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Cuidar o doente e família nos últimos dias ou horas de vida na comunidade
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O presente relatório surge, como parte integrante dos requisitos necessários à obtenção do grau de Mestre em Cuidados Paliativos (CP). É um processo reflexivo relativo à prática clínica desenvolvida junto de uma equipa diferenciada em CP, e é orientado pela aquisição de competências. De forma descritiva e ponderada, este relatório encontra-se suportado por evidência científica, descreve e explica as atividades desenvolvidas e os objetivos pretendidos. Genericamente, encontra-se organizado em três momentos: A prática clínica desenvolvida, organizada segundo os pilares dos cuidados paliativos, indicando as competências na implementação de um plano assistencial de qualidade à pessoa com doença crónica, avançada e progressiva e à sua família, maximizando a qualidade de vida e diminuindo o sofrimento; apresentando a metodologia de aquisição de competências instrumentais, interpessoais e sistémicas. O projeto de intervenção implementado, com enfoque no diagnóstico clínico de Últimos Dias ou Horas de Vida (UDHV) que consistiu na elaboração de um plano de formação, apresentado à UCSP, onde desenvolvo a atividade profissional, capacitando os profissionais para o desenvolvimento de ações básicas paliativas, identificação e referenciação precoce do doente com necessidades paliativas, particularizando para o período dos UDHV. E, no desígnio de aprofundar o conhecimento nesta área temática tão vasta o desenvolvimento da Revisão Sistemática da Literatura (RSL) – “Benefícios da identificação precoce da fase de UDHV para o doente e sua família”, tendo como principal objetivo identificar as principais consequências no doente terminal e sua família, que resultam do diagnóstico precoce do diagnóstico de UDHV por parte dos Profissionais de Saúde (PS). Os UDHV constituem um período da vida, em que a morte está eminente, e é necessário redefinir objetivos com o doente e respetiva família, exigindo-se nesta fase, cuidados específicos e adequados às necessidades da pessoa, direcionadas ao conforto, portanto são um foco de atenção importante para os PS. Todo o percurso desenvolvido é pautado pela responsabilidade e vontade em disseminar a filosofia e as boas práticas na área, procurando constituir um fator motivacional para outros profissionais.
Abstract: This report appears as an integral part of the requirements necessary to obtain the Master's degree in Palliative Care (CP). It is a reflective process related to clinical practice developed with a differentiated team in PC, and is guided by the acquisition of skills. In a descriptive and thoughtful way, this report is supported by scientific evidence, describes and explains the activities developed and the intended objectives. Generally, it is organized into three moments: The clinical practice developed, organized according to the pillars of palliative care, indicating the skills in the implementation of a quality care plan for the person with chronic, advanced and progressive disease and their family, maximizing the quality of life and reducing suffering; presenting the methodology for acquiring instrumental, interpersonal and systemic skills. The intervention project implemented, with a focus on the clinical diagnosis of Last Days or Hours of Life (UDHV) which consisted of the elaboration of a training plan, presented to UCSP, where I develop professional activity, training professionals to develop basic actions palliative care, identification and early referral of the patient with palliative needs, particularly for the UDHV period. And, with the aim of deepening knowledge in this vast thematic area, the development of the Systematic Literature Review (RSL) - "Benefits of the early identification of the UDHV phase for the patient and his family", with the main objective of identifying the main consequences in the terminally ill patient and their family, which result from the early diagnosis of the diagnosis of UDHV by the Health Professionals (HP). The UDHV constitute a period of life, in which death is imminent, and it is necessary to redefine goals with the patient and their family, requiring at this stage, specific and adequate care to the person's needs, aimed at comfort, therefore, they are a focus of important attention to the PS. The entire course developed is guided by responsibility and willingness to disseminate philosophy and good practices in the area, seeking to constitute a motivational factor for other professionals.
Abstract: This report appears as an integral part of the requirements necessary to obtain the Master's degree in Palliative Care (CP). It is a reflective process related to clinical practice developed with a differentiated team in PC, and is guided by the acquisition of skills. In a descriptive and thoughtful way, this report is supported by scientific evidence, describes and explains the activities developed and the intended objectives. Generally, it is organized into three moments: The clinical practice developed, organized according to the pillars of palliative care, indicating the skills in the implementation of a quality care plan for the person with chronic, advanced and progressive disease and their family, maximizing the quality of life and reducing suffering; presenting the methodology for acquiring instrumental, interpersonal and systemic skills. The intervention project implemented, with a focus on the clinical diagnosis of Last Days or Hours of Life (UDHV) which consisted of the elaboration of a training plan, presented to UCSP, where I develop professional activity, training professionals to develop basic actions palliative care, identification and early referral of the patient with palliative needs, particularly for the UDHV period. And, with the aim of deepening knowledge in this vast thematic area, the development of the Systematic Literature Review (RSL) - "Benefits of the early identification of the UDHV phase for the patient and his family", with the main objective of identifying the main consequences in the terminally ill patient and their family, which result from the early diagnosis of the diagnosis of UDHV by the Health Professionals (HP). The UDHV constitute a period of life, in which death is imminent, and it is necessary to redefine goals with the patient and their family, requiring at this stage, specific and adequate care to the person's needs, aimed at comfort, therefore, they are a focus of important attention to the PS. The entire course developed is guided by responsibility and willingness to disseminate philosophy and good practices in the area, seeking to constitute a motivational factor for other professionals.
Descrição
Relatório de Estágio apresentado à Escola Superior de Saúde do Instituto Politécnico de Castelo Branco para obtenção de Grau de Mestre em Cuidados Paliativos
Palavras-chave
Cuidados paliativos Últimos dias ou horas de vida Comunidade família