Palliative care planning for the elderly
integrative review
DOI:
https://doi.org/10.51723/ccs.v32i03.609Keywords:
Palliative Care, Aged, Health PersonnelAbstract
Aim: to identify information and gaps on planning of palliative care for seniors. Methodology: integrative revision of 27 articles identified on databases: BVS, BDENF, Lilacs, Web Of Science and Scopus. Results: analysis arranged among five thematic categories: concepts and purposes, communication, linking with specialities, difficulties and challenges and directives preceded by will. Ineffective communication and deficit at professional formation are challenges for palliative assistance. Conclusion: Professional training courses are necessary to favour commprehension of palliative care purposes, to effective communication, to taking decisions process and for standardizing conducts.
Downloads
References
Carvalho RT, Parsons HAF. Manual de cuidados paliativos. Academia Nacional de Cuidados Paliativos. 2ª ed. São Paulo: Ampliado e Atualizado; 2012. https://paliativo.org.br/download/manual-de-cuidados-paliativos-ancp/.
Brasil. Ministério da Saúde. Instituto Nacional do Câncer. Serviços de cuidado paliativo – gestão da qualidade. 2019 [acesso em 30 outubro 2019]. http://bvsms.saude.gov.br/bvs/publicacoes/inca/gestao_da_qualidade.pdf.
Crossetti MGO. Revisão integrativa de pesquisa na enfermagem o rigor científico que lhe é exigido. Rev Gaúcha Enferm 2012;33(2):8-9. https://lume.ufrgs.br/bitstream/handle/10183/94920/000857666.pdf?sequence=1&isAllowed=y.
Alves RF, Andrade SFO, Melo MO, Cavalcante KB, Angeli RM. Cuidados paliativos: desafios para cuidadores e profissionais de saúde. Fractal Rev Psicol 2015;27(2):165-176. http://www.scielo.br/pdf/fractal/v27n2/1984-0292-fractal-27-2-0165.pdf
Gulini JEHMB, Nascimento ERP, Moritz RD, Rosa LM, Silveira NR, Vargas MA. O. Intensive care unit team perception of palliative care: the discourse of the collective subject. Rev Esc Enferm USP 2017;51:e03221. http://www.scielo.br/pdf/reeusp/v51/pt_1980-220X-reeusp-51-e03221.pdf.
Wallerstedt B, Benzein E, Schildmeijer K. What is palliative care? Perceptions of health care professionals. Scand J Prim Health Care 2018;33:77-84. https://onlinelibrarywiley-com.ez15.periodicos.capes.gov.br/doi/epdf/10.1111/scs.12603.
Golla H, Galushko M, Pfaff H, Voltz R. Multiple sclerosis and palliative care – perceptions of severely affected multiple sclerosis patient sand their health professionals: a qualitative study. BMC Palliative Care 2014;13:11. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/1472-684X-13-11.
Phongtankuel V, Scherban BA, Reid MC, Finley A, Martin A, Dennis J, et al. Why do home hospice patients return to the hospital? a study of hospice provider perspectives. J Palliat Med 2016;19(1). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4692121/pdf/jpm.2015.0178.pdf.
Sercu M, Renterghem VV, Pype P, Aelbrecht K, Derese A, Deveugele M. “It is not the fading candle that one expects”: general practitioners’ perspectives on life-preserving versus “letting go” decision-making inend-of-life home care. Scand J Prim Health Care 2015;33(4):233-242. https://www-tandfonline.ez15.periodicos.capes.gov.br/doi/pdf/10.3109/02813432.2015.1118837?needAccess=true
Johnson CE, Singer R, Masso M, Sellars M, Silvester W. Palliative care health professionals’experiences of caringfor patients with advance care directives. Aust Health Rev 2015;39. http://www.publish.csiro.au/ah/pdf/AH14119.
Ecarnot F, Beillard NM, Seronde MF, Chopard R, Schiele F, Quenot JP, et al. End-of-life situations in cardiology: a qualitative study of physicians and nurses experience in a large university hospital. BMC Palliative Care 2018;17:112. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/articles/10.1186/s12904-018-0366-5.
