[Home paracentesis in palliative care performed by primary care doctors: Presentation of a case]. / Paracentesis evacuadora domiciliaria en cuidados paliativos realizada por profesionales de atención primaria. Presentación de un caso.

Home paracentesis is a relatively simple and safe. Applied in the field of palliative home care by primary care physicians significantly increases patient comfort and gratitude from both patient and family, and avoids continuous visits to hospital emergency services to perform this technique on a regular basis. The patient is terminal, usually with pain, with distant metastases and multiple symptoms, where transfers by ambulance, waiting times, continuous admissions and discharges, have a big impact. We report a case of a patient with end-stage hepatocellular carcinoma in which we performed home paracentesis in collaboration with the palliative care support team of our hospital, with good results. Home monitoring by the primary care physician can help to improve both the care and the quality of life of these patients by increasing coordination between care levels and avoid hospital admissions.

Paracentesis evacuadora domiciliaria en cuidados paliativos realizada por profesionales de atención primaria. Presentación de un caso / Home paracentesis in palliative care performed by primary care doctors: presentation of a case

La paracentesis evacuadora domiciliaria es una técnica relativamente sencilla y segura. Aplicada en el ámbito de los cuidados paliativos domiciliarios por parte de los médicos de atención primaria aumenta de forma considerable el bienestar del paciente y la gratitud tanto de éste como de sus familiares, al evitarle los continuos traslados a los servicios de urgencias hospitalarios para realizar dicha técnica de forma periódica. Se trata de pacientes terminales, habitualmente con dolor, con metástasis a distancia y síntomas múltiples, en los que los traslados en ambulancia, esperas, ingresos y altas continuos tienen un gran impacto. Presentamos el caso de un paciente con hepatocarcinoma en estadio terminal en el que hemos realizado una paracentesis evacuadora domiciliaria con buenos resultados en colaboración con el equipo de soporte de cuidados paliativos de nuestra área hospitalaria. El seguimiento domiciliario por el médico de atención primaria puede contribuir a mejorar tanto la asistencia como la calidad de vida de estos pacientes al aumentar la coordinación entre niveles y evitar ingresos hospitalarios (AU)

Home paracentesis is a relatively simple and safe. Applied in the field of palliative home care by primary care physicians significantly increases patient comfort and gratitude from both patient and family, and avoids continuous visits to hospital emergency services to perform this technique on a regular basis. The patient is terminal, usually with pain, with distant metastases and multiple symptoms, where transfers by ambulance, waiting times, continuous admissions and discharges, have a big impact. We report a case of a patient with end-stage hepatocellular carcinoma in which we performed home paracentesis in collaboration with the palliative care support team of our hospital, with good results. Home monitoring by the primary care physician can help to improve both the care and the quality of life of these patients by increasing coordination between care levels and avoid hospital admissions (AU)