Contributo da enfermagem de reabilitação em cuidados paliativos

Abstract

Palliative Care appear as a response to the needs of patients who have advanced, progressive and incurable disease and their families. They aim to provide prevention and relief from pain and suffering, to promote quality in life and dignity in death, as well as bereavement support. The integration of rehabilitation in Palliative care is recent and may seem inadequate, but research shows its importance. Rehabilitation is a holistic help process, acting on different patients and families dimensions. Palliative rehabilitation is advantageous because it helps in the recovery of the sequelae of the disease, maintaining the functional state, reducing the impact of disability in quality of patient and family lives and preventing the appearance of new disabilities. It is important in physical, psychological, social and spiritual symptom control. This research study had as objectives: to identify the Serviço de Cuidados Paliativos (SCP) of Instituto Português de Oncologia (IPO) - Porto profile of inpatients submitted to rehabilitation intervention (MFR); to identify the reasons for rehabilitation referral as well as the most used therapies; and to analyze the effectiveness of rehabilitation therapies. It has been developed in SCP – Porto with a sample consisting of twenty four patients hospitalized in SCP whose doctors asked for rehabilitation (MFR) evaluation and intervention. It is a descriptive and retrospective study, based on the review of routine notes. All requests were analyzed between January of 2006 and December of 2009. This study showed that in SCP patients with cancer of the reproductive system are more referenced to MFR. Pain and edema / lymphedema are the most common rehabilitation diagnosis. Orthoses and respiratory physiotherapy are the most frequent interventions. Lack of information about the effectiveness of rehabilitation interventions was one of the main difficulties.

Date of Award	21 Nov 2014
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Ana Paula Gonçalves Antunes Sapeta (Supervisor)