RESUMO
During the terminal phase, access to medicines is critical for people wishing to spend their last days of life at home. Yet, access to medicines can be problematic. The aim of this study was to report the perspectives of specialist and generalist health professionals (HPs) on the issues of community access to medicines for this vulnerable group. A qualitative descriptive study design investigated the views of HPs working in palliative care roles in South Australia. Nurses, doctors and pharmacists described their experiences of accessing medicines for management of terminal phase symptoms during semi-structured focus group discussions. Content analysis identified six themes including: 'Medication Supply', 'Education and Training', 'Caregiver Burden', 'Safety', 'Funding' and 'Clinical Governance'. Future projects should aim to address these themes when developing strategies for the management of people wishing to die at home.
Assuntos
Atitude do Pessoal de Saúde , Pessoal de Saúde/psicologia , Cuidados Paliativos/psicologia , Medicamentos sob Prescrição/uso terapêutico , Assistência Terminal/métodos , Assistência Terminal/psicologia , Austrália , Cuidadores/psicologia , Competência Clínica , Serviços Comunitários de Farmácia , Grupos Focais , Habitação , Humanos , Cuidados Paliativos/métodos , Farmacêuticos , Medicamentos sob Prescrição/provisão & distribuição , Segurança , Austrália do SulRESUMO
A preterm infant born to a woman with chronic lead poisoning was found to have the highest blood lead level recorded for a surviving neonate. Parenteral calcium disodium edetate, but not oral succimer, was effective in reducing the infant's lead burden in the neonatal period. An exposure assessment revealed the mother's long-term ingestion of lead-contaminated herbal tablets as the source.
