Palliative care to elderly in critical care unit: feasible reality [Abstract in English]

Detalhes bibliográficos
Autor(a) principal: Fonseca, Anelise Coelho
Data de Publicação: 2010
Outros Autores: Fonseca, Maria de Jesus Mendes
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510
Resumo: AIMS: This article discusses the role of Intensive Care Unit from the perspective of elderly with chronic diseases in advanced stage, considering that this place can be one of the alternatives for allocation of these patients, and in these cases palliative care are useful tools to work. SOURCE OF DATA: Articles from PubMed within the past 10 years were reviewed, using the key words Unidade de Terapia Intensiva, Cuidados Paliativos, Critical Care Unit and Palliative Care. SUMMARY OF FINDINGS: The intersection between palliative care and the Intensive Care Unit should be understood in the context of changing patterns of disease and longevity of patients with chronic non-communicable diseases. Palliative care are clinical interventions directed at patients whose disease progression cause discomforting symptoms and signs, including elements associated with clinical instability. The practices of the Intensive Care Unit have as premises the restoration of physiology, and to achieve this goal they apply pharmacological resources, prostheses and artificial devices. The need to use palliative measures in the Intensive Care Unit was realized from information about the high prevalence of pain and other symptoms of suffering and distress, either to the patients, either for their families or for the team that attends them. CONCLUSIONS: We must strengthen healthcare professionals that palliative care are not incompatible with the Critical Care Unit. Rather, their relevance is in the way that their actions assist in the targeting of comfort.
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spelling Palliative care to elderly in critical care unit: feasible reality [Abstract in English]Cuidados paliativos para idosos na unidade de terapia intensiva: realidade factívelHOSPICE CAREPALLIATIVE CAREINTENSIVE CARE UNITS/ethicsFRAIL ELDERLYHEALTH PERSONNEL/educationCHRONIC DISEASE.CUIDADOS PALIATIVOSASSISTÊNCIA PALIATIVAUNIDADES DE TERAPIA INTENSIVA/éticaIDOSO FRAGILIZADOPESSOAL DE SAÚDE/educaçãoDOENÇA CRÔNICA.AIMS: This article discusses the role of Intensive Care Unit from the perspective of elderly with chronic diseases in advanced stage, considering that this place can be one of the alternatives for allocation of these patients, and in these cases palliative care are useful tools to work. SOURCE OF DATA: Articles from PubMed within the past 10 years were reviewed, using the key words Unidade de Terapia Intensiva, Cuidados Paliativos, Critical Care Unit and Palliative Care. SUMMARY OF FINDINGS: The intersection between palliative care and the Intensive Care Unit should be understood in the context of changing patterns of disease and longevity of patients with chronic non-communicable diseases. Palliative care are clinical interventions directed at patients whose disease progression cause discomforting symptoms and signs, including elements associated with clinical instability. The practices of the Intensive Care Unit have as premises the restoration of physiology, and to achieve this goal they apply pharmacological resources, prostheses and artificial devices. The need to use palliative measures in the Intensive Care Unit was realized from information about the high prevalence of pain and other symptoms of suffering and distress, either to the patients, either for their families or for the team that attends them. CONCLUSIONS: We must strengthen healthcare professionals that palliative care are not incompatible with the Critical Care Unit. Rather, their relevance is in the way that their actions assist in the targeting of comfort.OBJETIVOS: este artigo discute o papel da Unidade de Terapia Intensiva na perspectiva dos idosos portadores de doenças crônicas em fase avançada, considerando que o local pode ser uma das alternativas de alocação desses enfermos e, nesses casos, os cuidados paliativos representam valiosas ferramentas de trabalho. FONTE DE DADOS: foram revisados artigos dos últimos 10 anos no portal PubMed, utilizando os descritores Unidade de Terapia Intensiva, Cuidados Paliativos, Critical Care Unit e Palliative Care. SÍNTESE DOS DADOS: a interseção entre cuidados paliativos e a Unidade de Terapia Intensiva deve ser entendida no contexto das mudanças no padrão das doenças e na longevidade dos portadores das doenças crônicas não-transmissíveis. Os cuidados paliativos são intervenções clínicas direcionadas aos pacientes portadores de enfermidades cuja progressão provoca sinais e sintomas desconfortantes, inclusive com elementos associados à instabilidade clínica. As práticas da Unidade de Terapia Intensiva têm