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Advisor(s)
Abstract(s)
Introdução: A Radioterapia é um tratamento localizado onde é administrada radiação ionizante através de um acelerador linear, com o objetivo de destruir as células neoplásicas ou controlar o crescimento destas. O principal objetivo da radioterapia paliativa é o controlo sintomático dos doentes com doença avançada, como a dor, as hemorragias ou os síndromes oclusivos, melhorando a qualidade de vida destes doentes Objetivo: Uma vez que as competências dos radioterapeutas em cuidados paliativos não se encontram definidas, este trabalho teve como objetivo contribuir para a definição dessas competências em Portugal. Metodologia: O trabalho divide-se em duas etapas. Na primeira foi realizada uma Revisão Sistemática da Literatura (RSL) do tipo ‘’scoping’’ com a questão de investigação ‘’Quais as competências dos radioterapeutas em cuidados paliativos?’’. Na segunda etapa foi realizado um grupo focal de forma a discutir os resultados apresentados na RSL e as possíveis competências que possam não ter sido apresentadas. Resultados: Todos os artigos selecionados dão ênfase à importância do aumento de conhecimentos tanto teóricos como práticos em relação aos cuidados paliativos, referindo competências clínicas e técnica, competências nas áreas de liderança e investigação e competências de comunicação, sendo apresentados os benefícios associados a esta definição. Analisando os dados obtidos no grupo focal, é possível perceber que há competências que podem mais facilmente ser transpostas para a realidade portuguesa do que outras, tendo em conta a forma como os serviços de saúde estão organizados em Portugal. Conclusões: O estudo permitiu ilustrar as competências que se encontram definidas em países com práticas avançadas e discutir como estas se poderiam enquadrar na realidade portuguesa. Há algumas competências descritas que já fazem parte do trabalho realizado pelo radioterapeuta e, apesar de haver competência que possam ser implementadas numa realidade mais próxima da atual, há outras que dificilmente o venham a ser.
Introduction: Radiotherapy is a localized cancer treatment that uses high doses of radiation to kill cancer cells through a linear accelerator. The main objective of palliative radiotherapy is to alleviate a multitude of symptoms related to advanced cancer and incresing the quality of life of these patients. Objective: Once the competences of radiation therapists in palliative care are not well defined in Portugal, this thesis has as a main objective to contribute to the definition of such competences. Method: This thesis is divided into two steps. In the first step was performed a literature systematic review with the main question to be investigated being: ‘’What are the competences of radiation therapists in palliative care?’’. Moreover, on the second step it was performed a focus group with the purpose of debating the results acomplished on the first step of this thesis and possible competences that were not previously included. Results: All the selected articles highlight the importance of increasing both theoretical and pratical knowledge of palliative care on areas such as clinical and thecnical competences, as well as skills of lidership, investigation and communication and their beneficial impact association with each skillset. Having in hands the resuts obtained in the focus group it was possible to understand that there are competences that can be easily implemented to the portuguese reality than others taking in consideration how the health services are organized in Portugal. Conclusion: This study enabled to illustrate the nowadays competences defined in countries with advanced pratices and discussed how these could be implemented with the portuguese reality. Some of the competences analised are already performed by portuguese radiation therapist. While some of these competences can be easily implemented, in a reality close to what it is performed today, there are some which hardly will ever be.
Introduction: Radiotherapy is a localized cancer treatment that uses high doses of radiation to kill cancer cells through a linear accelerator. The main objective of palliative radiotherapy is to alleviate a multitude of symptoms related to advanced cancer and incresing the quality of life of these patients. Objective: Once the competences of radiation therapists in palliative care are not well defined in Portugal, this thesis has as a main objective to contribute to the definition of such competences. Method: This thesis is divided into two steps. In the first step was performed a literature systematic review with the main question to be investigated being: ‘’What are the competences of radiation therapists in palliative care?’’. Moreover, on the second step it was performed a focus group with the purpose of debating the results acomplished on the first step of this thesis and possible competences that were not previously included. Results: All the selected articles highlight the importance of increasing both theoretical and pratical knowledge of palliative care on areas such as clinical and thecnical competences, as well as skills of lidership, investigation and communication and their beneficial impact association with each skillset. Having in hands the resuts obtained in the focus group it was possible to understand that there are competences that can be easily implemented to the portuguese reality than others taking in consideration how the health services are organized in Portugal. Conclusion: This study enabled to illustrate the nowadays competences defined in countries with advanced pratices and discussed how these could be implemented with the portuguese reality. Some of the competences analised are already performed by portuguese radiation therapist. While some of these competences can be easily implemented, in a reality close to what it is performed today, there are some which hardly will ever be.
Description
Keywords
Cuidados paliativos Radioterapia Competências Radioterapeuta Palliative care Radiatiotherapy Competences Radiation therapist
