Palliative care to elderly in critical care unit: feasible reality [Abstract in English]
Autor(a) principal: | |
---|---|
Data de Publicação: | 2010 |
Outros Autores: | |
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. |
id |
PUC_RS-25_93dadc92d1fe02208136964135087d07 |
---|---|
oai_identifier_str |
oai:ojs.revistaseletronicas.pucrs.br:article/7510 |
network_acronym_str |
PUC_RS-25 |
network_name_str |
Scientia Medica (Porto Alegre. Online) |
repository_id_str |
|
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 |
_version_ |
1809101749483470848 |