Últimos dias e horas de vida - os benefícios da desprecrição
Type
masterThesis
Identifier
203085876
Title
Últimos dias e horas de vida - os benefícios da desprecrição
Contributor
Simões, Ângela Sofia Lopes Simões
Subject
Cuidados Paliativos
Desprescrição
Últimos dias e horas de vida
Palliative Care
Deprescription
Last days and hours of life
Domínio/Área Científica::Ciências Médicas
Desprescrição
Últimos dias e horas de vida
Palliative Care
Deprescription
Last days and hours of life
Domínio/Área Científica::Ciências Médicas
Date
2022-10-28T13:20:54Z
2022
2025-10-28
2022
2025-10-28
Description
Este relatório de estágio é elaborado no âmbito do 8º Mestrado em Cuidados Paliativos da Escola Superior de Saúde Dr. Lopes Dias do Instituto Politécnico de Castelo Branco (IPBC). Tem como objetivos a reflexão da prática clínica, a demonstração de competências adquiridas nas áreas-chave dos cuidados paliativos e a
descrição detalhada das atividades desenvolvidas no estágio e no projeto de intervenção/plano de formação.
A parte prática inerente ao estágio decorreu na Unidade de Cuidados Paliativos do Hospital X, tendo início no mês de março de 2020, posteriormente foi interrompido devido à pandemia COVID-19, pelo que foi retomado em setembro / outubro de 2021, a fim de completar as 300 horas de estágio. Os Cuidados Paliativos pressupõem uma formação específica baseada em competências clínicas (controlo sintomático), comunicativas de apoio ao doente e à família fundamentada num trabalho de equipa multidisciplinar. A fim de obter o nível de formação necessário realizei a análise de um caso clínico com vista a demonstrar as
competências adquiridas pela aquisição de conhecimentos teóricos e práticos ao longo da oferta curricular que este Mestrado oferece. A revisão sistemática da literatura subordinada ao tema da desprescrição em
Últimos Dias e Horas de Vida (UDHV) demonstra a importância de adequar a terapêutica do doente consoante o benefício atempado que cada fármaco aporta, adequando assim a terapêutica às necessidades de controlo sintomático do doente. Posto isto é importante identificar os obstáculos à desprescrição e a importância da
mesma em doentes em situação frágil de UDHV.
This internship report is prepared within the scope of the 8th Master's Degree in Palliative Care at Escola Superior de Saúde Dr. Lopes Dias from the Polytechnic Institute of Castelo Branco (IPBC). The objectives indeed are the reflection of clinical practice, the demonstration of skills acquired in the key areas of palliative care and the detailed description of the activities developed in the internship and in the intervention project/training plan. The practical part inherent to the internship took place in the Palliative Care Unit of Hospital X, starting in March 2020, it was later interrupted due to the COVID-19 pandemic, so it was resumed in September / October 2021, in order to complete the 300 hours of internship. Palliative Care presupposes specific training based on clinical skills (symptomatic control), communicative support for the patient and family, based on multidisciplinary team work. In order to obtain the necessary training level, I carried out the analysis of a clinical case in order to demonstrate the skills acquired through the acquisition of theoretical and practical knowledge throughout the curricular offer that this Master offers. The systematic review of the literature on the subject of deprescription in Last Days and Hours of Life (UDHV) demonstrates the importance of adapting the patient's therapy according to the timely benefit that each drug provides, thus adapting the therapy to the patient's symptomatic control needs. That said, it is important to identify the obstacles to deprescription and its importance in patients in a fragile situation of UDHV.
This internship report is prepared within the scope of the 8th Master's Degree in Palliative Care at Escola Superior de Saúde Dr. Lopes Dias from the Polytechnic Institute of Castelo Branco (IPBC). The objectives indeed are the reflection of clinical practice, the demonstration of skills acquired in the key areas of palliative care and the detailed description of the activities developed in the internship and in the intervention project/training plan. The practical part inherent to the internship took place in the Palliative Care Unit of Hospital X, starting in March 2020, it was later interrupted due to the COVID-19 pandemic, so it was resumed in September / October 2021, in order to complete the 300 hours of internship. Palliative Care presupposes specific training based on clinical skills (symptomatic control), communicative support for the patient and family, based on multidisciplinary team work. In order to obtain the necessary training level, I carried out the analysis of a clinical case in order to demonstrate the skills acquired through the acquisition of theoretical and practical knowledge throughout the curricular offer that this Master offers. The systematic review of the literature on the subject of deprescription in Last Days and Hours of Life (UDHV) demonstrates the importance of adapting the patient's therapy according to the timely benefit that each drug provides, thus adapting the therapy to the patient's symptomatic control needs. That said, it is important to identify the obstacles to deprescription and its importance in patients in a fragile situation of UDHV.
Access restrictions
restrictedAccess
http://creativecommons.org/licenses/by/4.0/
http://creativecommons.org/licenses/by/4.0/
Language
por
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