Ziehm J, Farin E, Seibel K, Becker G, Köberich S. Health care professionals’ attitudes regarding palliative care for patients with chronic heart failure: an interview study. BMC Palliative Care 2016;15:76. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-016-0149-9.
Geiger K, Schneider N, Bleidorn J, Klindtworth K, Jünger S, Mundt GM. Caring for frail older people in the lastphase of life–the general practitioners’ view. BMC Palliative Care 2016;15:52. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-016-0124-5.
Carduff E, Johnston S, Winstanley C, Morrish J, Murray SA, Spiller J, et al. What does ‘complex’ mean in palliative care? Triangulating qualitative findingsfrom 3 settings. BMC Palliative Care 2018;17:12. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-017-0259-z.
Siouta N, Clement P, Aertgeerts B, Beek KV, Menten J. Professionals’perceptions and currentpractices of integrated palliative care inchronic heart failure and chronicobstructive pulmonary disease: aqualitative study in Belgium. BMC Palliative Care 2018;17:103. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-018-0356-7.
Bloomer MJ, Botti M, Runacres F, Poon P, Barnfield J, Hutchinson AM. Communicating end-of-life care goals and decision-making among a multidisciplinary geriatric inpatient rehabilitation team: a qualitative descriptive study. Palliative Medicine 2018;32(10):1615–1623. https://journals-sagepub-com.ez15.periodicos.capes.gov.br/doi/pdf/10.1177/0269216318790353.
García MRS, Rodríguez MM, Montoro CH, Calderón CC, Safont AV, Juárez RM. Dificultades y factores favorables para la atención al final de la vida en residencias de ancianos: un estudio con grupos focales. Aten Primaria 2017;49(5):278-285. https://www-sciencedirect.ez15.periodicos.capes.gov.br/science/article/pii/S0212656716304024?via%3Dihub.
Sharp T, Malyon A, Barclay S. GPs’ perceptions of advance care planning with frail and older people: a qualitative study. Br J Gen Pract 2018;e44-e53. https://bjgp.org/content/bjgp/68/666/e44.full.pdf.
Ziehm J, Farin E, Schäfer J, Woitha K, Becker G, Köberich S. Palliative care for patients with heartfailure: facilitators and barriers - a crosssectional survey of German health careprofessionals. BMC Health Serv Res, 2016;16:361. https://bmchealthservres.biomedcentral.com.ez15.periodicos.capes.gov.br/articles/10.1186/s12913-016-1609-x.
Midtbust MH, Alnes RE, Gjengedal E, Lykkeslet E. Perceived barriers and facilitators inproviding palliative care for people with severe dementia: the healthcareprofessionals’experiences. BMC Health Serv Res 2018;18:709. https://bmchealthservres.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12913-018-3515-x.
Fox S, Cashell A, Kernohan WG, Lynch M, Mcglade C, O’brien T, et al. Interviews with Irish healthcare workers from different disciplines about palliative care for people with Parkinson’s disease: a definite role but uncertainty around terminology and timing. BMC Palliative Care 2016;15:15. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-016-0087-6.
Wichmann AB, Dam HV, Thoonsen B, Boer TA, Engels Y, Groenewoud AS. Advance care planning conversations withpalliative patients: looking through the GP’seyes. MC Family Practice 2018;19:184. https://bmcfampract.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12875-018-0868-5.
Smallwood N, Currow D, Booth S, Spathis A, Irving L, Philip J. Attitudes to specialist palliative care and advance care planning in people with COPD: a multi-national survey of palliativeand respiratory medicine specialists. BMC Palliative Care 2018; 17:115. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-018-0371-8.
Albers G, Froggatt K, Block LV, Gambassi G, Berghe PV, Pautex, S, et al. A qualitative exploration of the collaborative working between palliative care and geriatric medicine: barriers and facilitators from a european perspective. BMC Palliative Care 2016;15:47. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/articles/10.1186/s12904-016-0118-3.
