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Abstract(s)
Resumo: Os Cuidados Paliativos (CP), enquanto direito humano de todo o cidadão, são uma abordagem que aumenta a qualidade de vida dos indivíduos e famílias, face a uma condição de doença limitativa de vida, pela prevenção e alívio do sofrimento. Contudo, a falta de recursos, a falta de formação e o cuidado fragmentado têm sido apontados como barreiras à sua implementação. Neste contexto, urge a necessidade de repensar e planificar estratégias de implementação de CP que deem resposta às necessidades identificadas em cada território, no sentido de promover um cuidado articulado e flexível. Metodologia: Com o objetivo de desenvolver um plano integrado de resposta em cuidados paliativos na área do ACeS Lezíria e do Hospital Distrital de Santarém (HDS), foi usada uma abordagem quantitativa na realização de um estudo epidemiológico e uma abordagem qualitativa com recurso à técnica de Focus Group, que teve como participantes os elementos integrantes das equipas de cuidados paliativos existentes na área. Utilizando dados estatísticos emanados de entidades públicas, foi realizada uma descrição demográfica e clínica da área de abrangência do ACeS Lezíria e HDS, que permitiu a estimação de necessidade de recursos. Resultados e conclusões: Foi apurado que no ano de 2021, pelo menos 65% da população morreu devido a uma doença crónica, avançada e progressiva, o que corresponde à estimativa de pessoas com necessidades de cuidados paliativos. Dessa forma, objetivou-se também uma taxa de cobertura das equipas de paliativos de 14%, na área em estudo. Partindo destes resultados e dos obtidos no Focus Group, foi elaborado um plano, cuja implementação, permitirá o acesso a cuidados paliativos a toda a comunidade em todos os ambientes e consoantes as suas necessidades.
Abstract: Palliative Care (PC), as a human right for every citizen, is an approach that increases the quality of life of individuals and families, in the face of a life-limiting disease condition, by preventing and alleviating suffering. However, the lack of resources, lack of training and fragmented care have been identified as barriers to its implementation. In this context, there is an urgent need to rethink and plan PC implementation strategies that respond to the needs identified in each territory, in order to promote articulated and flexible care. Methodology: With the aim of developing an integrated response plan in palliative care in the area of ACeS Lezíria and Hospital Distrital de Santarém (HDS), a quantitative approach was used to carry out an epidemiological study and a qualitative approach using the Focus Group technique, which had as participants members of palliative care teams existing in the area. Using statistical data from public entities, a demographic and clinical description of the area covered by ACeS Lezíria and HDS was carried out, which allowed the estimation of resource needs. Results and conclusions: It was found that in 2021, at least 65% of the population died due to a chronic, advanced and progressive disease, which corresponds to the estimate of people in need of palliative care. In this way, the aim was also to achieve a palliative team coverage rate of 14% in the area under study. Based on these results and those obtained in the Focus Group, a plan was drawn up, the implementation of which will allow access to palliative care for the entire community in all environments and depending on their needs.
Abstract: Palliative Care (PC), as a human right for every citizen, is an approach that increases the quality of life of individuals and families, in the face of a life-limiting disease condition, by preventing and alleviating suffering. However, the lack of resources, lack of training and fragmented care have been identified as barriers to its implementation. In this context, there is an urgent need to rethink and plan PC implementation strategies that respond to the needs identified in each territory, in order to promote articulated and flexible care. Methodology: With the aim of developing an integrated response plan in palliative care in the area of ACeS Lezíria and Hospital Distrital de Santarém (HDS), a quantitative approach was used to carry out an epidemiological study and a qualitative approach using the Focus Group technique, which had as participants members of palliative care teams existing in the area. Using statistical data from public entities, a demographic and clinical description of the area covered by ACeS Lezíria and HDS was carried out, which allowed the estimation of resource needs. Results and conclusions: It was found that in 2021, at least 65% of the population died due to a chronic, advanced and progressive disease, which corresponds to the estimate of people in need of palliative care. In this way, the aim was also to achieve a palliative team coverage rate of 14% in the area under study. Based on these results and those obtained in the Focus Group, a plan was drawn up, the implementation of which will allow access to palliative care for the entire community in all environments and depending on their needs.
Description
Keywords
Cuidados paliativos Estimação de necessidades Plano integrado Palliative care Needs estimation Integrated plan