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Abstract(s)
Introdução: A Organização Mundial de saúde (OMS) define Cuidados
Paliativos como “Uma abordagem que visa melhorar a qualidade de vida dos
doentes e de suas famílias que enfrentam problemas decorrentes de uma
doença incurável e ou grave e com prognóstico limitado, através da prevenção
e alívio dos sintomas”. No domicílio, os Cuidados Paliativos para além de uma
necessidade dos doentes, dos cuidadores e de suas famílias, são uma
resposta digna realizada por profissionais de saúde especializados com o
objetivo de proporcionar qualidade nos cuidados nos últimos dias de vida. São
reconhecidos no mundo como uma alternativa eficaz e de custo menor quando
é praticada de forma adequada. Este estudo teve como objetivo identificar
quais os motivos que levaram a equipa comunitária de Cuidados Paliativos da
região de Lisboa a se deslocar ao domicílio dos doentes em consultas não
programadas.
Metodologia O estudo realizado é descritivo com uma abordagem quantitativa
através da colheita de dados observáveis e quantificáveis. Foram analisados os
processos dos doentes admitidos no serviço de Cuidados Paliativos
domiciliários no primeiro semestre de 2018 os quais foram acompanhados pela
equipa durante o ano. Utilizou-se um guião como instrumento de colheita dos
dados sociodemográficos, de patologia de base, do tipo de cuidadores, dos
profissionais da equipa que foram deslocados, assim como os motivos que
levaram ao atendimento domiciliário.
Resultados O estudo mostrou que as doenças oncológicas são a maioria das
patologias de base dos doentes, totalizando 61% em relação a outras doenças
e que entre os motivos do deslocamento da equipa, o óbito foi o de maior
percentual com 47%, seguido da dispneia com 32%.
Conclusão: A investigação concluiu que o óbito foi o motivo mais frequente de
deslocamento da equipa comunitária de Cuidados Paliativos.
Introduction: The World Health Organization (WHO) defines Palliative Care as “An approach that aims to improve the quality of life of patients and their families in relation to problems resulting from an incurable or severe disease, with limited prognosis, through the prevention and relief of symptoms of the patient”. Home Palliative Care, in addition to the needs of patients, caregivers and their families, is a dignified response carried out by specialized health professionals in order to provide quality of life. They are recognized around the world as an effective and less costly alternative when practiced properly. This study aimed to identify the reasons that led the community team of Palliative Care in the Lisbon region to visit the patients' homes in unscheduled consultations, Metodology: It is a descriptive study with a quantitative approach, as it is based on a collection of observable and quantifiable data. The data of patients admitted to the palliative care service at home in the first semester of 2018 were analyzed, which were monitored by the team during the year. A form was used as an instrument to collect sociodemographic data, basic pathology, the type of caregivers, the team professionals who were displaced, as well as the reasons that led to home care. Results: The study showed that oncological diseases are the majority of the basic pathologies of patients, totaling 61% in relation to other diseases. Among the reasons for the team's displacement, death was the highest percentage with 47%, followed by dyspnea with 32%. Conclusion: The investigation concluded that death was the most frequent reason for the displacement of the community palliative care team.
Introduction: The World Health Organization (WHO) defines Palliative Care as “An approach that aims to improve the quality of life of patients and their families in relation to problems resulting from an incurable or severe disease, with limited prognosis, through the prevention and relief of symptoms of the patient”. Home Palliative Care, in addition to the needs of patients, caregivers and their families, is a dignified response carried out by specialized health professionals in order to provide quality of life. They are recognized around the world as an effective and less costly alternative when practiced properly. This study aimed to identify the reasons that led the community team of Palliative Care in the Lisbon region to visit the patients' homes in unscheduled consultations, Metodology: It is a descriptive study with a quantitative approach, as it is based on a collection of observable and quantifiable data. The data of patients admitted to the palliative care service at home in the first semester of 2018 were analyzed, which were monitored by the team during the year. A form was used as an instrument to collect sociodemographic data, basic pathology, the type of caregivers, the team professionals who were displaced, as well as the reasons that led to home care. Results: The study showed that oncological diseases are the majority of the basic pathologies of patients, totaling 61% in relation to other diseases. Among the reasons for the team's displacement, death was the highest percentage with 47%, followed by dyspnea with 32%. Conclusion: The investigation concluded that death was the most frequent reason for the displacement of the community palliative care team.
Description
Keywords
Cuidados paliativos Atendimento domiciliário Motivos de consultas Palliative care Home care Reasons for consultations