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Necessidades paliativas nas equipas de cuidados continuados e integrados
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Introdução: As Equipas de Cuidados Continuados e Integrados (ECCI) são equipas multidisciplinares que proporcionam cuidados a pacientes em situação de dependência funcional transitória ou prolongada e que não se possam deslocar de forma autónoma. O autor admite, empiricamente, que as necessidades paliativas (NP) desta população devem ser elevadas. Em 2014, Gómez-Batiste et al. determinaram pela primeira vez, de forma directa, as NP de doentes com doenças crónicas avançadas de toda uma região geográfica usando o NECPAL CCOMS-ICO© (NECPAL). De acordo com o Plano estratégico nacional para o desenvolvimento dos Cuidados Paliativos todas as pessoas com doenças graves e ameaçadoras da vida, devem ter acesso a uma efetiva abordagem paliativa pelo que é imperativo estimar as NP da nossa população nos diversos níveis de cuidados de saúde. Objetivo: Determinar e caracterizar a prevalência de NP dos doentes admitidos em 4 ECCI através da aplicação do NECPAL; Método: Estudo observacional, transversal, analítico, multicêntrico. A amostra corresponde ao total da população adulta admitida em 4 ECCI num dia predeterminado do último trimestre de 2018. Foram incluídos 88 doentes na amostra. Foi aplicado o instrumento NECPAL versão Espanhola 3.1. Os dados foram registados e tratados em SPSS®. Resultados: A média de idades era de 74.6 anos. Existe uma grande proporção de idosos que cuidam de idosos. Apurou-se uma prevalência de 62.5% de doentes com NP. A população da amostra apresentou uma média de 5.1 itens positivos na escala NECPAL. A presença de NP encontra-se associada à idade e ao diagnóstico. Conclusão: A população admitida nestas ECCI é uma população envelhecida, de baixo nível socio-económico e baixa escolaridade com elevada prevalência de NP. É fundamental rever os recursos assistenciais destas equipas de forma a cumprir o objetivo básico de providenciar os cuidados adequados a esta população particularmente frágil.
Introduction: Community Based Integrated care teams (ECCI) are multidisciplinary teams that provide care for patients in a situation of prolonged or transitory dependence that cannot move autonomously. The author admits, empirically, that the Palliative Needs (PN) of this population should be high. In 2014, Gómez-Batiste et al. first determined, directly, the PN of patients of an entire geographical region, across all levels of Health Care, using NECPAL CCOMS-ICO© (NECPAL). According to the Strategic Plan for the Development of Palliative Care every person with a serious and life-threatening disease should have access to an effective imperative to estimate the PN of our population in all levels of Health Care. Aim: To determine and characterize the prevalence of PN in patients admitted in 4 ECCI using NECPAL; Methods: Observational, cross-sectional, quantitative, multicenter study. The sample is the total adult population admitted to 4 ECCI on a predetermined day in the last quarter of 2018. A total of 88 patients were included in the sample and the NECPAL 3.1 Spanish Version was used. Data was recorded and processed in SPSS®. Results: The mean age was 74.6 years. We found a prevalence of 62.5% of patients with PN in the sample population with a mean of 5.1 positive NECPAL items. The study found a considerable proportion of elderly carers taking care of elderly patients. The prevalence of PN was associated with age and diagnostic. Conclusion: The sample population is and elderly population, with low income, low education level and high PN. It is imperative to reassess de resources of these teams in order to meet the elementary goal of providing adequate care to this most fragile population.
Introduction: Community Based Integrated care teams (ECCI) are multidisciplinary teams that provide care for patients in a situation of prolonged or transitory dependence that cannot move autonomously. The author admits, empirically, that the Palliative Needs (PN) of this population should be high. In 2014, Gómez-Batiste et al. first determined, directly, the PN of patients of an entire geographical region, across all levels of Health Care, using NECPAL CCOMS-ICO© (NECPAL). According to the Strategic Plan for the Development of Palliative Care every person with a serious and life-threatening disease should have access to an effective imperative to estimate the PN of our population in all levels of Health Care. Aim: To determine and characterize the prevalence of PN in patients admitted in 4 ECCI using NECPAL; Methods: Observational, cross-sectional, quantitative, multicenter study. The sample is the total adult population admitted to 4 ECCI on a predetermined day in the last quarter of 2018. A total of 88 patients were included in the sample and the NECPAL 3.1 Spanish Version was used. Data was recorded and processed in SPSS®. Results: The mean age was 74.6 years. We found a prevalence of 62.5% of patients with PN in the sample population with a mean of 5.1 positive NECPAL items. The study found a considerable proportion of elderly carers taking care of elderly patients. The prevalence of PN was associated with age and diagnostic. Conclusion: The sample population is and elderly population, with low income, low education level and high PN. It is imperative to reassess de resources of these teams in order to meet the elementary goal of providing adequate care to this most fragile population.
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Necessidades paliativas ECCI Palliative needs
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