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Necessidades paliativas em doentes institucionalizados no Hospital Prisional São João de Deus
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Introdução: A identificação das necessidades paliativas em doentes com doenças cronicas e incuráveis permite que os cuidados de saúde sejam humanizados, individualizadas e aumentem a qualidade de vida nos doentes. O presente trabalho incide sobre uma população vulnerável muitas vezes esquecida que também apresentam doenças cronicas e incuráveis e tem o direito de terem os mesmos cuidados de saúde que a população em geral. Metodologia: A metodologia do presente estudo é observacional, transversal e descritivo com uma abordagem quantitativa. Dos 84 indivíduos internados no HPSJD foram elegíveis para o estudo 53 indivíduos. A colheita de dados foi realizada pelos profissionais de saúde e doentes no HPSJD, com a aplicação das escalas NECPAL – CCOMS - ICO© VERSÃO 3.1 2017, a escala de funcionalidade e prognóstico (PPS-PT-Palliative Performance Scale), a escala integrada das necessidades paliativas (IPOSv1-S7-PT) e o formulário de caracterização da amostra. Resultados: Relativamente na caracterização da amostra existe uma diversidade de idades no HPSJD, mas a media de idades dos indivíduos é de 63,08 anos, dos quais 50 são homens e 3 são mulheres elegíveis para o estudo. Os diagnósticos com maior prevalência são a demência (32,1%), doenças pulmonares (28,8%) e neoplasias (18,9%) Após aplicação da escala NECPAL 52,2% (n=53) são NECPAL positivo, carecem de necessidades paliativas, verificando-se a existência de valores de PPS baixos o que indica a existência de indivíduos com funcionalidade baixa. Quando aplicada a escala IPOS destacaram-se os sintomas: dor; fraqueza ou falta de energia; sonolência; pouca mobilidade; falta de ar; tosse; ansiedade e angustia. Conclusão: A importância da identificação das necessidades paliativas nesta população contribui para uma melhoria de cuidados e que o acesso aos cuidados paliativos seja concedido pois verifica-se que esta população carece da necessidade de cuidados paliativos como a população em geral com os mesmos diagnósticos e sintomas.
Introduction: Identification of palliative needs in patients with chronic and incurable diseases allows health care to be humanized, individualized, and increase the quality of life in patients. The present work focuses on a vulnerable population often forgotten that also have chronic and incurable diseases and have the right to have the same health care as the general population. Methodology: The methodology of the present study is observational, transverse, and descriptive with a quantitative approach. Of the 84 individuals in HPSJD were eligible for the study 53 individuals. The data harvest was performed by health professionals and patients in HPSJD, with the application of NECPAL scales-CCOMS-ICO © Version 3.1 2017, the functionality and prognosis scale (PPS-PT-Palliative Performance Scale), the integrated scale of Palliative Needs (Iposv1-S7-PT) and the sample characterization form. Results: Relatively in the characterization of the sample there is a diversity of ages in HPSJD, but the average ages of individuals are 63.08 years, of which 50 are men and 3 are eligible women for study. Diagnoses with higher prevalence are dementia (32.1%), pulmonary diseases (28.8%) and neoplasms (18.9%) after application of the NECPAl scale 52.2% (n = 53) are positive NECPAl, lack of palliative needs, verifying the existence of low PPS values which indicates the existence of individuals with low functionality. When applied to IPOS scale the symptoms highlighted: pain; weakness or lack of energy; somnolence; little mobility; shortness of breath; cough; anxiety and anguish. CONCLUSION: The importance of identifying palliative needs in this population contributes to an improvement of care and that access to palliative care is granted because it appears that this population lacks the need for palliative care such as the general population with the same diagnoses and symptoms.
Introduction: Identification of palliative needs in patients with chronic and incurable diseases allows health care to be humanized, individualized, and increase the quality of life in patients. The present work focuses on a vulnerable population often forgotten that also have chronic and incurable diseases and have the right to have the same health care as the general population. Methodology: The methodology of the present study is observational, transverse, and descriptive with a quantitative approach. Of the 84 individuals in HPSJD were eligible for the study 53 individuals. The data harvest was performed by health professionals and patients in HPSJD, with the application of NECPAL scales-CCOMS-ICO © Version 3.1 2017, the functionality and prognosis scale (PPS-PT-Palliative Performance Scale), the integrated scale of Palliative Needs (Iposv1-S7-PT) and the sample characterization form. Results: Relatively in the characterization of the sample there is a diversity of ages in HPSJD, but the average ages of individuals are 63.08 years, of which 50 are men and 3 are eligible women for study. Diagnoses with higher prevalence are dementia (32.1%), pulmonary diseases (28.8%) and neoplasms (18.9%) after application of the NECPAl scale 52.2% (n = 53) are positive NECPAl, lack of palliative needs, verifying the existence of low PPS values which indicates the existence of individuals with low functionality. When applied to IPOS scale the symptoms highlighted: pain; weakness or lack of energy; somnolence; little mobility; shortness of breath; cough; anxiety and anguish. CONCLUSION: The importance of identifying palliative needs in this population contributes to an improvement of care and that access to palliative care is granted because it appears that this population lacks the need for palliative care such as the general population with the same diagnoses and symptoms.
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Cuidados paliativos População vulnerável Sistema prisional Necessidades paliativas Palliative care Vulnerable population Prison system Palliative needs
Contexto Educativo
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Licença CC
Sem licença CC