Oncology palliative care in a public home-care service

• Autor(a) principal: Pilatti, Patrícia
• Data de Publicação: 2017
• Outros Autores: Lagni, Verlaine Balzan, Picasso, Milene Campanholo, Puma, Karen, Mestriner, Raquel Jeanty de Seixas, Machado, Diani de Oliveira, Mahmud, Sati Jaber, Jardim, Gislaine dos Santos, Braga, Heloisa Arrussul, Blatt, Carine Raquel, Zortéa, Karine
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/1339
• topic: Palliative Care. Medical Oncology. Home-Care Services.Unified Health System; Cuidados Paliativos. Oncología Médica. Servicios de Atención de Salud a Domicilio. Sistema Único de Salud; Cuidados Paliativos. Oncologia. Serviços de Assistência Domiciliar. Sistema Único de Saúde; cuidados paliativos; assistência domiciliar

Objective: To identify the profile of palliative care oncology patients and their multidisciplinary needs in a home-care service. Method: A cross-sectional study with secondary data collection from cancer patients in palliative care, attended by the Home-Care Program of Conceição Hospital Group in 2013. Approved by the Ethics and Research Committee under No. 13,203. Results: There were 63 home-care patients diagnosed with cancer. Among those, 71.5% (n=45) were in palliative care, and 15.5% (n=7) had more than one admission to the Program. The median follow-up time of all patients was 22 (3-146) days, while for the number of home visits it was 6 (1-34). In addition to weekly home visits, patients were assisted by a nutritionist, a physiotherapist, and a social worker. Concerning the 45 hospitalizations, their main demands were pain management, wound dressings, glycemic control and intravenous antibiotic therapy. The main clinical complication was the reintroduction of a nasoenteral catheter (n=5). Discharge in stable health conditions occurred in 10 patients. Clinical complications and outcomes were analyzed. Conclusion: This study allowed us to identify the main demands of oncological palliative care patients attended by one Home-Care Service. We observed that most patients needed complex care, but the healthcare staff and/or trained caregiver were still able to provide it.