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Publication
Dignidade humana na perspectiva do doente em fim-de-vida num hospital de agudos
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| 3.85 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O presente Trabalho académico foi realizado no âmbito do primeiro Mestrado em
Cuidados Paliativos da Escola Superior de Saúde Dr. Lopes Dias, sob orientação da
Docente Isabel Lourenço tendo como temática central a dignidade humana na
perspetiva do doente em fim-de-vida num hospital de agudos.
O trabalho encontra-se estruturado em duas partes: na primeira parte é descrito
de forma sumária o modelo de organização e funcionamento dos serviços e Equipas
de Cuidados Paliativos, e onde são identificadas as competências adquiridas nas
áreas-chave dos Cuidados Paliativos; a segunda parte consiste na apresentação do
trabalho de campo e o projeto de intervenção/formação.
Os serviços de cuidados paliativos têm como preocupação a personalização e a
individualização dos cuidados ao doente em fim-de-vida, de forma a satisfazer as
necessidades importantes. Os cuidados a ter deverão ser desenvolvidos de forma a
preservar a dignidade do doente em cuidados paliativos.
O que define a dignidade para cada paciente e sua família é pessoal e única, e isto
deve ser considerada pelos profissionais de saúde para que estes forneçam cuidados
de qualidade. O verdadeiro sentido da dignidade assegura os cuidados até ao fim-devida
de forma a preservarem a individualidade, o respeito e o cuidado pela pessoa
doente e pela sua situação vulnerável.
O trabalho de campo visa conhecer o conceito de dignidade humana, por parte do
doente internado num hospital de agudos, e se esta foi mantida ao longo do
internamento. Foi realizada uma entrevista semiestruturada a um total de seis
doentes, encontrando-se: três internados num serviço de cuidados paliativos e três
doentes no serviço de ortopedia. O intuito deste trabalho de campo visa saber se há
semelhanças ou diferenças nas respostas dos doentes internados, em serviços
completamente diferentes e em que o propósito do internamento também é distinto.
Abstract: This is an academic work developed, under the guidance of Professor Isabel Lourenço within the first Master’s degree in Palliative Care, at Dr. Lopes Dias Portuguese Higher Education School of Health. Its main theme is the human dignity in the end-of-life patient’s perspective in an acute hospital. The work is structured in two parts: the first part is described in summary form the model of organization and operation of services and palliative care teams, and identifies the skills acquired in the key areas of palliative care; in the second part of the presentation of the research work and describes the project intervention / training. The services of palliative care concern customization and individualization of patient care in end-of-life, in order to meet the important needs. Cautions should be developed in order to preserve the dignity of the patient in palliative care. What defines dignity for every patient and family is unique and personal, and this should be considered by health professionals to enable them to provide quality care. The true meaning of care ensures dignity until the end-of-life in order to preserve individuality, respect and care for the sick person and their vulnerable situation The fieldwork aims to know the concept of human dignity, by the patient in hospital for acute, and this was maintained throughout the hospitalization. We performed a semi-structured interview to a total of six patients, finding: three admitted to a palliative care service and three patients in the orthopedics service. The purpose of this research field is whether there are similarities or differences in the responses of patients admitted in completely different services and that the purpose of the hospital is also distinctive.
Abstract: This is an academic work developed, under the guidance of Professor Isabel Lourenço within the first Master’s degree in Palliative Care, at Dr. Lopes Dias Portuguese Higher Education School of Health. Its main theme is the human dignity in the end-of-life patient’s perspective in an acute hospital. The work is structured in two parts: the first part is described in summary form the model of organization and operation of services and palliative care teams, and identifies the skills acquired in the key areas of palliative care; in the second part of the presentation of the research work and describes the project intervention / training. The services of palliative care concern customization and individualization of patient care in end-of-life, in order to meet the important needs. Cautions should be developed in order to preserve the dignity of the patient in palliative care. What defines dignity for every patient and family is unique and personal, and this should be considered by health professionals to enable them to provide quality care. The true meaning of care ensures dignity until the end-of-life in order to preserve individuality, respect and care for the sick person and their vulnerable situation The fieldwork aims to know the concept of human dignity, by the patient in hospital for acute, and this was maintained throughout the hospitalization. We performed a semi-structured interview to a total of six patients, finding: three admitted to a palliative care service and three patients in the orthopedics service. The purpose of this research field is whether there are similarities or differences in the responses of patients admitted in completely different services and that the purpose of the hospital is also distinctive.
Description
Relatório de prática clínica apresentado à Escola Superior de Saúde Dr. Lopes Dias do Instituto Politécnico de Castelo Branco para cumprimento dos requisitos necessários à obtenção do grau de mestre em Cuidados Paliativos.
Keywords
Dignidade humana Fim de vida Hospital de agudos Cuidados paliativos Human dignity End-of-life Acute hospital Palliative care