Identification and characterization of elderly patients eligible for palliative care

Detalhes bibliográficos
Autor(a) principal: Barros, Joyce Assunção
Data de Publicação: 2022
Outros Autores: Simões, Anna Luiza Salathiel, Andrino, Sulamares, Nicolussi, Adriana Cristina
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/28980
Resumo: Objective: to identify and characterize the elderly hospitalized in a medical clinic sector of a hospital of clinics, in terms of having eligible criteria and having been indicated for palliative care. Method: retrospective, descriptive and quantitative study. Data were collected through the investigation of electronic medical records of all elderly hospitalized from January to December 2019, in a medical clinic sector and filling out the Supportive and palliative care indications tool (SPICT) questionnaire. Descriptive analysis was performed to characterize the sample and Fisher's Exact Test to assess the association between two categorical variables. Results: 379 medical records were evaluated, and of these, it was found that 146 (38.5%) elderly were eligible for palliative care. Of this sample, men predominated (63%), with a mean age of 73.9 years. The most frequent diagnosis was chronic obstructive pulmonary disease (17.8%) and the underlying disease was systemic arterial hypertension (67.8%). Of the 146 elderly eligible for palliative care, only 50 actually received the indication by the health team and from this sample, 68% had death as an outcome. Conclusion: less than half of elderly patients eligible for palliative care actually received the indication. It is essential that professionals have knowledge about the principles and indication of palliative care, in order to plan and implement adequate care and then provide a better quality of life for this profile of patients.
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spelling Identification and characterization of elderly patients eligible for palliative careIdentificación y caracterización de pacientes ancianos elegibles para cuidados paliativosIdentificação e caracterização de pacientes idosos elegíveis a cuidados paliativosHealth of the ElderlyPalliative CareTertiary HealthcareChronic disease.Salud del AncianoCuidados paliativosAtención Terciaria de SaludEnfermedad crónica.Saúde do IdosoCuidados PaliativosAtenção Terciária à SaúdeDoença crônica.Objective: to identify and characterize the elderly hospitalized in a medical clinic sector of a hospital of clinics, in terms of having eligible criteria and having been indicated for palliative care. Method: retrospective, descriptive and quantitative study. Data were collected through the investigation of electronic medical records of all elderly hospitalized from January to December 2019, in a medical clinic sector and filling out the Supportive and palliative care indications tool (SPICT) questionnaire. Descriptive analysis was performed to characterize the sample and Fisher's Exact Test to assess the association between two categorical variables. Results: 379 medical records were evaluated, and of these, it was found that 146 (38.5%) elderly were eligible for palliative care. Of this sample, men predominated (63%), with a mean age of 73.9 years. The most frequent diagnosis was chronic obstructive pulmonary disease (17.8%) and the underlying disease was systemic arterial hypertension (67.8%). Of the 146 elderly eligible for palliative care, only 50 actually received the indication by the health team and from this sample, 68% had death as an outcome. Conclusion: less than half of elderly patients eligible for palliative care actually received the indication. It is essential that professionals have knowledge about the principles and indication of palliative care, in order to plan and implement adequate care and then provide a better quality of life for this profile of patients.Objetivo: identificar y caracterizar a los ancianos internados en un sector de clínica médica de un hospital clínico, en cuanto a tener criterios de elegibilidad y haber sido indicados para cuidados paliativos. Método: estudio retrospectivo, descriptivo y cuantitativo. Los datos fueron recolectados a través de la investigación de historias clínicas electrónicas de todos los ancianos hospitalizados de enero a diciembre de 2019, en un sector de clínica médica y el llenado del cuestionario Supportive and palliative care indicaciones tool (SPICT). Se realizó análisis descriptivo para caracterizar la muestra y Test Exacto de Fisher para evaluar la asociación entre dos variables categóricas. Resultados: fueron evaluados 379 prontuarios, de los cuales 146 (38,5%) ancianos fueron elegibles para cuidados paliativos. En esta muestra predominaron los hombres (63%), con una edad media de 73,9 años. El diagnóstico más frecuente fue enfermedad pulmonar obstructiva crónica (17,8%) y la enfermedad de base hipertensión arterial sistémica (67,8%). De los 146 ancianos elegibles para cuidados paliativos, sólo 50 recibieron efectivamente la indicación del equipo de salud y de esa muestra, 68% tuvieron como desenlace la muerte. Conclusión: menos de la mitad de los pacientes ancianos elegibles para cuidados paliativos recibieron realmente la indicación. Es fundamental que los profesionales tengan conocimiento sobre los principios e indicación de los cuidados paliativos, con el fin de planificar e implementar cuidados adecuados y luego brindar una mejor calidad de vida para este perfil de pacientes.Objetivo: identificar e caracterizar os idosos internados em um setor de clínica médica de um hospital de clínicas, quanto a possuir critério elegível e ter sido indicado a cuidado paliativo. Método: estudo retrospectivo, descritivo e quantitativo. Os dados foram coletados por meio da investigação de prontuários eletrônicos de todos os idosos internados no período de janeiro a dezembro de 2019, em um setor de clínica médica e o preenchimento do questionário Supportive and palliative care indications tool (SPICT). Foi