Comparative study of end-of-life care in an internal medicine ward and a palliative care unit.
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487 |
Resumo: | Dued to ageing population and growing of chronic advanced illnesses, nowadays, the majority of deaths take place in hospitals. Terminal patients with cancer and other non-malignant diseases share the same type of problems which, once correctly accessed, may have similar approach. Inappropriate terminal care can lead to unnecessary suffering of patients and their families.A retrospective chart review was done for the first 96 patients who died in 2005 due to advanced chronic illnesses in a Internal Medicine ward (48 patients) and in a Palliative Care unit (48 patients). The main outcome was the documentation of the presence/absence of a group of symptoms, the ability of the medical staff to perceive the patients as dying and the adjustments made in the comfort care plans.There were no demographic differences between the two sets of populations. In the Internal medicine ward it was seen an acute pattern of treatment even though the situation was clearly chronic and advanced. In the Palliative Care Unit there was a systematic surveillance and assessment of symptoms and other problems, like psycho-spiritual needs. In both environments, pain, dyspnoea and gastrointestinal problems were the symptoms most frequently recorded in clinical charts. The number of symptom recordings entered diminished in the agonic phase.These data highlight the need for a better assessment of patients' needs in order to promote impeccable end-of-life care. |
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Comparative study of end-of-life care in an internal medicine ward and a palliative care unit.Estudo comparativo dos cuidados prestados a doentes nos últimos dias de vida num serviço de medicina interna e numa unidade de cuidados paliativos.Dued to ageing population and growing of chronic advanced illnesses, nowadays, the majority of deaths take place in hospitals. Terminal patients with cancer and other non-malignant diseases share the same type of problems which, once correctly accessed, may have similar approach. Inappropriate terminal care can lead to unnecessary suffering of patients and their families.A retrospective chart review was done for the first 96 patients who died in 2005 due to advanced chronic illnesses in a Internal Medicine ward (48 patients) and in a Palliative Care unit (48 patients). The main outcome was the documentation of the presence/absence of a group of symptoms, the ability of the medical staff to perceive the patients as dying and the adjustments made in the comfort care plans.There were no demographic differences between the two sets of populations. In the Internal medicine ward it was seen an acute pattern of treatment even though the situation was clearly chronic and advanced. In the Palliative Care Unit there was a systematic surveillance and assessment of symptoms and other problems, like psycho-spiritual needs. In both environments, pain, dyspnoea and gastrointestinal problems were the symptoms most frequently recorded in clinical charts. The number of symptom recordings entered diminished in the agonic phase.These data highlight the need for a better assessment of patients' needs in order to promote impeccable end-of-life care.Dued to ageing population and growing of chronic advanced illnesses, nowadays, the majority of deaths take place in hospitals. Terminal patients with cancer and other non-malignant diseases share the same type of problems which, once correctly accessed, may have similar approach. Inappropriate terminal care can lead to unnecessary suffering of patients and their families.A retrospective chart review was done for the first 96 patients who died in 2005 due to advanced chronic illnesses in a Internal Medicine ward (48 patients) and in a Palliative Care unit (48 patients). The main outcome was the documentation of the presence/absence of a group of symptoms, the ability of the medical staff to perceive the patients as dying and the adjustments made in the comfort care plans.There were no demographic differences between the two sets of populations. In the Internal medicine ward it was seen an acute pattern of treatment even though the situation was clearly chronic and advanced. In the Palliative Care Unit there was a systematic surveillance and assessment of symptoms and other problems, like psycho-spiritual needs. In both environments, pain, dyspnoea and gastrointestinal problems were the symptoms most frequently recorded in clinical charts. The number of symptom recordings entered diminished in the agonic phase.These data highlight the need for a better assessment of patients' needs in order to promote impeccable end-of-life care.Ordem dos Médicos2011-12-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487oai:ojs.www.actamedicaportuguesa.com:article/487Acta Médica Portuguesa; Vol. 24 No. 4 (2011): Julho-Agosto; 545-54Acta Médica Portuguesa; Vol. 24 N.º 4 (2011): Julho-Agosto; 545-541646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487/195Carneiro, RuiBarbedo, IsabelCosta, IsabelReis, ErnestinaRocha, NelsonGonçalves, Ednainfo:eu-repo/semantics/openAccess2022-12-20T10:56:21Zoai:ojs.www.actamedicaportuguesa.com:article/487Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:31.849250Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. Estudo comparativo dos cuidados prestados a doentes nos últimos dias de vida num serviço de medicina interna e numa unidade de cuidados paliativos. |
title |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. |
spellingShingle |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. Carneiro, Rui |
title_short |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. |
title_full |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. |
title_fullStr |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. |
title_full_unstemmed |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. |
title_sort |
Comparative study of end-of-life care in an internal medicine ward and a palliative care unit. |
author |
Carneiro, Rui |
author_facet |
Carneiro, Rui Barbedo, Isabel Costa, Isabel Reis, Ernestina Rocha, Nelson Gonçalves, Edna |
author_role |
author |
author2 |
Barbedo, Isabel Costa, Isabel Reis, Ernestina Rocha, Nelson Gonçalves, Edna |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Carneiro, Rui Barbedo, Isabel Costa, Isabel Reis, Ernestina Rocha, Nelson Gonçalves, Edna |
description |
Dued to ageing population and growing of chronic advanced illnesses, nowadays, the majority of deaths take place in hospitals. Terminal patients with cancer and other non-malignant diseases share the same type of problems which, once correctly accessed, may have similar approach. Inappropriate terminal care can lead to unnecessary suffering of patients and their families.A retrospective chart review was done for the first 96 patients who died in 2005 due to advanced chronic illnesses in a Internal Medicine ward (48 patients) and in a Palliative Care unit (48 patients). The main outcome was the documentation of the presence/absence of a group of symptoms, the ability of the medical staff to perceive the patients as dying and the adjustments made in the comfort care plans.There were no demographic differences between the two sets of populations. In the Internal medicine ward it was seen an acute pattern of treatment even though the situation was clearly chronic and advanced. In the Palliative Care Unit there was a systematic surveillance and assessment of symptoms and other problems, like psycho-spiritual needs. In both environments, pain, dyspnoea and gastrointestinal problems were the symptoms most frequently recorded in clinical charts. The number of symptom recordings entered diminished in the agonic phase.These data highlight the need for a better assessment of patients' needs in order to promote impeccable end-of-life care. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-12-12 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487 oai:ojs.www.actamedicaportuguesa.com:article/487 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/487 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/487/195 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 24 No. 4 (2011): Julho-Agosto; 545-54 Acta Médica Portuguesa; Vol. 24 N.º 4 (2011): Julho-Agosto; 545-54 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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