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Advisor(s)
Abstract(s)
Introdução: Os Cuidados Paliativos estendem o seu alvo de atuação à família. Esta
última encontra-se numa posição de risco, dada a experiência de doença do seu ente
querido e suas consequentes perdas. Este processo de luto deve, deste modo, ser
acompanhado, de forma precoce e especializada, pelas equipas. Estas pretendem
favorecer a vivência e conclusão do luto de uma forma construtiva para a família. Neste
contexto, o objetivo do estudo foi caracterizar a atuação, no processo de luto, das equipas
de cuidados paliativos portuguesas e sua evolução nos anos de 2017 e 2018.
Metodologia: Estudo realizado em duas fases. A primeira, a revisão da literatura,
pretendendo a obtenção de uma visão clara e objetiva acerca do luto e da sua abordagem.
A segunda, a aplicação de um questionário, em 2017 e 2018, às equipas de cuidados
paliativos portuguesas, a fim de caracterizar a sua atuação no processo de luto.
Resultados: Nos dois anos, a maioria das equipas detém um programa de apoio no luto
formalmente definido. O conjunto de atividades mobilizadas, bem como o timing das
mesmas é variável. A chamada telefónica e a consulta de follow up apresentaram uma
redução da sua utilização, no último ano. Esta última, na sua vertente anual, assumiu
significância estatística desfavorável. Na participação das atividades, o assistente
espiritual apresentou uma evolução positiva. O psicólogo e o enfermeiro foram os que
intervieram com maior frequência, para além de terem sido os que mais as registaram.
Em 2018 reduziram essa prática. São diversos os locais de registos utilizados pelas
equipas, sendo os mais utilizados o Sclínico e a ata/papel.
Conclusões: A atividade desenvolvida no âmbito do luto diminuiu, tendo a maioria das evoluções registadas se devido a um agravamento da qualidade dos cuidados prestados pelas equipas.
Introduction: Palliative Care extends its practice towards the family. The latter finds itself in a position of risk, given the experience of his loved one's illness and resulting losses. The grieving process must, therefore, be accompanied, early and expertly, by the teams. These aim to favor the experience and conclusion of grief in a constructive way for the family. In this context, the objective of the research was to characterize the Portuguese palliative care teams' performance in the grief process and their evolution between the years 2017 and 2018. Methodology: The study carried out in two phases. The first was a review of the literature, aiming to obtain a clear and objective view about grief and its approach. The second, was the application of a questionnaire, in years 2017 and 2018, to Portuguese palliative care teams, in order to characterize their role in the grieving process. Results: In the two years, most teams have a formally defined grief support program. The set of mobilized activities, as well as their timing, varies. In the last year, the phone call and the follow-up consultation showed a reduction in their use. The latter showed unfavorable statistical significance in its annual aspect. Partaking in the activities, the spiritual assistant presented a positive evolution. The psychologist and the nurse were the ones who intervened most frequently, as well as the ones who registered them the most. In 2018 this practice reduced. There are several tools of registration used by the teams, the most used being Sclínico and minutes/paper. Conclusions: Practice towards the mourning process has declined, taking into account most registered developments resulted from a deterioration in the quality of care provided by the teams.
Introduction: Palliative Care extends its practice towards the family. The latter finds itself in a position of risk, given the experience of his loved one's illness and resulting losses. The grieving process must, therefore, be accompanied, early and expertly, by the teams. These aim to favor the experience and conclusion of grief in a constructive way for the family. In this context, the objective of the research was to characterize the Portuguese palliative care teams' performance in the grief process and their evolution between the years 2017 and 2018. Methodology: The study carried out in two phases. The first was a review of the literature, aiming to obtain a clear and objective view about grief and its approach. The second, was the application of a questionnaire, in years 2017 and 2018, to Portuguese palliative care teams, in order to characterize their role in the grieving process. Results: In the two years, most teams have a formally defined grief support program. The set of mobilized activities, as well as their timing, varies. In the last year, the phone call and the follow-up consultation showed a reduction in their use. The latter showed unfavorable statistical significance in its annual aspect. Partaking in the activities, the spiritual assistant presented a positive evolution. The psychologist and the nurse were the ones who intervened most frequently, as well as the ones who registered them the most. In 2018 this practice reduced. There are several tools of registration used by the teams, the most used being Sclínico and minutes/paper. Conclusions: Practice towards the mourning process has declined, taking into account most registered developments resulted from a deterioration in the quality of care provided by the teams.
Description
Keywords
Cuidados paliativos Luto Equipas Palliative care Grief Teams