The need for palliative care among patients with chronic diseases: a situational diagnosis in a university hospital / A necessidade de cuidados paliativos para paciente com doenças crônicas: diagnóstico situacional em um hospital universitário
Rev. bras. geriatr. gerontol. (Online)
;
22(5): e190085, 2019. tab
Article
in English, Portuguese
| LILACS
| ID: biblio-1057871
ABSTRACT
Abstract Objective:
To perform a situational diagnosis of a population hospitalized with chronic non-communicable diseases (NCD) who are potentially entitled to palliative care in a university hospital.Method:
A quantitative study with document analysis was carried out. The analyzes were categorized by the following variables baseline diagnosis, age, sex, readmission and PPS (Palliative Performance Scale) score.Results:
Over two months of research among 631 hospitalized patients, 198 patients who were potentially entitled to palliative care were identified; 113 (57.1%) of whom were older adults. Cancer was the disease with the highest incidence among the surveyed, with 95 cases, and was more recurrent in the older patient group, with 52 cases (62.1%). Similarly, multiple hospitalizations were more prevalent in the older population, and patients diagnosed with strokes had the longest hospitalizations.Conclusion:
The situational diagnosis carried out was relevant as it identified a group of patients, the majority of whom were older, who may be neglected in terms of their right to palliative care and an improved quality of death.RESUMO
Resumo Objetivo:
realizar o diagnóstico situacional da população internada com Doença Crônica não Transmissível (DNCT) com potencial a receber os cuidados paliativos em um hospital universitário.Método:
estudo quantitativo com análise documental. As análises foram categorizadas por meio das variáveis diagnóstico de base, idade, sexo, reinternação e escore na Palliative Performance Scale (PPS) ou Escala parcial de cuidados paliativos.Resultados:
em dois meses de pesquisa dentre os 631 pacientes internados, foram identificados 198 com potencial para receber os cuidados paliativos; 113 (57,1%) eram idosos; o câncer foi a doença que apresentou maior incidência dentre os pesquisados, com 95 casos, sendo mais recorrente no grupo dos idosos, 52 casos (62,1%). Da mesma forma, múltiplas internações foram mais predominantes na população idosa, sendo que os pacientes com o diagnóstico de Acidente Vascular Cerebral (AVC) tiveram as internações mais longas.Conclusão:
O diagnóstico situacional desenvolvido afirmou sua relevância ao apontar um grupo de pacientes, em sua maioria de idosos, que pode estar sendo negligenciado em relação aos direitos de receber os cuidados paliativos e melhorar a qualidade de sua morte.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Palliative Care
/
Diagnosis of Health Situation
/
Health of the Elderly
/
Chronic Disease
/
Evaluation Studies as Topic
Type of study:
Diagnostic study
/
Evaluation studies
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
Rev. bras. geriatr. gerontol. (Online)
Journal subject:
Geriatria
Year:
2019
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal do Espírito Santo/BR
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