Functional capacity of patients indicated for palliative care in primary care
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Geriatrics, Gerontology and Aging (Online) |
Texto Completo: | https://ggaging.com/details/482 |
Resumo: | <p><b>INTRODUCTION:</b> Patients indicated for palliative care may have losses in functional capacity and quality of life, but there is little information about these conditions in primary health care.<br> <b>OBJECTIVE:</b> To characterize the functional and symptomatic aspects of individuals indicated for palliative care in primary care. METHODS: This cross-sectional descriptive study involved six family health teams from three basic health units in Londrina, Paraná, Brazil that indicated patients with palliative care needs. The patients were assessed with the Karnofsky Performance Scale (KPS), the Edmonton Symptom Assessment Scale (ESAS) and a sociodemographic and clinical questionnaire.<br> <b>RESULTS:</b> 73 patients (30 men and 43 women) whose mean age was 77.2 ± 12.1 years were included. Dementia and cerebrovascular diseases were the most frequent conditions, with 20 (27%) and 19 (26%) patients, respectively. The mean KPS score was 47.9 ± 13.9 points (44 ± 11.3 points for men and 51 ± 11.3 for women), with a significant difference between the sexes (p = 0.023). Cancer patients had better functionality than those with neurological diseases. The ESAS, whose mean score was below 3 points (mild intensity), indicated that the most frequent symptoms were impaired well-being, pain, fatigue and drowsiness. Patients without caregivers had better functional status, but greater pain and fatigue intensity.<br> <b>CONCLUSION:</b> All patients had some functional limitations, and those with neurological diseases were the most affected. The symptoms were generally mild. The presence of caregivers may positively influence symptom control.</p> |
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Functional capacity of patients indicated for palliative care in primary careprimary health care palliative care frail elderly disabled persons quality of life.<p><b>INTRODUCTION:</b> Patients indicated for palliative care may have losses in functional capacity and quality of life, but there is little information about these conditions in primary health care.<br> <b>OBJECTIVE:</b> To characterize the functional and symptomatic aspects of individuals indicated for palliative care in primary care. METHODS: This cross-sectional descriptive study involved six family health teams from three basic health units in Londrina, Paraná, Brazil that indicated patients with palliative care needs. The patients were assessed with the Karnofsky Performance Scale (KPS), the Edmonton Symptom Assessment Scale (ESAS) and a sociodemographic and clinical questionnaire.<br> <b>RESULTS:</b> 73 patients (30 men and 43 women) whose mean age was 77.2 ± 12.1 years were included. Dementia and cerebrovascular diseases were the most frequent conditions, with 20 (27%) and 19 (26%) patients, respectively. The mean KPS score was 47.9 ± 13.9 points (44 ± 11.3 points for men and 51 ± 11.3 for women), with a significant difference between the sexes (p = 0.023). Cancer patients had better functionality than those with neurological diseases. The ESAS, whose mean score was below 3 points (mild intensity), indicated that the most frequent symptoms were impaired well-being, pain, fatigue and drowsiness. Patients without caregivers had better functional status, but greater pain and fatigue intensity.<br> <b>CONCLUSION:</b> All patients had some functional limitations, and those with neurological diseases were the most affected. The symptoms were generally mild. The presence of caregivers may positively influence symptom control.</p>Sociedade Brasileira de Geriatria e Gerontologia2018-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/482Geriatrics, Gerontology and Aging v.12 n.3 2018reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGG10.5327/Z2447-211520181800026info:eu-repo/semantics/openAccess Marcucci,Fernando Cesar Iwamoto Martins,Vanessa Mara Barros,Eder Marcos Lopes de Perilla,Anamaria Baquero Brun,Marília Maroneze Cabrera,Marcos Aparecido Sarriaeng2018-07-01T00:00:00Zoai:ggaging.com:482Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2018-07-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse |
