When Grief May Not Be Normal: Approach in Primary Healthcare

Detalhes bibliográficos
Autor(a) principal: dos Santos, Emília
Data de Publicação: 2023
Outros Autores: da Costa, Inês, Graça Silva, Patrícia, Paulino, João, do Céu Ferreira, Maria
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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spelling 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
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dc.identifier.uri.fl_str_mv https://doi.org/10.29315/gm.v1i1.629
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url https://doi.org/10.29315/gm.v1i1.629
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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
dc.format.none.fl_str_mv 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
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