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Cuidar o doente nos últimos dias e horas de vida : relatório da prática clínica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 4.11 MB | Adobe PDF |
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Abstract(s)
Após a realização de um percurso de aprendizagem, de aquisição de competências práticas, de partilha e de investigação, surge a necessidade de proceder à elaboração de um documento que consolide e reflita sobre o mesmo. O presente relatório, constituindo-se um requisito essencial para a obtenção do grau de Mestre em Cuidados Paliativos, surge no âmbito do XIII Mestrado em Cuidados Paliativos, da Escola Superior de Saúde Dr. Lopes Dias, do Instituto Politécnico de Castelo Branco. O presente relatório visa descrever e refletir, sobre as competências e aprendizagens ocorridas durante a Prática Clínica, realizada numa EIHSCP, de uma ULS, num total de 300h, tendo por base os pilares fundamentais dos cuidados paliativos, controlo de sintomas, comunicação, apoio família e trabalho em equipa. Estas competências vão também ao encontro dos objetivos gerais e específicos definidos pela ESALD, para a obtenção do grau de mestre. No âmbito do projeto de intervenção, o presente relatório tem como objetivo refletir sobre as competências de cuidar desenvolvidas pela Equipa de Cuidados Continuados Integrados (ECCI) na prestação de cuidados a doentes e famílias em situação de últimos dias e horas de vida (UDHV). Paralelamente, em contexto de trabalho em equipa, foram identificadas e apresentadas propostas de melhoria a implementar em diferentes horizontes temporais (curto, médio e longo prazo). Por último, reconhecendo que as experiências de cuidar em fim de vida são particularmente complexas, tanto para os profissionais de saúde como para os cuidadores informais, e considerando que o acompanhamento por equipas diferenciadas de cuidados paliativos pode ter impacto significativo nessa experiência, procedeu-se à realização de uma Scoping Review (ScR). Este trabalho teve como finalidade compreender o impacto das equipas de cuidados paliativos nas vivências dos cuidadores informais de doentes em fim de vida, mapeando o conhecimento atualmente disponível, podendo inclusive constituir-se como uma base para a definição de estratégias que permitam melhorar os cuidados prestados à família e doente em situação de últimos dias e horas de vida.
Abstract: After completing a learning journey, acquiring practical skills, sharing and researching, there is a need to prepare a document that consolidates and reflects on this journey. This report, which is an essential requirement for obtaining a Master's degree in Palliative Care, is part of the 13th Master's Degree in Palliative Care at the Dr. Lopes Dias Higher School of Health, part of the Castelo Branco Polytechnic Institute. This report aims to describe and reflect on the skills and learning that took place during the Clinical Practice, carried out at an EIHSCP, of a ULS, for a total of 300 hours. It is based on the fundamental pillars of palliative care, symptom control, communication, Family support and teamwork. These skills also meet the general and specific objectives definedby ESALD, for obtaining a master's degree. Within the scope of the intervention project, this report aims to reflect on the care skills developed by the Integrated Continuing Care Team (ECCI) in providing care to patients and families in the last days and hours of life (UDHV). At the same time, in the context of teamwork, proposals for improvement were identified and presented to be implemented in different time frames (short, medium and long term). Finally, recognising that end-of-life care experiences are particularly complex, both for healthcare professionals and informal carers, and considering that support from specialised palliative care teams can have a significant impact on this experience, Scoping Review (ScR) was conducted. The purpose of this study was to understand the impact of palliative care teams on the experiences of informal caregivers of patients at the end of life, mapping the knowledge currently available, which may even serve as a basis for defining strategies to improve the care provided to families and patients in their last days and hours of life.
Abstract: After completing a learning journey, acquiring practical skills, sharing and researching, there is a need to prepare a document that consolidates and reflects on this journey. This report, which is an essential requirement for obtaining a Master's degree in Palliative Care, is part of the 13th Master's Degree in Palliative Care at the Dr. Lopes Dias Higher School of Health, part of the Castelo Branco Polytechnic Institute. This report aims to describe and reflect on the skills and learning that took place during the Clinical Practice, carried out at an EIHSCP, of a ULS, for a total of 300 hours. It is based on the fundamental pillars of palliative care, symptom control, communication, Family support and teamwork. These skills also meet the general and specific objectives definedby ESALD, for obtaining a master's degree. Within the scope of the intervention project, this report aims to reflect on the care skills developed by the Integrated Continuing Care Team (ECCI) in providing care to patients and families in the last days and hours of life (UDHV). At the same time, in the context of teamwork, proposals for improvement were identified and presented to be implemented in different time frames (short, medium and long term). Finally, recognising that end-of-life care experiences are particularly complex, both for healthcare professionals and informal carers, and considering that support from specialised palliative care teams can have a significant impact on this experience, Scoping Review (ScR) was conducted. The purpose of this study was to understand the impact of palliative care teams on the experiences of informal caregivers of patients at the end of life, mapping the knowledge currently available, which may even serve as a basis for defining strategies to improve the care provided to families and patients in their last days and hours of life.
Description
Relatório de Estágio 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 paliativos Cuidadores informais Equipas cuidados paliativos Últimos dias e horas de vida Palliative care Informal Caregivers Palliative Care teams Last days and hours of life