dc.title.none.fl_str_mv |
Functional capacity of patients indicated for palliative care in primary care |
title |
Functional capacity of patients indicated for palliative care in primary care |
spellingShingle |
Functional capacity of patients indicated for palliative care in primary care Marcucci,Fernando Cesar Iwamoto primary health care palliative care frail elderly disabled persons quality of life. |
title_short |
Functional capacity of patients indicated for palliative care in primary care |
title_full |
Functional capacity of patients indicated for palliative care in primary care |
title_fullStr |
Functional capacity of patients indicated for palliative care in primary care |
title_full_unstemmed |
Functional capacity of patients indicated for palliative care in primary care |
title_sort |
Functional capacity of patients indicated for palliative care in primary care |
author |
Marcucci,Fernando Cesar Iwamoto |
author_facet |
Marcucci,Fernando Cesar Iwamoto Martins,Vanessa Mara Barros,Eder Marcos Lopes de Perilla,Anamaria Baquero Brun,Marília Maroneze Cabrera,Marcos Aparecido Sarria |
author_role |
author |
author2 |
Martins,Vanessa Mara Barros,Eder Marcos Lopes de Perilla,Anamaria Baquero Brun,Marília Maroneze Cabrera,Marcos Aparecido Sarria |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Marcucci,Fernando Cesar Iwamoto Martins,Vanessa Mara Barros,Eder Marcos Lopes de Perilla,Anamaria Baquero Brun,Marília Maroneze Cabrera,Marcos Aparecido Sarria |
dc.subject.por.fl_str_mv |
primary health care palliative care frail elderly disabled persons quality of life. |
topic |
primary health care palliative care frail elderly disabled persons quality of life. |
description |
<p><b>INTRODUCTION:</b> Patients indicated for palliative care may have losses in functional capacity and quality of life, but there is little information about these conditions in primary health care.<br> <b>OBJECTIVE:</b> To characterize the functional and symptomatic aspects of individuals indicated for palliative care in primary care. METHODS: This cross-sectional descriptive study involved six family health teams from three basic health units in Londrina, Paraná, Brazil that indicated patients with palliative care needs. The patients were assessed with the Karnofsky Performance Scale (KPS), the Edmonton Symptom Assessment Scale (ESAS) and a sociodemographic and clinical questionnaire.<br> <b>RESULTS:</b> 73 patients (30 men and 43 women) whose mean age was 77.2 ± 12.1 years were included. Dementia and cerebrovascular diseases were the most frequent conditions, with 20 (27%) and 19 (26%) patients, respectively. The mean KPS score was 47.9 ± 13.9 points (44 ± 11.3 points for men and 51 ± 11.3 for women), with a significant difference between the sexes (p = 0.023). Cancer patients had better functionality than those with neurological diseases. The ESAS, whose mean score was below 3 points (mild intensity), indicated that the most frequent symptoms were impaired well-being, pain, fatigue and drowsiness. Patients without caregivers had better functional status, but greater pain and fatigue intensity.<br> <b>CONCLUSION:</b> All patients had some functional limitations, and those with neurological diseases were the most affected. The symptoms were generally mild. The presence of caregivers may positively influence symptom control.</p> |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ggaging.com/details/482 |
url |
https://ggaging.com/details/482 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5327/Z2447-211520181800026 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
dc.source.none.fl_str_mv |
Geriatrics, Gerontology and Aging v.12 n.3 2018 reponame:Geriatrics, Gerontology and Aging (Online) instname:Sociedade Brasileira de Geriatria e Gerontologia instacron:SBGG |
instname_str |
Sociedade Brasileira de Geriatria e Gerontologia |
instacron_str |
SBGG |
institution |
SBGG |
reponame_str |
Geriatrics, Gerontology and Aging (Online) |
collection |
Geriatrics, Gerontology and Aging (Online) |
repository.name.fl_str_mv |
Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologia |
repository.mail.fl_str_mv |
executiveditors@ggaging.com||nacional@sbgg.org.br |
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1797174502139887616 |