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Após o término do internato da especialidade de Medicina Geral e Familiar, iniciei
funções numa das zonas mais envelhecidas da cidade de Lisboa, com uma lista composta
por um número significativo de utentes idosos, onde predominam as doenças crónicas,
degenerativas, de evolução lenta.
Nesta fase, com a necessidade de um acompanhamento mais regular, próximo e
especializado a estes utentes, alguns deles em fase terminal, senti que poderia ter
correspondido melhor às necessidades dos doentes e da respetiva família, para que
tivessem um menor sofrimento e uma melhor qualidade e conforto nesta fase final das
suas vidas.
Tendo sido a minha formação pré e pós-graduada na área dos Cuidados Paliativos
quase inexistente, tentei atualizar-me de forma autodidata, o que se revelou obviamente
escasso. Foi neste sentido que de forma entusiástica iniciei este desafio do Mestrado em
Cuidados Paliativos, de forma a adquirir novas competências e melhorar os cuidados
prestados aos meus doentes e suas famílias. Na realidade, o aumento da prevalência da
patologia crónica, inerente ao envelhecimento da nossa população, demonstra como a
filosofia dos cuidados paliativos é fundamental para a minha prática clínica diária.
A possibilidade de realizar este estágio prático em contexto de mestrado, permitiume adquirir experiência prática na prestação de cuidados paliativos, tanto em âmbito de
internamento com doentes mais complexos, como em doentes no domicílio. Pude assim
utilizar na prática os conhecimentos teóricos lecionados no primeiro ano deste mestrado,
e ficar mais confortável na gestão do doente paliativo.
Este relatório de estágio tem como finalidade demonstrar a concretização dos
objetivos previamente propostos, explanar as diferentes atividades realizadas, as
dificuldades e obstáculos que surgiram ao longo deste percurso. Resumidamente,
pretende-se comprovar a aquisição de competências nos domínios do cuidado, formação,
gestão e investigação na área dos Cuidados Paliativos.
After finishing the internship of the Family Medicine specialty, I started working in one of the oldest areas of the city of Lisbon, with a list composed of a significant number of elderly patients, where chronic, degenerative and slowly evolving diseases predominate. At this stage, with the need of more regular, close and specialized follow-up of these patients, some of them in terminal phase, I felt that I could have responded better to the needs of my patients and their families, so that they had the slightest suffering. and the best quality and comfort in this final phase of their lives. Since my pre- and post-graduate Palliative Care training was almost non-existent, I tried to update myself in a self-taught way, which was obviously scarce. It was in this sense that I enthusiastically started this Master in Palliative Care challenge, in order to acquire new skills and improve the care provided to my patients and their families. In fact, the increasing prevalence of chronic pathology inherent to the aging of our population, demonstrates how important the philosophy of palliative care is to my daily clinical practice. The possibility of performing this practical internship in a Masters context, allowed me to acquire practical experience in providing palliative care, both in hospitalization with more complex patients, and in patients at home. I was able to use in practice the theoretical knowledge taught in the first year of this master's degree, and become more comfortable in the management of palliative patients. This report aims to demonstrate the achievement of the previously proposed objectives, explain the different activities performed, the difficulties and obstacles that arose along this route. In short, it intends to prove the acquisition of skills in the fields of care, training, management and research in the area of Palliative Care.
After finishing the internship of the Family Medicine specialty, I started working in one of the oldest areas of the city of Lisbon, with a list composed of a significant number of elderly patients, where chronic, degenerative and slowly evolving diseases predominate. At this stage, with the need of more regular, close and specialized follow-up of these patients, some of them in terminal phase, I felt that I could have responded better to the needs of my patients and their families, so that they had the slightest suffering. and the best quality and comfort in this final phase of their lives. Since my pre- and post-graduate Palliative Care training was almost non-existent, I tried to update myself in a self-taught way, which was obviously scarce. It was in this sense that I enthusiastically started this Master in Palliative Care challenge, in order to acquire new skills and improve the care provided to my patients and their families. In fact, the increasing prevalence of chronic pathology inherent to the aging of our population, demonstrates how important the philosophy of palliative care is to my daily clinical practice. The possibility of performing this practical internship in a Masters context, allowed me to acquire practical experience in providing palliative care, both in hospitalization with more complex patients, and in patients at home. I was able to use in practice the theoretical knowledge taught in the first year of this master's degree, and become more comfortable in the management of palliative patients. This report aims to demonstrate the achievement of the previously proposed objectives, explain the different activities performed, the difficulties and obstacles that arose along this route. In short, it intends to prove the acquisition of skills in the fields of care, training, management and research in the area of Palliative Care.
Descrição
Palavras-chave
Cuidados paliativos Controlo sintomático Desprescrição Palliative care Symptomatic control Description