Oncology palliative care in a public home-care service
DOI:
https://doi.org/10.5712/rbmfc12(39)1339Keywords:
Palliative Care. Medical Oncology. Home-Care Services.Unified Health SystemAbstract
Objective: To identify the profile of palliative care oncology patients and their multidisciplinary needs in a home-care service. Method: A cross-sectional study with secondary data collection from cancer patients in palliative care, attended by the Home-Care Program of Conceição Hospital Group in 2013. Approved by the Ethics and Research Committee under No. 13,203. Results: There were 63 home-care patients diagnosed with cancer. Among those, 71.5% (n=45) were in palliative care, and 15.5% (n=7) had more than one admission to the Program. The median follow-up time of all patients was 22 (3-146) days, while for the number of home visits it was 6 (1-34). In addition to weekly home visits, patients were assisted by a nutritionist, a physiotherapist, and a social worker. Concerning the 45 hospitalizations, their main demands were pain management, wound dressings, glycemic control and intravenous antibiotic therapy. The main clinical complication was the reintroduction of a nasoenteral catheter (n=5). Discharge in stable health conditions occurred in 10 patients. Clinical complications and outcomes were analyzed. Conclusion: This study allowed us to identify the main demands of oncological palliative care patients attended by one Home-Care Service. We observed that most patients needed complex care, but the healthcare staff and/or trained caregiver were still able to provide it.
Downloads
Metrics
References
World Health Organization (WHO). Global status report on noncommunicable diseases 2010. Geneva: WHO; 2011.
Brasil. Ministério da Saúde. Portaria Nº 874 de 16 de Maio de 2013. Institui a Política Nacional para a Prevenção e Controle do Câncer na Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde (SUS). Brasília: Ministério da Saúde; 2013.
World Health Organization (WHO). National Cancer control Programmes: Policies and managerial guidelines world. Geneva: WHO; 2002.
Mendes EC, Vasconcellos LCF. Cuidados paliativos no câncer e os princípios doutrinários do SUS. Saúde Debate. 2015;39(106):881-92. DOI: https://doi.org/10.1590/0103-1104201510600030026
Brasil. Ministério da Saúde. Portaria Nº 825 de 25 de abril de 2016. Redefine a Atenção Domiciliar no âmbito do Sistema Único de Saúde (SUS) e atualiza as equipes habilitadas. Brasília: Ministério da Saúde; 2016.
Brasil. Ministério da Saúde. Portaria Nº 2.527 de 27 de Outubro de 2011. Redefine a Atenção Domiciliar no âmbito do Sistema Único de Saúde (SUS). Brasília: Ministério da Saúde; 2011.
Organização Mundial da Saúde. CID-10: classificação estatistica internacional de doenças e problemas relacionados a saúde. São Paulo: EDUSP, 1997. p.1191.