como premissa o restabelecimento da fisiologia, e para atingir seu objetivo aplicam recursos farmacológicos, próteses e dispositivos artificiais. A necessidade de utilizar as medidas paliativas na Unidade de Terapia Intensiva foi vislumbrada a partir de informações sobre a elevada prevalência de dor e de outros sintomas de sofrimento e angústia, seja para o paciente, seja para sua família ou para a equipe que o assiste. CONCLUSÕES: é preciso reforçar aos profissionais da saúde que os cuidados paliativos não são incompatíveis com a Unidade de Terapia Intensiva. Ao contrário, sua relevância evidencia-se na maneira com que as suas ações auxiliam no direcionamento do conforto.Editora da PUCRS - ediPUCRS2010-12-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510Scientia Medica; Vol. 20 No. 4 (2010); 301-309Scientia Medica; v. 20 n. 4 (2010); 301-3091980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510/5829https://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510/5830Fonseca, Anelise CoelhoFonseca, Maria de Jesus Mendesinfo:eu-repo/semantics/openAccess2013-07-16T12:13:33Zoai:ojs.revistaseletronicas.pucrs.br:article/7510Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-16T12:13:33Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
Cuidados paliativos para idosos na unidade de terapia intensiva: realidade factível
title Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
spellingShingle Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
Fonseca, Anelise Coelho
HOSPICE CARE
PALLIATIVE CARE
INTENSIVE CARE UNITS/ethics
FRAIL ELDERLY
HEALTH PERSONNEL/education
CHRONIC DISEASE.
CUIDADOS PALIATIVOS
ASSISTÊNCIA PALIATIVA
UNIDADES DE TERAPIA INTENSIVA/ética
IDOSO FRAGILIZADO
PESSOAL DE SAÚDE/educação
DOENÇA CRÔNICA.
title_short Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
title_full Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
title_fullStr Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
title_full_unstemmed Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
title_sort Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
author Fonseca, Anelise Coelho
author_facet Fonseca, Anelise Coelho
Fonseca, Maria de Jesus Mendes
author_role author
author2 Fonseca, Maria de Jesus Mendes
author2_role author
dc.contributor.author.fl_str_mv Fonseca, Anelise Coelho
Fonseca, Maria de Jesus Mendes
dc.subject.por.fl_str_mv HOSPICE CARE
PALLIATIVE CARE
INTENSIVE CARE UNITS/ethics
FRAIL ELDERLY
HEALTH PERSONNEL/education
CHRONIC DISEASE.
CUIDADOS PALIATIVOS
ASSISTÊNCIA PALIATIVA
UNIDADES DE TERAPIA INTENSIVA/ética
IDOSO FRAGILIZADO
PESSOAL DE SAÚDE/educação
DOENÇA CRÔNICA.
topic HOSPICE CARE
PALLIATIVE CARE
INTENSIVE CARE UNITS/ethics
FRAIL ELDERLY
HEALTH PERSONNEL/education
CHRONIC DISEASE.
CUIDADOS PALIATIVOS
ASSISTÊNCIA PALIATIVA
UNIDADES DE TERAPIA INTENSIVA/ética
IDOSO FRAGILIZADO
PESSOAL DE SAÚDE/educação
DOENÇA CRÔNICA.
description AIMS: This article discusses the role of Intensive Care Unit from the perspective of elderly with chronic diseases in advanced stage, considering that this place can be one of the alternatives for allocation of these patients, and in these cases palliative care are useful tools to work. SOURCE OF DATA: Articles from PubMed within the past 10 years were reviewed, using the key words Unidade de Terapia Intensiva, Cuidados Paliativos, Critical Care Unit and Palliative Care. SUMMARY OF FINDINGS: The intersection between palliative care and the Intensive Care Unit should be understood in the context of changing patterns of disease and longevity of patients with chronic non-communicable diseases. Palliative care are clinical interventions directed at patients whose disease progression cause discomforting symptoms and signs, including elements associated with clinical instability. The practices of the Intensive Care Unit have as premises the restoration of physiology, and to achieve this goal they apply pharmacological resources, prostheses and artificial devices. The need to use palliative measures in the Intensive Care Unit was realized from information about the high prevalence of pain and other symptoms of suffering and distress, either to the patients, either for their families or for the team that attends them. CONCLUSIONS: We must strengthen healthcare professionals that palliative care are not incompatible with the Critical Care Unit. Rather, their relevance is in the way that their actions assist in the targeting of comfort.
publishDate 2010
dc.date.none.fl_str_mv 2010-12-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510/5829
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/7510/5830
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 20 No. 4 (2010); 301-309
Scientia Medica; v. 20 n. 4 (2010); 301-309
1980-6108
1806-5562
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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