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Publication
ConferĂȘncias familiares em cuidados paliativos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 11.12 MB | Adobe PDF |
Authors
Abstract(s)
O presente Relatório tem por finalidade a descrição e reflexão das atividades
realizadas na Unidade Curricular de PrĂĄtica ClĂnica (PC) do Mestrado em CP da Escola
Superior de SaĂșde Dr. Lopes Dias (ESALD).
O perĂodo de PC teve por base a definição de objetivos, atividades e competĂȘncias,
e foi realizado numa unidade de CP, totalizando 200 horas de cuidados ao doente
paliativo e suas famĂlias. As restantes 100 horas permitiram a implementação do
projeto de melhoria da qualidade âConferĂȘncias Familiares em Cuidados Paliativosâ,
no meu contexto de trabalho.
Na PC, pela observação e participação, pude refletir com base na evidĂȘncia
cientĂfica atual sobre o modelo de organização e funcionamento da referida unidade e
a tipologia da prestação de cuidados, bem como sobre as competĂȘncias adquiridas
nas ĂĄreas-chave dos CP: a comunicação, o controlo de sintomas, o apoio Ă famĂlia e o
trabalho em equipa.
O projeto de melhoria da qualidade implementado permitiu estruturar e dar
consistĂȘncia Ă implementação das conferĂȘncias familiares (CF) no doente paliativo e
sua famĂlia.
As CF sĂŁo uma ferramenta diferenciadora de trabalho dos profissionais, que
permite cuidar do doente paliativo e sua famĂlia, garantindo a sua Qualidade de Vida
(QDV) e o alĂvio do sofrimento.
Através da ação de formação dirigida à equipa multidisciplinar e da elaboração de
uma norma de atuação de CF, discutida e consensualizada na equipa, foi possĂvel
melhorar a qualidade dos cuidados aos doentes assistidos e respetivas famĂlias,
respondendo-se Ă s principais necessidades identificadas e evidenciando a
intervenção. Gómez-Batiste & Connor (2017) recomendam a operacionalização dos
CP com a monitorização através de indicadores que permitam dar visibilidade ao
impacto das intervençÔes realizadas.
ABSTRACT: This report describes the activities held, as well as a reflection, in what concerns the subject Clinical Practice, Palliative Care Master, ESALD. The clinical practice happened, having in mind the aims, activities and skills and it was held in a CP unit. The total of hours devoted to the palliative care and to the patientÂŽs family were 200. The 100 hours left allowed us to implement a project to better the quality of the service, Family Meetings in Palliative Care, in my work context. During my clinical practice, through direct and participant observation, can be reflect based, on the present scientific evidence, about the way this unit is organized, the way it functions, the kind of care it gives, as well as the skills gained in the key areas of Palliative Care: communication, symptoms control and team work. The project implemented to better this kind of service has allowed to structure and to assure consistency to the implementation of the Family Meetings (FM) with the patient and his/her family. FM are a distinctive tool in what concerns the health care professionals. This allows to take care of the patient and his/ her family, ensuring quality of life and the pain relief. Through this workshop, aimed to a disciplinary team and the building of a set of rules concerning the family meetings, discussed and agreed with the team, it was possible to better the quality of the cares given to the patients and their families. Like this, we were able to respond to the identified needs and highlighting the intervention occurred. According to GĂłmez -Batiste & Connor, 2017, it is recommended to give the palliative care the necessary attention in a way that the standards will be met, giving like this impact to the interventions introduced.
ABSTRACT: This report describes the activities held, as well as a reflection, in what concerns the subject Clinical Practice, Palliative Care Master, ESALD. The clinical practice happened, having in mind the aims, activities and skills and it was held in a CP unit. The total of hours devoted to the palliative care and to the patientÂŽs family were 200. The 100 hours left allowed us to implement a project to better the quality of the service, Family Meetings in Palliative Care, in my work context. During my clinical practice, through direct and participant observation, can be reflect based, on the present scientific evidence, about the way this unit is organized, the way it functions, the kind of care it gives, as well as the skills gained in the key areas of Palliative Care: communication, symptoms control and team work. The project implemented to better this kind of service has allowed to structure and to assure consistency to the implementation of the Family Meetings (FM) with the patient and his/her family. FM are a distinctive tool in what concerns the health care professionals. This allows to take care of the patient and his/ her family, ensuring quality of life and the pain relief. Through this workshop, aimed to a disciplinary team and the building of a set of rules concerning the family meetings, discussed and agreed with the team, it was possible to better the quality of the cares given to the patients and their families. Like this, we were able to respond to the identified needs and highlighting the intervention occurred. According to GĂłmez -Batiste & Connor, 2017, it is recommended to give the palliative care the necessary attention in a way that the standards will be met, giving like this impact to the interventions introduced.
Description
RelatĂłrio de PrĂĄtica ClĂnica apresentado Ă Escola Superior de SaĂșde Dr. Lopes Dias do Instituto PolitĂ©cnico de Castelo Branco para cumprimento dos requisitos necessĂĄrios Ă obtenção do grau de Mestre em Cuidados Paliativos.
Keywords
PrĂĄtica clĂnica Cuidados paliativos Doente paliativo ConferĂȘncia familiar FamĂlia Ăltimos dias e horas de vida Clinical practice Palliative care Palliative patient Family meeting Family Last moments