Type
masterThesis
Identifier
203266455
Title
Motivos que levam o doente em fim de vida a recorrer ao Serviço de Urgência
Contributor
Sapeta, Ana Paula Gonçalves Antunes
Subject
Cuidados paliativos
Doente em fim de vida
Últimos dias e horas de vida
Serviço de urgência
Palliative care
End of life patient
Last days and hours of life
Emergency service
Domínio/Área Científica::Ciências Médicas
Doente em fim de vida
Últimos dias e horas de vida
Serviço de urgência
Palliative care
End of life patient
Last days and hours of life
Emergency service
Domínio/Área Científica::Ciências Médicas
Date
2023-04-18T15:12:32Z
2023
2023
2025-04-10
2023
2023
2025-04-10
Description
O presente relatório de prática clínica, surge no âmbito do 10º Mestrado em
Cuidados Paliativos da Escola Superior de Saúde Dr. Lopes Dias (ESALD) do Instituto
Politécnico de Castelo Branco (IPCB) e tem como propósito dar cumprimento aos
requisitados fundamentais à obtenção do grau de Mestre em Cuidados Paliativos (CP).
O relatório é construído com o intuito de redigir e descrever de forma reflexiva e
crítica apoiado na evidência científica, da prática clínica, estruturada nos pilares dos
CP (Comunicação, Controlo de Sintomas, Apoio à Família, Trabalho em Equipa) e na
apresentação de um projeto de intervenção, que passa pela realização de ações de
formação com o tema: “Prestação de cuidados ao doente em fim de vida” dirigida à
equipa de CP da Unidade Local de Saúde (ULS) e a diferentes cuidadores formais na
área de abrangência da ULS: Rede Nacional de Cuidados Continuados Integrados
(RNCCI), Estrutura Residencial para Idosos (ERPI) e Grupos de voluntariado e ainda
pela realização de um Estudo quantitativo, descritivo-correlacional e retrospetivo com
o tema: “Motivos que levam o doente em fim de vida a recorrer ao SU”. O projeto de
intervenção surge com o propósito de contribuir para evitar a recorrência do doente
em fim de vida ao Serviço de Urgência (SU).
Uma resposta na ajuda personalizada e dignificada no fim de vida deve assentar
numa abordagem paliativista/humanista do cuidar, no respeito pela sua dignidade
humana. Destarte, o projeto de intervenção é estruturado numa proposta de melhoria
baseada no indicador de Resultado: Idas ao SU (mais que um) nos últimos trinta dias
de vida, com um valor standard de 30%, com desenvolvimento da metodologia
Strengths, Weaknesses, Threats, Opportunities (SWOT) para autoavaliação do serviço.
Em forma de conclusão, este relatório, pela reflexão/informação/discussão
implícita, no qual são apresentados dados relacionados com os motivos da recorrência
do doente em fim de vida ao SU, através do Estudo quantitativo, descritivocorrelacional
e retrospetivo com o tema: “Motivos que levam o doente em fim de vida
a recorrer ao SU”, reforça a necessidade da restruturação das organizações de saúde,
com novos modelos de cuidados e recursos para dar resposta efetivas, com mais
qualidade aos doentes em fim de vida, para que estes possam vivenciar os últimos
momentos da sua vida sem recorrer ao SU.
Abstract: This clinical practice report is part of the 10th Master's Degree in Palliative Care at Escola Superior de Saúde Dr. Lopes Dias (ESALD) of the Polytechnic Institute of Castelo Branco (IPCB) and aims to comply with the fundamental requirements for obtaining the Master's degree in Palliative Care (PC). The report is designed to reflectively and critically write and describe based on scientific evidence, clinical practice, structured on the pillars of the PC (Communication, Symptom Control, Family Support, Teamwork) and the presentation of a project of intervention, which involves carrying out training actions with the theme: “Providing care for the patient at the end of life” aimed at the PC team of the Local Health Unit (ULS) and different formal caregivers in the area covered by Guarda : National Network of Integrated Continuing Care (RNCCI), Residential Structure for the Elderly (ERPI) and Volunteer Groups and also for carrying out a quantitative, descriptive-correlational and retrospective study with the theme: “Reasons that lead the patient to the end of life to resort to the SU”. The intervention project arises with the purpose of contributing to prevent the recurrence of the patient at the end of life to the Emergency Service (SU). A response in personalized and dignified help at the end of life must be based on a palliative/humanist approach to care, with respect for human dignity. Thus, the intervention project is structured on an improvement proposal based on the Result indicator: Visits to the ED (more than one) in the last thirty days of life, with a standard value of 30%, with the development of the Strengths, Weaknesses, Threats methodology, Opportunities (SWOT) for service self-assessment. In conclusion, this report, through reflection/information/implicit discussion, in which data related to the reasons for the patient's recurrence at the end of life to the SU are presented, through a quantitative, descriptive-correlational and retrospective study with the theme: “Reasons that lead the end-of-life patient to resort to the SU”, reinforces the need to restructure health organizations, with new models of care and resources to provide effective responses, with more quality to end-of-life patients, so that they can experience the last moments of their lives without resorting to the SU.
Abstract: This clinical practice report is part of the 10th Master's Degree in Palliative Care at Escola Superior de Saúde Dr. Lopes Dias (ESALD) of the Polytechnic Institute of Castelo Branco (IPCB) and aims to comply with the fundamental requirements for obtaining the Master's degree in Palliative Care (PC). The report is designed to reflectively and critically write and describe based on scientific evidence, clinical practice, structured on the pillars of the PC (Communication, Symptom Control, Family Support, Teamwork) and the presentation of a project of intervention, which involves carrying out training actions with the theme: “Providing care for the patient at the end of life” aimed at the PC team of the Local Health Unit (ULS) and different formal caregivers in the area covered by Guarda : National Network of Integrated Continuing Care (RNCCI), Residential Structure for the Elderly (ERPI) and Volunteer Groups and also for carrying out a quantitative, descriptive-correlational and retrospective study with the theme: “Reasons that lead the patient to the end of life to resort to the SU”. The intervention project arises with the purpose of contributing to prevent the recurrence of the patient at the end of life to the Emergency Service (SU). A response in personalized and dignified help at the end of life must be based on a palliative/humanist approach to care, with respect for human dignity. Thus, the intervention project is structured on an improvement proposal based on the Result indicator: Visits to the ED (more than one) in the last thirty days of life, with a standard value of 30%, with the development of the Strengths, Weaknesses, Threats methodology, Opportunities (SWOT) for service self-assessment. In conclusion, this report, through reflection/information/implicit discussion, in which data related to the reasons for the patient's recurrence at the end of life to the SU are presented, through a quantitative, descriptive-correlational and retrospective study with the theme: “Reasons that lead the end-of-life patient to resort to the SU”, reinforces the need to restructure health organizations, with new models of care and resources to provide effective responses, with more quality to end-of-life patients, so that they can experience the last moments of their lives without resorting to the SU.
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embargoedAccess
http://creativecommons.org/licenses/by/4.0/
http://creativecommons.org/licenses/by/4.0/
Language
por
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