When Grief May Not Be Normal: Approach in Primary Healthcare
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.29315/gm.v1i1.629 |
Resumo: | Grief is the natural response to the loss of a loved one, which affects the population universally. Acute grief reactions are normal and expected and should not be diagnosed as a disease. In more complex situations, complications may occur that prevent or delay the adaptation to the loss, leading to the development of prolonged grief. This entity can only be diagnosed at least six months after the loss, but the family physician, due to established proximity, can identify earlier and more accurately individuals at risk.The aim of this work is to create a screening tool to assess the risk of developing long-term grief disorder before six months after the loss.A search for scientific articles published in Medline/PubMed, using the terms “Grief”, “Bereavement”, “Risk assessment” and “Primary care”, and clinical guidelines, in English and Portuguese, in the last 10 years, was performed. Their selection was based on the relevance of the title, reading the abstract and full text.Diagnostic tools for prolonged grief disorder, validated for the Portuguese population, should be applied only after six months of the loss, but immutable risk factors, present since the loss, may be identified early. Therefore, a pilot screening tool is proposed in this work, to be applied in the first 6 months after the loss, guiding the need for reassessment or referral to specialized care.In the future, it is intended that this tool can be disseminated, applied and ideally validated in primary health care, with prognostic benefit for bereaved individuals. |
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When Grief May Not Be Normal: Approach in Primary HealthcareQuando o Luto Pode Não Ser Normal: Abordagem nos Cuidados de Saúde PrimáriosCuidados de Saúde PrimáriosLutoPerturbação de Luto ProlongadoGriefPrimary Health CareProlonged Grief DisorderGrief is the natural response to the loss of a loved one, which affects the population universally. Acute grief reactions are normal and expected and should not be diagnosed as a disease. In more complex situations, complications may occur that prevent or delay the adaptation to the loss, leading to the development of prolonged grief. This entity can only be diagnosed at least six months after the loss, but the family physician, due to established proximity, can identify earlier and more accurately individuals at risk.The aim of this work is to create a screening tool to assess the risk of developing long-term grief disorder before six months after the loss.A search for scientific articles published in Medline/PubMed, using the terms “Grief”, “Bereavement”, “Risk assessment” and “Primary care”, and clinical guidelines, in English and Portuguese, in the last 10 years, was performed. Their selection was based on the relevance of the title, reading the abstract and full text.Diagnostic tools for prolonged grief disorder, validated for the Portuguese population, should be applied only after six months of the loss, but immutable risk factors, present since the loss, may be identified early. Therefore, a pilot screening tool is proposed in this work, to be applied in the first 6 months after the loss, guiding the need for reassessment or referral to specialized care.In the future, it is intended that this tool can be disseminated, applied and ideally validated in primary health care, with prognostic benefit for bereaved individuals.O luto é a resposta natural à perda de um ente querido, que atinge a população de forma universal. As reações de luto agudo são normais e expectáveis e não devem ser diagnosticadas como doença. Em situações mais complexas podem ocorrer complicações que impedem ou atrasam a adaptação à perda, levando ao estabelecimento do luto prolongado. Esta entidade só pode ser diagnosticada decorridos pelo menos seis meses após a perda, mas o médico de família, pela proximidade, consegue identificar mais precocemente e com mais acurácia os indivíduos em risco.Pretende-se criar uma ferramenta de rastreio do risco de desenvolvimento de perturbação de luto prolongado antes dos seis meses após a perda.Foi efetuada pesquisa de artigos científicos publicados na Medline/PubMed, usando os termos “Grief”, “Bereavement”, “Risk assessment” e “Primary care”, e normas de orientação clínica, em língua inglesa e portuguesa, nos últimos 10 anos. A sua seleção baseou-se na pertinência do título, leitura do resumo e do texto integral.As ferramentas de diagnóstico de perturbação de luto prolongado validadas para a população portuguesa, aplicam-se apenas depois dos seis meses desde a perda, mas estão descritos fatores de risco imutáveis que podem ser precocemente identificados. Assim, propõe-se uma ferramenta piloto de rastreio para ser aplicada nos primeiros 6 meses após a perda, que permita orientar a necessidade de reavaliação ou referenciação a cuidados especializados.De futuro, pretende-se que esta possa