British Association for Enteral and Parenteral Nutrition. The MUST Explanatory Booklet. A guide to malnutrition universal screening tool (MUST) for adults. Malnutrition Advisory Group (MAG). [acesso 2014 Out
. Disponível em:
http://www.bapen.org.uk/pdfs/must/must_explan.pdf
Reis-Pina P, Lawlor PG, Barbosa A. Cancer-Related Pain Management and the Optimal Use of Opioids. Acta Med Port. 2015;28(3):376-81. DOI: http://dx.doi.org/10.20344/amp.5801 DOI: https://doi.org/10.20344/amp.5801
Velloso M, Jardim JR. Funcionalidade do paciente com doença pulmonar obstrutiva crônica e técnicas de conservação de energia. J Bras Pneumol. 2006;32(6):580-6. DOI: http://dx.doi.org/10.1590/S1806-37132006000600017 DOI: https://doi.org/10.1590/S1806-37132006000600017
García de Paredes ML, del Moral González F, Martínez del Prado P, Martí Ciriquián JL, Enrech Francés S, Cobo Dols M, et al. First evidence of oncologic neuropathic pain prevalence after screening 8615 cancer patients. Results of the On study. Ann Oncol. 2011;22(4):924-30. DOI: https://doi.org/10.1093/annonc/mdq449
Roberto A, Deandrea S, Greco MT, Corli O, Negri E, Pizzuto M, et al. Prevalence of Neuropathic Pain in Cancer Patients: Pooled Estimates From a Systematic Review of Published Literature and Results From a Survey Conducted in 50 Italian Palliative Care Centers. J Pain Symptom Manage. 2016;51(6):1091-102.e4. DOI: http://dx.doi.org/10.1016/j.jpainsymman.2015.12.336 DOI: https://doi.org/10.1016/j.jpainsymman.2015.12.336
Mercadante S. Breakthrough pain in cancer patients: prevalence, mechanisms and treatment options. Curr Opin Anaesthesiol. 2015;28(5):559-64. DOI: http://dx.doi.org/10.1097/ACO.0000000000000224 DOI: https://doi.org/10.1097/ACO.0000000000000224
Løhre ET, Klepstad P, Bennett MI, Brunelli C, Caraceni A, Fainsinger RL, et al. From “Breakthrough” to “Episodic” Cancer Pain? A European Association for Palliative Care Research Network Expert Delphi Survey Toward a Common Terminology and Classification of Transient Cancer Pain Exacerbations. J Pain Symptom Manage. 2016;51(6):1013-9. DOI: http://dx.doi.org/10.1016/j.jpainsymman.2015.12.329 DOI: https://doi.org/10.1016/j.jpainsymman.2015.12.329
Aguiar RM, Silva GRC. Os cuidados de enfermagem em feridas neoplásicas na assistência paliativa. Rev Hosp Univ Pedro Ernesto. 2012;11(2):82-8.
Agreda JJS, Bou JET. Atenção integral nos cuidados das feridas crônicas. Petrópolis: EPUB; 2012.
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José de Alencar - INCA. Consenso Nacional de Nutrição Oncológica. Brasília: Ministério da Saúde; 2011.
Floriani CA, Schramm FR. Desafios morais e operacionais na inclusão dos cuidados paliativos na rede de atenção básica. Cad Saúde Pública. 2007;23(9):2072-80. DOI: http://dx.doi.org/10.1590/S0102-311X2007000900015 DOI: https://doi.org/10.1590/S0102-311X2007000900015
Gomes B, Calanzani N, Gysels M, Hall S, Higginson IJ. Heterogeneity and changes in preferences for dying at home: a systematic review. BMC Palliat Care. 2013;12:7. DOI: http://dx.doi.org/10.1186/1472-684X-12-7 DOI: https://doi.org/10.1186/1472-684X-12-7
Pereira PBA. Atenção domiciliar e produção do cuidado: apostas e desafios atuais [Dissertação de mestrado]. São Paulo: Universidade Federal de São Paulo; 2014.
Oliveira Neto AV, Dias MB. Atenção Domiciliar no Sistema Único de Saúde (SUS): o que representou o Programa Melhor em Casa? Divulg Saúde Debate. 2014;51:58-71.
Dias MB, Savassi LCM, Nunes MRMTP, Zachi MLR. A Política Nacional de Atenção Domiciliar no Brasil: potencialidades, desafios e a valorização necessária da atenção primária à saúde. J Manag Prim Heal Care. 2015;6(1):1-7.
Savassi LCM. Os atuais desafios da Atenção Domiciliar na Atenção Primária à Saúde: uma análise na perspectiva do Sistema Único de Saúde. Rev Bras Med Fam Comunidade. 2016;11(38):1-12. DOI: http://dx.doi.org/10.5712/rbmfc11(38)1259 DOI: https://doi.org/10.5712/rbmfc11(38)1259
Downloads
Published
How to Cite
Issue
Section
License
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.
