Loading...
Publication
Critérios de referenciação de doentes oncológicos para equipas especializadas em cuidados paliativos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.35 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Este relatório foi realizado no âmbito da Unidade Curricular de Estágio Profissional, do Mestrado em Cuidados Paliativos da Escola Superior de Saúde Dr. Lopes Dias, adotando uma metodologia descritiva, de reflexão e crítica aliada ao conhecimento científico, permitindo dar resposta aos objetivos definidos para esta unidade curricular. Num primeiro capítulo aborda-se o contexto em que se insere a prática clínica, tendo em conta o âmbito dos cuidados paliativos, tal como se procede à descrição da equipa e do local onde decorreu a mesma. No segundo capítulo abordam-se os pilares fundamentais que sustentam a intervenção multidisciplinar em cuidados paliativos (controlo de sintomas, apoio à família, comunicação adequada e trabalho em equipa), recorrendo-se também à reflexão critica sobre a prática clínica desenvolvida, em concordância com os objetivos estabelecidos. Seguidamente, no capítulo terceiro, descreve-se o projeto de intervenção/formação, que teve como principal objetivo promover o encaminhamento em tempo útil, dos doentes com doença oncológica para equipas especializadas em cuidados paliativos, junto dos profissionais de saúde (oncologistas e enfermeiros) do serviço ambulatório de oncologia, propondo-se a implementação de um protocolo neste âmbito. De forma a fundamentar e aprofundar os conhecimentos sobre os critérios de referenciação dos doentes oncológicos para equipas especializadas em cuidados paliativos, tal como sobre as barreiras que afetam o seu encaminhamento e as ferramentas utilizadas para identificar os doentes, desenvolve-se no último capítulo uma revisão de métodos mistos, sobre esta temática. Tendo em conta os critérios de encaminhamento dos doentes oncológicos a cuidados paliativos, de consenso internacional, propõe-se a adoção do modelo de cuidados paliativos oportunos como o modelo viável a implementar; que tem por base cuidados paliativos precoces, personalizados e de acordo com a identificação de necessidades; que se rege por critérios padronizados de encaminhamento.
Abstract: This report was carried out within the scope of the Professional Internship Curricular Unit, of the Master's Degree in Palliative Care at Escola Superior de Saúde Dr. Lopes Dias, adopting a descriptive, reflective and critical methodology combined with scientific knowledge, allowing it to respond to the objectives defined for this curricular unit. The first chapter addresses the context in which clinical practice takes place, taking into account the scope of palliative care, as well as describing the team and the place where it took place. The second chapter addresses the fundamental pillars that support multidisciplinary intervention in palliative care (symptom control, family support, adequate communication and teamwork), also using critical reflection on the clinical practice developed, in accordance with the established objectives. Then, in the third chapter, the intervention/training project is described, whose main objective was to promote the timely referral of patients with oncological disease to teams specializing in palliative care, together with health professionals (oncologists and nurses) of the oncology outpatient service, proposing the implementation of a protocol in this area. In order to substantiate and deepen knowledge about the criteria for referring cancer patients to teams specializing in palliative care, as well as about the barriers that affect their referral and the tools used to identify patients, a review is developed in the last chapter of mixed methods, on this topic. Taking into account the international consensus criteria for referring cancer patients to palliative care, it is proposed to adopt the timely palliative care model as the viable model to implement; which is based on early, personalized palliative care based on the identification of needs; which is governed by standardized referral criteria.
Abstract: This report was carried out within the scope of the Professional Internship Curricular Unit, of the Master's Degree in Palliative Care at Escola Superior de Saúde Dr. Lopes Dias, adopting a descriptive, reflective and critical methodology combined with scientific knowledge, allowing it to respond to the objectives defined for this curricular unit. The first chapter addresses the context in which clinical practice takes place, taking into account the scope of palliative care, as well as describing the team and the place where it took place. The second chapter addresses the fundamental pillars that support multidisciplinary intervention in palliative care (symptom control, family support, adequate communication and teamwork), also using critical reflection on the clinical practice developed, in accordance with the established objectives. Then, in the third chapter, the intervention/training project is described, whose main objective was to promote the timely referral of patients with oncological disease to teams specializing in palliative care, together with health professionals (oncologists and nurses) of the oncology outpatient service, proposing the implementation of a protocol in this area. In order to substantiate and deepen knowledge about the criteria for referring cancer patients to teams specializing in palliative care, as well as about the barriers that affect their referral and the tools used to identify patients, a review is developed in the last chapter of mixed methods, on this topic. Taking into account the international consensus criteria for referring cancer patients to palliative care, it is proposed to adopt the timely palliative care model as the viable model to implement; which is based on early, personalized palliative care based on the identification of needs; which is governed by standardized referral criteria.
Description
Relatório de Estágio apresentado à Escola Superior de Saúde Dr. Lopes Dias (ESALD) do Instituto Politécnico de Castelo Branco para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Cuidados Paliativos.
Keywords
Cuidados paliativos Doentes oncológicos Critérios Encaminhamento Palliative care Cancer patients Criteria Referral Specialized teams