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Abstract(s)
Introdução: Em Portugal, o envelhecimento demográfico provoca elevados constrangimentos económicos e sociais, devido, essencialmente, ao aumento da esperança média de vida e à diminuição das taxas de natalidade e mortalidade. À medida que se vai conquistando a longevidade, emerge o desafio de prolongar os anos de vida saudáveis e com qualidade. A estratégia para garantir a proteção social em Portugal reflete-se num aumento de equipamentos e serviços, onde se incluem as ERPI, que acolhem geralmente os seus residentes nas fases de maior grau de dependência e vulnerabilidade e prestam a maioria dos cuidados de fim de vida. Objetivos: Os objetivos deste estudo são: identificar a prevalência de pessoas, com necessidades paliativas, a residir nas Estruturas residenciais para pessoas idosas; identificar as necessidades paliativas das pessoas que residem nas Estruturas residenciais para pessoas idosas e identificar as características sociodemográficas e clínicas que se associam às necessidades paliativas dos utentes. Metodologia: Trata-se de um estudo quantitativo, observacional, analítico e transversal, cuja amostra é constituída por 350 residentes de ERPI de Misericórdias do distrito de Évora, randomizadas de forma probabilística por clusters. A recolha de dados será efetuada recorrendo a formulários de caraterização dos doentes e das instituições, ao instrumento de identificação de necessidades paliativas (NECPAL), versão 3.1, em fase final de validação no Observatório Português dos Cuidados Paliativos e ao Integrated Palliative Outcome Scale (IPOS) - Questionário do doente e Questionário do Profissional de Saúde. Limitações: São limitações do estudo o facto de este ser transversal, as próprias caraterísticas da população idosa, a necessidade de recorrer ao IPOS aplicado por profissionais, sempre que os doentes não reúnam condições para responderem e a possibilidade das instituições não terem dados prévios, relativos a valores de referência de suporte à aplicação do NECPAL, correspondentes ao semestre anterior. Perspetivas: Tendo por base os estudos conhecidos, perspetiva-se que entre 40 a 65% das pessoas institucionalizadas apresentem necessidades paliativas e alguns sintomas menos controlados.
Introduction: In Portugal, demographic aging causes high economic and social constraints, essentially due to the increase in average life expectancy and the decrease in birth and death rates. As longevity is achieved, the challenge of extending healthy and quality years of life emerges. The strategy to guarantee social protection in Portugal is reflected in an increase of equipment and services, which include nursing homes that, generally, integrate their residents at stages of pronounced dependence and vulnerability, providing the majority of end-of-life care. Aims: The present study aims to identify the prevalence of people, with palliative needs, living in nursing homes; to identify witch palliative needs elderly people have in nursing homes and to identify witch Social, demographic and clinical characteristics can be associated with the palliative needs of residents. Methods: This is a quantitative, observational, analytical and cross-sectional study, whose sample consists of 350 residents of nursing homes from Misericórdias located in the district of Évora. Data collection will be carried out using patient and institution characterization forms, NECPAL, version 3.1, in the final phase of Portuguese validation and the IPOS (patient and healthcare professional questionnaire). Limitations: Being a cross-sectional study, the general characteristics of the elderly population, whenever patients are unable to respond IPOS will be applied by professionals, and the absence of previous semester data references to support the application of NECPAL. Perspectives: Based on known studies, it is expected that between 40 and 65% of nursing homes users, have palliative needs and some uncontrolled symptoms.
Introduction: In Portugal, demographic aging causes high economic and social constraints, essentially due to the increase in average life expectancy and the decrease in birth and death rates. As longevity is achieved, the challenge of extending healthy and quality years of life emerges. The strategy to guarantee social protection in Portugal is reflected in an increase of equipment and services, which include nursing homes that, generally, integrate their residents at stages of pronounced dependence and vulnerability, providing the majority of end-of-life care. Aims: The present study aims to identify the prevalence of people, with palliative needs, living in nursing homes; to identify witch palliative needs elderly people have in nursing homes and to identify witch Social, demographic and clinical characteristics can be associated with the palliative needs of residents. Methods: This is a quantitative, observational, analytical and cross-sectional study, whose sample consists of 350 residents of nursing homes from Misericórdias located in the district of Évora. Data collection will be carried out using patient and institution characterization forms, NECPAL, version 3.1, in the final phase of Portuguese validation and the IPOS (patient and healthcare professional questionnaire). Limitations: Being a cross-sectional study, the general characteristics of the elderly population, whenever patients are unable to respond IPOS will be applied by professionals, and the absence of previous semester data references to support the application of NECPAL. Perspectives: Based on known studies, it is expected that between 40 and 65% of nursing homes users, have palliative needs and some uncontrolled symptoms.
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Keywords
Cuidados paliativos Necessidades paliativas ERPI Envelhecimento NECPAL IPOS Palliative care Palliative needs Nursing homes Aging