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Publication
Risco de luto prolongado nos cuidadores informais
| Name: | Description: | Size: | Format: | |
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| 13.8 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O presente documento insere-se no âmbito do 11º Mestrado em Cuidados Paliativos da
Escola Superior de Saúde Dr. Lopes Dias do Instituto Politécnico de Castelo Branco, sendo este
um requisito para obtenção de grau de mestre.
Pretende-se através do relatório descrever e refletir acerca do modo como decorreu a
prática clínica, sobre os conhecimentos e competências adquiridas.
É atualmente e internacionalmente reconhecida a importância da introdução precoce dos
cuidados paliativos, trazendo benefícios para os doentes e suas famílias.
Numa sociedade em que o aumento da prevalência das doenças crónicas, para as quais a
ciência ainda não tem cura, torna-se premente a necessidade de intervenção dos cuidados
paliativos, sendo que a sua atual definição estende o seu alvo de atuação à família, atribuindo
um destaque às suas necessidades e ao seu sofrimento não só pela situação de doença do seu
ente querido, mas também pelas perdas dela decorrentes, constituindo esta maior
vulnerabilidade e risco de desenvolver um luto prolongado.
Torna-se imperioso definir critérios específicos consensuais para detetar precocemente
situações de luto prolongado nas famílias, utilizando instrumentos de avaliação do risco
validados, de modo a encaminhá-las para um profissional especializado em caso de
necessidade.
O projeto de intervenção vem de encontro a esta necessidade, e está a ser desenvolvido no
serviço a que pertenço.
As áreas chave de intervenção em cuidados paliativos são o controlo sintomático, a
comunicação terapêutica, o trabalho em equipa e o cuidar da família, dando também apoio no
processo de perda e luto. Estes pilares devem ser sempres considerados com igual relevância,
ao mesmo nível e só com esta abordagem se poderá atingir cuidados paliativos de qualidade e
excelência.
Neste sentido, é de fundamental importância dotar os profissionais de saúde de formação
especializada que permita de forma crítica, reflexiva e responsável desenvolver estratégias e
planos de cuidados adequados à sua prática profissional e pessoal. Foi realizada uma revisão
sistemática da literatura de forma a demonstrar qual o impacto da avaliação do risco de luto
prolongado nos cuidadores informais de doentes com necessidades paliativas.
Abstract: This document is part of the 11th master’s degree in palliative care at the Dr. Lopes Dias Higher School of Health of the Polytechnic Institute of Castelo Branco, being a requirement for obtaining a master's degree. The purpose of this report is to describe and reflect on the clinical practice and the knowledge and skills acquired. The early introduction of palliative care is internationally recognized as important, bringing benefits to patients and their families. In a society where the prevalence of chronic diseases, for which there is still no cure, is increasing, the need for palliative care intervention becomes pressing. The current definition of palliative care extends its scope of action to the family, emphasizing their needs and suffering not only due to the illness of their loved ones but also due to the resulting losses. This constitutes a greater vulnerability and risk of developing prolonged grief. It is imperative to define specific consensus criteria for early detection of situations of prolonged grief in families, using validated risk assessment tools, in order to refer them to a specialized professional if necessary. The intervention project meets this need and is being developed in the service to which I belong. The key areas of intervention in palliative care are symptomatic control, therapeutic communication, teamwork, and caring for the family, also providing support in the process of loss and grief. These pillars should always be considered with equal relevance, at the same level, and only with this approach can we achieve quality and excellence in palliative care. Therefore, it is of utmost importance to equip healthcare professionals with specialized training that enables them to critically, reflectively, and responsibly develop appropriate strategies and care plans for their professional and personal practice. A systematic literature review was conducted to demonstrate the impact of prolonged grief risk assessment on informal caregivers of patients with palliative care needs.
Abstract: This document is part of the 11th master’s degree in palliative care at the Dr. Lopes Dias Higher School of Health of the Polytechnic Institute of Castelo Branco, being a requirement for obtaining a master's degree. The purpose of this report is to describe and reflect on the clinical practice and the knowledge and skills acquired. The early introduction of palliative care is internationally recognized as important, bringing benefits to patients and their families. In a society where the prevalence of chronic diseases, for which there is still no cure, is increasing, the need for palliative care intervention becomes pressing. The current definition of palliative care extends its scope of action to the family, emphasizing their needs and suffering not only due to the illness of their loved ones but also due to the resulting losses. This constitutes a greater vulnerability and risk of developing prolonged grief. It is imperative to define specific consensus criteria for early detection of situations of prolonged grief in families, using validated risk assessment tools, in order to refer them to a specialized professional if necessary. The intervention project meets this need and is being developed in the service to which I belong. The key areas of intervention in palliative care are symptomatic control, therapeutic communication, teamwork, and caring for the family, also providing support in the process of loss and grief. These pillars should always be considered with equal relevance, at the same level, and only with this approach can we achieve quality and excellence in palliative care. Therefore, it is of utmost importance to equip healthcare professionals with specialized training that enables them to critically, reflectively, and responsibly develop appropriate strategies and care plans for their professional and personal practice. A systematic literature review was conducted to demonstrate the impact of prolonged grief risk assessment on informal caregivers of patients with palliative care needs.
Description
Relatório da 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 paliativos Prática clínica Luto prolongado Avaliação do risco Formação Enfermagem Palliative care Clinical practice Prolonged grief Risk Assessment Training Nursing