se contribuir para um melhor esclarecimento da validade desta solução através da análise qualitativa de entrevistas a diversos profissionais deste estabelecimento, tentando aferir, com base nas suas perceções e experiências, que barreiras e facilitadores existem, e que soluções são propostas. Metodologia: Estudo qualitativo, onde realizadas dezassete entrevistas semiestruturadas, individuais, a uma amostra heterogénea das diversas profissões intervenientes nos cuidados a reclusos com necessidades paliativas, incluindo membros da equipa médica, de enfermagem, de acompanhamento e de segurança. Resultados: Os entrevistados identificaram o excesso de burocracia e ineficiente comunicação com sistemas externos, nomeadamente com o serviço público de saúde e os tribunais, como as principais barreiras à prática de Cuidados Paliativos. Foram também referidas algumas limitações de espaço e de outros recursos, o acesso condicionado aos doentes, especialmente à noite e a deficiente formação nesta área, principalmente na equipa de segurança. Por outro lado, os entrevistados consideram que existem excelentes condições físicas, incluindo equipamento de diagnóstico, facilidade de acesso a suplementos alimentares, equipamento ortopédico e lúdico. Recomendam investir-se numa melhor integração entre as diversas áreas governamentais envolvidas e apostar-se seriamente em mais formação. Consideram ainda ser necessário esclarecer a situação atual dos CP á população em geral. Conclusões: Em geral os CP prestados aos reclusos em Portugal são de qualidade, alinhados com a filosofia aceite na área. Eventuais faltas de recursos podem ser facilmente resolvidas, mas para ultrapassar as barreiras mais complexas é necessário o esforço e a coordenação de diversas entidades externas, como os ministérios da Saúde e da Justiça. É também fundamental investir seriamente na formação destes profissionais.
Introduction: Average life expectancy has been increasing significantly in most countries, reflecting on more and more elderly inmates suffering from incurable diseases with palliative needs. Portugal centralized health care for these prisoners in a single prison hospital. It is intended to contribute to a better clarification of the validity of this solution through the qualitative analysis of interviews with several professionals of this establishment, trying to assess, based on their perceptions and experiences, what barriers and facilitators exist, and what solutions are proposed. Methodology: Qualitative study, where seventeen semi-structured, individual interviews were carried out with a heterogeneous sample of the different professions involved in the care of inmates with palliative needs, including members of the medical, nursing, monitoring and security teams. Results: The interviewees identified excessive bureaucracy and inefficient communication with external systems, namely with the public health service and courts, as the main barriers to palliative care practice. Some limitations of space and other resources, conditioned access to patients, especially at night and poor training in this area, especially in the security team, were also mentioned. On the other hand, the interviewees consider that there are excellent physical conditions, including diagnostic equipment, ease of access to dietary supplements, orthopedic and playful equipment. They recommend investing in better integration between the various government areas involved and seriously investing in more training. They also consider it necessary to clarify the current situation of PC to the general population. Conclusions: In general, the PC provided to prisoners in Portugal are of quality, aligned with the philosophy accepted in the area. Possible lack of resources can be easily resolved, but to overcome the most complex barriers it is necessary to effort and coordinate various external entities, such as the Ministries of Health and Justice. It is also essential to invest seriously in the training of these professionals.
Introduction: Average life expectancy has been increasing significantly in most countries, reflecting on more and more elderly inmates suffering from incurable diseases with palliative needs. Portugal centralized health care for these prisoners in a single prison hospital. It is intended to contribute to a better clarification of the validity of this solution through the qualitative analysis of interviews with several professionals of this establishment, trying to assess, based on their perceptions and experiences, what barriers and facilitators exist, and what solutions are proposed. Methodology: Qualitative study, where seventeen semi-structured, individual interviews were carried out with a heterogeneous sample of the different professions involved in the care of inmates with palliative needs, including members of the medical, nursing, monitoring and security teams. Results: The interviewees identified excessive bureaucracy and inefficient communication with external systems, namely with the public health service and courts, as the main barriers to palliative care practice. Some limitations of space and other resources, conditioned access to patients, especially at night and poor training in this area, especially in the security team, were also mentioned. On the other hand, the interviewees consider that there are excellent physical conditions, including diagnostic equipment, ease of access to dietary supplements, orthopedic and playful equipment. They recommend investing in better integration between the various government areas involved and seriously investing in more training. They also consider it necessary to clarify the current situation of PC to the general population. Conclusions: In general, the PC provided to prisoners in Portugal are of quality, aligned with the philosophy accepted in the area. Possible lack of resources can be easily resolved, but to overcome the most complex barriers it is necessary to effort and coordinate various external entities, such as the Ministries of Health and Justice. It is also essential to invest seriously in the training of these professionals.
Description
Keywords
Cuidados paliativos Fim de vida Reclusos Profissionais de saúde Stakeholders Prisões Palliative care End of life Inmates Health professionals Stakeholders Prisons