Loading...
Publication
Diagnóstico do doente em últimos dias ou horas de vida em cuidados intensivos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.83 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O presente relatório de prática clínica é concebido no âmbito do 11º Mestrado em
Cuidados Paliativos, da Escola Superior de Saúde Dr. Lopes Dias, do Instituto
Politécnico de Castelo Branco. Surge como requisito para a obtenção do grau de Mestre
em Cuidados Paliativos, e consiste no registo e reflexão do percurso desenvolvido.
Ao longo do documento pretende-se dar resposta aos seguintes objetivos:
desenvolver experiência e capacidade de reflexão crítica das práticas assistenciais
observadas no período de estágio clínico, junto de uma equipa diferenciada em
Cuidados Paliativos; compreender e aplicar os valores e princípios dos Cuidados
Paliativos na prática assistencial; demonstrar competências na implementação de um
plano assistencial de qualidade à pessoa com doença crónica, avançada e progressiva,
à sua família e ao seu grupo social de pertença, maximizando a sua qualidade de vida e
diminuindo o sofrimento em conformidade com a filosofia dos CP, integrada numa
equipa interdisciplinar; demonstrar capacidade de reflexão ética e crítica na análise de
assuntos complexos inerentes à prática dos Cuidados Paliativos. A reflexão crítica da
prática clínica encontra-se estruturada, em concordância com os pilares dos Cuidados
Paliativos – Comunicação, Controlo de Sintomas, Apoio à Família e Trabalho em Equipa.
Este relatório foi sustentado por uma Revisão Sistemática de Métodos Mistos, de
acordo com a metodologia Joanna Briggs Institute, concretizado sobre “As Dificuldades
em Diagnosticar o doente em Últimos dias ou horas vida em Cuidados Intensivos”, com o
objetivo de produzir evidência científica sobre o tema e partilhar conhecimentos junto
dos pares.
Os Últimos dias ou horas vida num contexto de uma doença crónica, avançada e
progressiva, em Cuidados Intensivos são um desafio constante. Reconhece-se a
importância do diagnóstico precoce, no sentido de adequar o plano de cuidados às
verdadeiras necessidades do doente e família, e a redefinição de objetivos e medidas
terapêuticas, como a suspensão de medidas invasivas desnecessárias, fúteis e
desproporcionais que não trazem qualquer benefício, mas contrariamente só
prolongam a vida e aumentam o sofrimento do doente, família e profissional de saúde.
Este projeto surge da necessidade de melhorar a qualidade dos cuidados prestados
ao doente em Últimos dias ou horas vida e familiares, numa Unidade de Cuidados
Intensivos em concordância com os códigos de ética e filosofia dos Cuidados Paliativos,
que recomendam fazer tudo para aliviar o sofrimento do doente e família, aceitando
irreversibilidade da doença e inevitabilidade da morte, proporcionando dignidade e
conforto, aceitando os limites e a morte com quietude e serenidade.
Abstract: The present report of the practice clinic is designed in the ambit of 11º master´s degree in palliative care of the “Escola Superior de Saúde Dr Lopes Dias, of the “Instituto Politécnico de Castelo Branco.” Arises as a request to obtaining a master´s degree in Palliative Care, and consists on registration and reflection of the walkthrough developed. Throughout the document its supposed to answer at the next objectives: develop experience and criticism capacity, criticize the care practices observed on clinic stage period, united to a prestigious team on palliative care, understand and apply the values and principles of the Palliative cares in care practice; demonstrate skills in order to implement a assistance plan of quality to the person with chronic disease, advanced and progressive, to your family and your social group, maximizing your life quality and decreasing the pain in conformity to the palliative cares philosophy,integrated into an interdisciplinary team, demonstrate capacity for ethical reflection in the analysis of complex issues inherent to the practice of palliative care. The criticism reflection of the clinic practice is structured, in line with the pillars of Palliative Care- Communication, Symptom Control, Family Support and Teamwork. This report was sustained by a Systematic Revision of Mixes methods according to the methodology Joanna Briggs Institute, realized on “The Difficulties in Diagnosing the Patient in the Last Hours or Days of Life in Intense Care”, as a objective of scientific evidence producing on the topic and share knowledge with peers. The Last Days or Hours of Live about a chronic disease context, advanced and prolonged, in intensive cares is a constant challenge. It is recognized the importance of early diagnosis is recognized, in the ambit of tailor the care plan to the real needs of the patient and family and the redefinition of therapeutic objectives and measures, such as the suspension of unnecessary, futile and disproportionate invasive measures that do not bring any benefit, but rather only prolong life and increase the suffering of the patient,family and health professional. This project arise from the need to improve the quality of care provided to the patient in Last Hours or Days of Life and family members, in a Intensive Care Unit in accordance with the codes of ethics and philosophy of Palliative Care, wich recommend doing everything to alleviate the suffering of patient and family, accepting irreversibility of the disease and inevitability of death, providing dignity and comfort, accepting the limits and death with quietness and serenity.
Abstract: The present report of the practice clinic is designed in the ambit of 11º master´s degree in palliative care of the “Escola Superior de Saúde Dr Lopes Dias, of the “Instituto Politécnico de Castelo Branco.” Arises as a request to obtaining a master´s degree in Palliative Care, and consists on registration and reflection of the walkthrough developed. Throughout the document its supposed to answer at the next objectives: develop experience and criticism capacity, criticize the care practices observed on clinic stage period, united to a prestigious team on palliative care, understand and apply the values and principles of the Palliative cares in care practice; demonstrate skills in order to implement a assistance plan of quality to the person with chronic disease, advanced and progressive, to your family and your social group, maximizing your life quality and decreasing the pain in conformity to the palliative cares philosophy,integrated into an interdisciplinary team, demonstrate capacity for ethical reflection in the analysis of complex issues inherent to the practice of palliative care. The criticism reflection of the clinic practice is structured, in line with the pillars of Palliative Care- Communication, Symptom Control, Family Support and Teamwork. This report was sustained by a Systematic Revision of Mixes methods according to the methodology Joanna Briggs Institute, realized on “The Difficulties in Diagnosing the Patient in the Last Hours or Days of Life in Intense Care”, as a objective of scientific evidence producing on the topic and share knowledge with peers. The Last Days or Hours of Live about a chronic disease context, advanced and prolonged, in intensive cares is a constant challenge. It is recognized the importance of early diagnosis is recognized, in the ambit of tailor the care plan to the real needs of the patient and family and the redefinition of therapeutic objectives and measures, such as the suspension of unnecessary, futile and disproportionate invasive measures that do not bring any benefit, but rather only prolong life and increase the suffering of the patient,family and health professional. This project arise from the need to improve the quality of care provided to the patient in Last Hours or Days of Life and family members, in a Intensive Care Unit in accordance with the codes of ethics and philosophy of Palliative Care, wich recommend doing everything to alleviate the suffering of patient and family, accepting irreversibility of the disease and inevitability of death, providing dignity and comfort, accepting the limits and death with quietness and serenity.
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
Cuidados intensivos Cuidados paliativos Últimos dias ou horas de vida Obstinação terapêutica Ética Diagnosis Last hours or days of life Intensive care Palliative care Therapeutic obstinacy Ethic