realizada análise descritiva para caracterização da amostra e Teste Exato de Fisher para avaliar associação entre duas variáveis categóricas. Resultados: foram avaliados 379 prontuários, destes, obteve-se que 146 (38,5%) idosos eram elegíveis a cuidados paliativos. Desta amostra, predominaram homens (63%), com média de idade 73,9 anos. O diagnóstico mais frequente foi a doença pulmonar obstrutiva crônica (17,8%) e a doença de base foi a hipertensão arterial sistêmica (67,8%). Dos 146 idosos elegíveis a cuidados paliativos, apenas 50 realmente receberam a indicação por parte da equipe de saúde e desta amostra, 68% teve como desfecho o óbito. Conclusão: menos da metade dos pacientes idosos elegíveis a cuidados paliativos realmente recebeu a indicação. É imprescindível que os profissionais tenham conhecimento a respeito dos princípios e indicação de cuidados paliativos, para assim, planejar e implementar uma assistência adequada e então proporcionar uma melhor qualidade de vida a este perfil de pacientes.Research, Society and Development2022-04-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2898010.33448/rsd-v11i6.28980Research, Society and Development; Vol. 11 No. 6; e21411628980Research, Society and Development; Vol. 11 Núm. 6; e21411628980Research, Society and Development; v. 11 n. 6; e214116289802525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/28980/25145Copyright (c) 2022 Joyce Assunção Barros; Anna Luiza Salathiel Simões; Sulamares Andrino; Adriana Cristina Nicolussihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBarros, Joyce AssunçãoSimões, Anna Luiza Salathiel Andrino, Sulamares Nicolussi, Adriana Cristina2022-05-13T18:04:10Zoai:ojs.pkp.sfu.ca:article/28980Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:46:11.576467Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Identification and characterization of elderly patients eligible for palliative care
Identificación y caracterización de pacientes ancianos elegibles para cuidados paliativos
Identificação e caracterização de pacientes idosos elegíveis a cuidados paliativos
title Identification and characterization of elderly patients eligible for palliative care
spellingShingle Identification and characterization of elderly patients eligible for palliative care
Barros, Joyce Assunção
Health of the Elderly
Palliative Care
Tertiary Healthcare
Chronic disease.
Salud del Anciano
Cuidados paliativos
Atención Terciaria de Salud
Enfermedad crónica.
Saúde do Idoso
Cuidados Paliativos
Atenção Terciária à Saúde
Doença crônica.
title_short Identification and characterization of elderly patients eligible for palliative care
title_full Identification and characterization of elderly patients eligible for palliative care
title_fullStr Identification and characterization of elderly patients eligible for palliative care
title_full_unstemmed Identification and characterization of elderly patients eligible for palliative care
title_sort Identification and characterization of elderly patients eligible for palliative care
author Barros, Joyce Assunção
author_facet Barros, Joyce Assunção
Simões, Anna Luiza Salathiel
Andrino, Sulamares
Nicolussi, Adriana Cristina
author_role author
author2 Simões, Anna Luiza Salathiel
Andrino, Sulamares
Nicolussi, Adriana Cristina
author2_role author
author
author
dc.contributor.author.fl_str_mv Barros, Joyce Assunção
Simões, Anna Luiza Salathiel
Andrino, Sulamares
Nicolussi, Adriana Cristina
dc.subject.por.fl_str_mv Health of the Elderly
Palliative Care
Tertiary Healthcare
Chronic disease.
Salud del Anciano
Cuidados paliativos
Atención Terciaria de Salud
Enfermedad crónica.
Saúde do Idoso
Cuidados Paliativos
Atenção Terciária à Saúde
Doença crônica.
topic Health of the Elderly
Palliative Care
Tertiary Healthcare
Chronic disease.
Salud del Anciano
Cuidados paliativos
Atención Terciaria de Salud
Enfermedad crónica.
Saúde do Idoso
Cuidados Paliativos
Atenção Terciária à Saúde
Doença crônica.
description Objective: to identify and characterize the elderly hospitalized in a medical clinic sector of a hospital of clinics, in terms of having eligible criteria and having been indicated for palliative care. Method: retrospective, descriptive and quantitative study. Data were collected through the investigation of electronic medical records of all elderly hospitalized from January to December 2019, in a medical clinic sector and filling out the Supportive and palliative care indications tool (SPICT) questionnaire. Descriptive analysis was performed to characterize the sample and Fisher's Exact Test to assess the association between two categorical variables. Results: 379 medical records were evaluated, and of these, it was found that 146 (38.5%) elderly were eligible for palliative care. Of this sample, men predominated (63%), with a mean age of 73.9 years. The most frequent diagnosis was chronic obstructive pulmonary disease (17.8%) and the underlying disease was systemic arterial hypertension (67.8%). Of the 146 elderly eligible for palliative care, only 50 actually received the indication by the health team and from this sample, 68% had death as an outcome. Conclusion: less than half of elderly patients eligible for palliative care actually received the indication. It is essential that professionals have knowledge about the principles and indication of palliative care, in order to plan and implement adequate care and then provide a better quality of life for this profile of patients.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/28980
10.33448/rsd-v11i6.28980
url https://rsdjournal.org/index.php/rsd/article/view/28980
identifier_str_mv 10.33448/rsd-v11i6.28980
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/28980/25145
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 6; e21411628980
Research, Society and Development; Vol. 11 Núm. 6; e21411628980
Research, Society and Development; v. 11 n. 6; e21411628980
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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