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Introdução: A fisioterapia em cuidados paliativos desempenha um papel fundamental na melhoria da qualidade de vida de pessoas idosas, especialmente no contexto domiciliário. Esta revisão scoping tem como objetivo mapear as práticas clínicas da fisioterapia aplicadas a doentes idosos em cuidados paliativos domiciliários e identificar lacunas na literatura científica. Metodologia: Foi realizada uma pesquisa abrangente nas bases de dados MEDLINE, CINAHL, SCOPUS e WEB OF SCIENCE. Os critérios de inclusão basearam-se na população (pessoas idosas com 65 anos ou mais), no conceito (intervenções de fisioterapia) e no contexto (cuidados paliativos no domicílio). O processo de seleção dos estudos foi documentado através de um diagrama de fluxo PRISMA. Resultados: Foram identificados 3317 artigos, dos quais 1108 eram duplicados. Após a triagem inicial, 36 artigos foram selecionados para leitura integral, resultando na inclusão de apenas um artigo que cumpriu todos os critérios de inclusão. As principais razões para a exclusão dos outros artigos foram a ausência de uma descrição detalhada das intervenções de fisioterapia e a inclusão de populações com menos de 65 anos. Conclusões: Esta revisão revela uma escassez de evidência sobre a prática clínica da fisioterapia em cuidados paliativos domiciliários para doentes idosos. Identifica-se a necessidade de mais investigação científica específica para esta área, com o intuito de fornecer diretrizes mais robustas para a prática clínica.
Introduction: Physiotherapy in palliative care plays a fundamental role in improving the quality of life of older people, especially in the home-based care context. This scoping review aims to map the clinical practices of physiotherapy applied to elderly patients in home-based palliative care and identify gaps in the scientific literature. Methodology: A comprehensive search was conducted across the MEDLINE, CINAHL, SCOPUS, and WEB OF SCIENCE databases. The inclusion criteria were based on the population (elderly individuals aged 65 or over), on concept (physiotherapy interventions), and on context (home-based palliative care). The study selection process was documented using a PRISMA flowchart. Results: A total of 3317 articles were identified, of which 1108 were duplicates. After initial screening, 36 articles were selected for full-text reading, resulting in the inclusion of only one article that met all the inclusion criteria. The main reasons for excluding other articles were the lack of a detailed description of physiotherapy interventions and the inclusion of populations younger than 65 years. Conclusions: This review reveals a scarcity of evidence on physiotherapy practice in home-based palliative care for elderly patients. There is a clear need for more specific scientific research in this area to provide stronger guidelines for clinical practice.
Introduction: Physiotherapy in palliative care plays a fundamental role in improving the quality of life of older people, especially in the home-based care context. This scoping review aims to map the clinical practices of physiotherapy applied to elderly patients in home-based palliative care and identify gaps in the scientific literature. Methodology: A comprehensive search was conducted across the MEDLINE, CINAHL, SCOPUS, and WEB OF SCIENCE databases. The inclusion criteria were based on the population (elderly individuals aged 65 or over), on concept (physiotherapy interventions), and on context (home-based palliative care). The study selection process was documented using a PRISMA flowchart. Results: A total of 3317 articles were identified, of which 1108 were duplicates. After initial screening, 36 articles were selected for full-text reading, resulting in the inclusion of only one article that met all the inclusion criteria. The main reasons for excluding other articles were the lack of a detailed description of physiotherapy interventions and the inclusion of populations younger than 65 years. Conclusions: This review reveals a scarcity of evidence on physiotherapy practice in home-based palliative care for elderly patients. There is a clear need for more specific scientific research in this area to provide stronger guidelines for clinical practice.
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Fisioterapia Cuidados paliativos Idosos Cuidados domiciliários Revisão de escopo Physical therapy Palliative care Elderly Home care Scoping review