ser divulgada, aplicada e idealmente validada, no âmbito dos cuidados de saúde primários, com benefício prognóstico dos indivíduos em luto.CUF Academic Center2023-12-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.29315/gm.v1i1.629https://doi.org/10.29315/gm.v1i1.629Gazeta Médica; NUMBER 4 · VOLUME 10 · OCTOBER/DECEMBER 2023; 294-303Gazeta Médica; NÚMERO 4 · VOLUME 10 · OUTUBRO/DEZEMBRO 2023; 294-3032184-06282183-813510.29315/gm.v10i4reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.gazetamedica.pt/index.php/gazeta/article/view/629https://www.gazetamedica.pt/index.php/gazeta/article/view/629/450Copyright (c) 2023 Gazeta Médicahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessdos Santos, Emíliada Costa, InêsGraça Silva, PatríciaPaulino, Joãodo Céu Ferreira, Maria2023-12-30T04:45:42Zoai:ojs.pkp.sfu.ca:article/629Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:37:56.700023Repositório 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 |
When Grief May Not Be Normal: Approach in Primary Healthcare Quando o Luto Pode Não Ser Normal: Abordagem nos Cuidados de Saúde Primários |
title |
When Grief May Not Be Normal: Approach in Primary Healthcare |
spellingShingle |
When Grief May Not Be Normal: Approach in Primary Healthcare dos Santos, Emília Cuidados de Saúde Primários Luto Perturbação de Luto Prolongado Grief Primary Health Care Prolonged Grief Disorder |
title_short |
When Grief May Not Be Normal: Approach in Primary Healthcare |
title_full |
When Grief May Not Be Normal: Approach in Primary Healthcare |
title_fullStr |
When Grief May Not Be Normal: Approach in Primary Healthcare |
title_full_unstemmed |
When Grief May Not Be Normal: Approach in Primary Healthcare |
title_sort |
When Grief May Not Be Normal: Approach in Primary Healthcare |
author |
dos Santos, Emília |
author_facet |
dos Santos, Emília da Costa, Inês Graça Silva, Patrícia Paulino, João do Céu Ferreira, Maria |
author_role |
author |
author2 |
da Costa, Inês Graça Silva, Patrícia Paulino, João do Céu Ferreira, Maria |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
dos Santos, Emília da Costa, Inês Graça Silva, Patrícia Paulino, João do Céu Ferreira, Maria |
dc.subject.por.fl_str_mv |
Cuidados de Saúde Primários Luto Perturbação de Luto Prolongado Grief Primary Health Care Prolonged Grief Disorder |
topic |
Cuidados de Saúde Primários Luto Perturbação de Luto Prolongado Grief Primary Health Care Prolonged Grief Disorder |
description |
Grief is the natural response to the loss of a loved one, which affects the population universally. Acute grief reactions are normal and expected and should not be diagnosed as a disease. In more complex situations, complications may occur that prevent or delay the adaptation to the loss, leading to the development of prolonged grief. This entity can only be diagnosed at least six months after the loss, but the family physician, due to established proximity, can identify earlier and more accurately individuals at risk.The aim of this work is to create a screening tool to assess the risk of developing long-term grief disorder before six months after the loss.A search for scientific articles published in Medline/PubMed, using the terms “Grief”, “Bereavement”, “Risk assessment” and “Primary care”, and clinical guidelines, in English and Portuguese, in the last 10 years, was performed. Their selection was based on the relevance of the title, reading the abstract and full text.Diagnostic tools for prolonged grief disorder, validated for the Portuguese population, should be applied only after six months of the loss, but immutable risk factors, present since the loss, may be identified early. Therefore, a pilot screening tool is proposed in this work, to be applied in the first 6 months after the loss, guiding the need for reassessment or referral to specialized care.In the future, it is intended that this tool can be disseminated, applied and ideally validated in primary health care, with prognostic benefit for bereaved individuals. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-29 |
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://doi.org/10.29315/gm.v1i1.629 https://doi.org/10.29315/gm.v1i1.629 |
url |
https://doi.org/10.29315/gm.v1i1.629 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.gazetamedica.pt/index.php/gazeta/article/view/629 https://www.gazetamedica.pt/index.php/gazeta/article/view/629/450 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Gazeta Médica http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Gazeta Médica http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
CUF Academic Center |
publisher.none.fl_str_mv |
CUF Academic Center |
dc.source.none.fl_str_mv |
Gazeta Médica; NUMBER 4 · VOLUME 10 · OCTOBER/DECEMBER 2023; 294-303 Gazeta Médica; NÚMERO 4 · VOLUME 10 · OUTUBRO/DEZEMBRO 2023; 294-303 2184-0628 2183-8135 10.29315/gm.v10i4 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 |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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