Competências médicas em cuidados paliativos na medicina geral e familiar nos domínios da dor e controlo de sintomas e questões éticas e legais
: scoping review

Translated title of the thesis: Medical competencies in palliative care for general and family medicine in the domains of pain and symptom control and ethical and legal issues: a scoping review
  • Mafalda Sofia Marques Grafino (Student)

Student thesis: Master's Thesis

Abstract

Introduction: The provision of palliative care (PC) and the alleviation of suffering are considered an ethical, public health and respect for human rights issue. The general practice/family medicine specialty is in a privileged position in the provision of general CP, allowing greater coverage and accessibility to this care. However, the training of professionals has been identified as the main obstacle, so it is essential to define and provide professionals with basic skills. Thus, the present dissertation aims to list these same competences in the domains of pain and symptom control and ethical and legal issues. Methods: Scoping review according to the JBI methodology, whose research was carried out in December 2019. Studies published in international databases and gray literature in English, Spanish, French and Portuguese were included, without time limit and with an objective and clear knowledge of basic PC skills for the general practice/family medicine specialty in the domains of pain and symptom control and ethical and legal issues. Results: 4958 records in analysis from international databases and 15 from gray literature. Of these, 4 international database articles and 7 gray literature articles were included in the review resulting in the identification of 135 basic competencies in general practice/family medicine specialty in the domains of pain and symptom control (89) and ethical and legal issues (46). Conclusion: General practice/family medicine specialty has provided PC to its patients and families in their daily clinical practice. However, to date, little data exists on the basic competencies needed to provide quality PC in the domains of pain and symptom control and ethical and legal issues for the specialty, in Portugal. Thus, with the data collected in this scoping review, we hope to put this topic under discussion, allowing the development of a formal curriculum for the specialty.
Date of Award12 Jul 2022
Original languagePortuguese
Awarding Institution
  • Universidade Católica Portuguesa
SupervisorManuel Luís Capelas (Supervisor)

Keywords

  • General practice
  • General practitioner
  • Family medicine
  • Competencies
  • Palliative care

Designation

  • Mestrado em Cuidados Paliativos

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