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Idosos com dor crónica: intervenções da fisioterapia no âmbito dos cuidados paliativos
| Name: | Description: | Size: | Format: | |
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| 10.96 MB | Adobe PDF |
Authors
Abstract(s)
Este relatório enquadra-se no âmbito do 1º Mestrado em Cuidados Paliativos da
Escola Superior de Saúde Doutor Lopes Dias do Instituto Politécnico de Castelo
Branco e visa a obtenção do grau de Mestre. Nele são abordados sobretudo a prática
clínica que foi efectuada numa Unidade de Cuidados Paliativos e um projecto de
intervenção que decorreu numa Estrutura Residencial para Idosos.
A prática clínica teve lugar numa Unidade de Cuidados Paliativos de qualidade
reconhecida, cuja caracterização, tipologia e nível de diferenciação são explicitados.
Esta permitiu que vivenciasse casos clínicos relevantes e distintos. Tendo por base
esta prática clínica e recorrendo à fundamentação através de bibliografia foi feita uma
reflexão critica incidente sobre as quatro áreas-chave dos Cuidados Paliativos:
trabalho em equipa, comunicação, apoio à família e controlo de sintomas. Foi também
abordado o papel da Fisioterapia em Cuidados Paliativos, designadamente na
Unidade de Cuidados Paliativos em que a prática foi efectuada.
Foi feito o enquadramento do tema: "Idosos com dor crónica intervenções da
Fisioterapia no âmbito dos Cuidados Paliativos” e descritos os resultados de uma
revisão da literatura subordinada à mesma temática, resultados estes que foram
posteriormente divulgados com a apresentação de um poster numas jornadas, com o
principal objectivo de alertar para a necessidade de se desenvolver mais investigação
sobre o papel da Fisioterapia no âmbito dos Cuidados Paliativos.
O projecto de intervenção, que decorreu na Estrutura Residencial para Idosos em
que trabalho, foi implementado com o objetivo de aumentar a avaliação da
intensidade da dor face à percepção que tinha que este era um aspeto que podia ser
melhorado e tendo em conta os benefícios que daí poderiam advir, encetando várias
acções, nomeadamente um workshop sobre avaliação da intensidade da dor e uma
formação em serviço sobre dor e comunicação. Os resultados deste projecto foram
positivos, mas poderiam ter sido ainda mais. Com esse intuito procurarei dar
continuação ao mesmo.
This report falls under the first Master in Palliative Care of the Escola Superior de Saúde Doutor Lopes Dias do Instituto Politécnico de Castelo Branco and aims to obtain a Master's degree. In it are addressed primarily the clinical practice that was carried out in a Palliative Care Unit and an intervention project that took place in a Residential Structure for Senior Citizens. The clinical practice took place in a Palliative Care Unit of recognized quality, whose characteristics, type and level of differentiation are explained. This allowed me to experienced relevant and distinct clinical cases. Based on this clinical practice and using the reasoning through bibliography a critical reflection incident on the four key areas of palliative care was made: teamwork, communication, family support and symptom control. It was also addressed the role of physiotherapy in palliative care, especially in the Palliative Care Unit in which the practice took place. The framework of the theme "Older adults with chronic pain: physical therapy interventions under the Palliative Care" was made and the results of a literature review subject to the same theme were described, these results were later released with a poster presentation at a conference with the primary aim of raising awareness of the need to conduct further research into the role of physiotherapy in the context of palliative care. The intervention project, which held place in the Residential Structure for Seniors in which I work, was implemented in order to increase the assessment of pain intensity due to the perception that this was an aspect that could be improved, taking into account the benefits it could entail, engaging in various activities, including a workshop on assessment of pain intensity and in-service formation about pain and communication. The results of this project were positive, but it could have been even more. With this in mind i will try to give it continuity.
This report falls under the first Master in Palliative Care of the Escola Superior de Saúde Doutor Lopes Dias do Instituto Politécnico de Castelo Branco and aims to obtain a Master's degree. In it are addressed primarily the clinical practice that was carried out in a Palliative Care Unit and an intervention project that took place in a Residential Structure for Senior Citizens. The clinical practice took place in a Palliative Care Unit of recognized quality, whose characteristics, type and level of differentiation are explained. This allowed me to experienced relevant and distinct clinical cases. Based on this clinical practice and using the reasoning through bibliography a critical reflection incident on the four key areas of palliative care was made: teamwork, communication, family support and symptom control. It was also addressed the role of physiotherapy in palliative care, especially in the Palliative Care Unit in which the practice took place. The framework of the theme "Older adults with chronic pain: physical therapy interventions under the Palliative Care" was made and the results of a literature review subject to the same theme were described, these results were later released with a poster presentation at a conference with the primary aim of raising awareness of the need to conduct further research into the role of physiotherapy in the context of palliative care. The intervention project, which held place in the Residential Structure for Seniors in which I work, was implemented in order to increase the assessment of pain intensity due to the perception that this was an aspect that could be improved, taking into account the benefits it could entail, engaging in various activities, including a workshop on assessment of pain intensity and in-service formation about pain and communication. The results of this project were positive, but it could have been even more. With this in mind i will try to give it continuity.
Description
Dissertação de Mestrado em Cuidados Paliativos apresentada à Escola Superior de Saúde Dr. Lopes Dias do Instituto Politécnico de Castelo Branco.
Keywords
Idoso Dor crónica Fisioterapia Cuidados paliativos Elderly Chronic pain Physical therapy Palliative care