Desafios no processo de transição aos cuidados paliativos do paciente idoso

• Autor(a) principal: Garcia, Larissa Souza
• Data de Publicação: 2023
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
• Texto Completo: http://www.repositorio.ufc.br/handle/riufc/74053
• topic: Cuidados Paliativos; Idoso; Cuidado Transicional

Over the years, the world is experiencing a process of demographic and epidemiological transition. Chronic non-communicable diseases (NCDs) have become part of everyday life for most of the population, especially the elderly. Leading them to a progressive functional decline, which precedes death. At a certain point, it is necessary to transition from healing care to comfort care. Palliative Care does not aim to accelerate or delay death but to promote life, accepting death as a natural and inevitable process. This work aimed to investigate in the literature the challenges in the process of transition to palliative care for elderly patients. This was an integrative literature review, data collection took place between January and February 2023, with a survey of publications through the following databases: Medline/Pubmed, EMBASE, Scopus, and Web of Science. After searching the databases, a total of 572 articles were selected, of which 216 were from Medline/Pubmed, 125 from SCOPUS, 79 from WEB OF SCIENCE, 152 from EMBASE. After this phase, 217 duplicate articles were excluded, leaving a total of 355 articles for title and abstract reading. After pre-selection by reading the title and abstract, 300 articles were excluded, leaving 55 articles for reading in full. After reading them in full, 4 articles were selected. Several challenges related to the transition to palliative care for elderly patients were identified. The most cited were the limited understanding of palliative care related to the patient and family but also to health professionals, ineffective communication, overlapping roles and the difficulty of timely referral to palliative care. It is possible to perceive the contemporaneity of the Palliative Care theme and its challenges, this is reflected in the selected articles, it is a current theme but there is little research on the subject. No article was found in the searched databases of Brazilian nationality, showing the need for further studies on the subject. The most recent study was carried out in 2020, showing a long period of time where there was no research on the subject. When challenges are identified, it is possible to correct the problems that hinder this smooth and timely transition.