Midtbust MH, Alnes RE, Gjengedal E, Lykkeslet E. A painful experience of limited understanding: healthcare professionals’experiences with palliative care of peoplewith severe dementia in Norwegian nursinghomes. BMC Palliative Care 2018;17:25. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-018-0282-8.
Urquhart R, Kotecha J, Kendell C, Martin M, Han H, Lawson B. Stakeholders’ views on identifying patients in primary care at risk of dying: a qualitative descriptive study using focus groups and interviews. Br J G Pract 2018;e-612-620. https://bjgp.org/content/bjgp/68/674/e612.full.pdf.
Selman LE, Brighton LJ, Robinson V, George R, Khan SA, Burman R, et al. Primary care physicians’educational needsand learning preferences in end of life care: a focus group study in the UK. BMC Palliative Care 2017;16:17. https://bmcpalliatcare.biomedcentral.com.ez15.periodicos.capes.gov.br/track/pdf/10.1186/s12904-017-0191-2
Sanchez JM, Martínez MJC, Fernández FP, Martín ML, Maya JF, García JC. Knowledge and attitudes of health professionals towards advance directives. Gac Sanit Barcelona 2018;32(4):339-345. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112018000400339&lng=en&nrm=iso.
Cogo SB, Lunardi VL, Quintana AM, Girardon NMOP, Silveira RS. Diretivas antecipadas: desejos dos profissionais da saúde e cuidadores familiares. Rev Baiana Enferm 2017;31(1):e16932. https://portalseer.ufba.br/index.php/enfermagem/article/view/16932/14102
Brogan P, Hasson F, Mcilfatrick S. Shared decision-making at the end of life: a focus group study exploring the perceptions and experiences of multi-disciplinary healthcare professionals working in the home setting. Palliative Medicine 2018;32(1):123–132. https://journals-sagepub-com.ez15.periodicos.capes.gov.br/doi/pdf/10.1177/0269216317734434. Acesso em: 28/10/2019.
Downloads
Published
Issue
Section
License
Declaro para os devidos fins que o artigo que estou submetendo representa um trabalho original e nunca foi publicado total ou parcialmente, e que se alguma de suas partes foi publicada possuímos autorização expressa para a publicação no periódico Comunicação em Ciências da Saúde (CCS). Esse artigo não foi enviado a outro periódico e não o será enquanto estiver sendo considerada sua publicação; caso venha a ser aceito não será publicado em outro periódico; e não contém material difamatório ou ilegal sob nenhuma forma, não viola a intimidade de terceiros, nem infringe direitos protegidos.
Eu e demais autores desse trabalho certificamos por meio desta declaração que:
- Concordamos com as normas editoriais e com o processo de revisão da CCS;
- Aceitamos a responsabilidade pela conduta desse estudo e pela análise e interpretação dos dados;
- Cooperaremos, sempre que solicitado, na obtenção e fornecimento de dados sobre os quais o manuscrito está baseado, para exame dos avaliadores;
- Não estão sendo omitidos quaisquer ligações ou acordos de financiamento entre os autores e companhias ou pessoas que possam ter interesse no material abordado no artigo;
- Não estão sendo excluídos ou omitidos deste artigo autores ou instituições participantes;
- Possuímos permissão para uso de figuras e tabelas publicadas em outras fontes;
- Possuímos permissão das pessoas e instituições citadas nos agradecimentos;
- O autor correspondente autoriza a publicação do endereço informado e e-mail do(s) autor(es) junto com o artigo;
- Assumimos a responsabilidade pela entrega de documentos verídicos;
- Autorizamos a publicação do referido artigo no periódico Comunicação em Ciências da Saúde, segundo critérios próprios e em número e volume a serem definidos pelo editor do periódico;
- Nos comprometemos a atender os prazos estipulados pelos editores do periódico Comunicação em Ciências da saúde;
- Estamos cientes de que a não manifestação no prazo de dois dias da revisão da diagramação, recebida por e-mail, será considerado aprovado para publicação.
