Caracterização das necessidades em cuidados paliativos em estruturas residenciais para pessoas idosas

  • Andreia Manuela Duarte de Andrade (Student)

Student thesis: Master's Thesis

Abstract

Introduction: Population aging has been accompanied by an increase in the prevalence of chronic diseases, with a consequent increase in the dependence on third parties to meet basic needs and, sometimes, the need for institutionalization of the elderly. The clinical situations of elderly people institutionalized in residential facilities for the elderly are becoming increasingly complex. The integration of palliative care will allow eliminating situations that may generate suffering and adapting interventions and the care plan. Methodology: We aimed to identify the palliative care needs of the elderly institutionalised in residential care facilities for the elderly, characterising their health condition in terms of comorbidities, symptoms and levels of dependence, so as to contribute to a new perspective and reflection on this reality. This is a quantitative, cross-sectional, exploratory-descriptive study, carried out in 6 residential structures for elderly people. We included the elderly with a positive Surprise question, who were institutionalized at the date of data collection, according to the health professional of each institution that collaborated with the study. For data collection, an instrument was designed to collect the sociodemographic characteristics of the elderly with the inclusion of the NECPAL CCOMS-ICO (Spanish version 3.1). Results: Among the 488 institutionalized elderly, 126 had positive Surprise Question. A 100% prevalence of palliative needs was found, and only 3.1% were referred for palliative care, which alerts to the issues of low referral. Conclusions: We conclude that the percentage of institutionalized elderly in need of palliative care is high, and its implementation in these institutions is fundamental. The recognition of palliative care, as an element of the evolution of a chronic and progressive disease, would allow for a more monitored disease trajectory, with more quality of life and the experience of a dignified death.
Date of Award21 Dec 2021
Original languagePortuguese
Awarding Institution
  • Universidade Católica Portuguesa
SupervisorSílvia Coelho (Supervisor)

Keywords

  • Palliative care
  • Residential care facilities for the elderly
  • Palliative needs

Designation

  • Mestrado em Cuidados Paliativos

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