Doentes Crónicos e Cuidados Paliativos: Da Identificação Precoce ao Cuidado Centrado na Família, num Serviço de Medicina Interna

Autores

  • Natália Loureiro Mestre em Cuidados Paliativos, Assistente Hospitalar de Medicina Interna, Médica da Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos, Centro Hospitalar do Tâmega e Sousa, Hospital de S. Gonçalo, Amarante, Portugal https://orcid.org/0000-0003-2140-7208
  • Davide Carvalho Enfermeiro, Medicina Ala B, Mestre em Enfermagem da Pessoa em Situação Crítica, Centro Hospitalar do Tâmega e Sousa, Hospital de S. Gonçalo, Amarante, Portugal https://orcid.org/0000-0002-1878-489X

DOI:

https://doi.org/10.24950/R/45/21/3/2021

Palavras-chave:

Cuidados Paliativos, Doença Crónica, Medicina Interna, Prognóstico

Resumo

Os chamados doentes crónicos com critérios de cuidados paliativos, que apresentam necessidades de cuidados multidisciplinares e de gestão de controlo sintomático, são cada vez mais frequentes no internamento de um Serviço de Medicina Interna. O estabelecimento do prognóstico nestes doentes torna-se fundamental para a definição de plano terapêutico adequado à necessidade individual (evitando terapêuticas e/ou investigações desnecessárias), para a comunicação eficaz e adequada com a família e para a redução de custos associados à prestação de cuidados. Apesar de existirem na literatura diversos índices prognósticos, torna-se difícil a sua aplicabilidade, por diversas razões. Os autores deste artigo propõem, então, como dados pertinentes na admissão de um doente no internamento de Medicina Interna, de forma que se facilite o estabelecimento do prognóstico e se permita um plano de abordagem multidisciplinar, os seguintes itens: estados funcional e cognitivo; patologias definidoras de prognóstico e síndrome da fragilidade; questão surpresa no serviço de urgência; comunicação com a família.

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Loureiro N, Carvalho D. Doentes Crónicos e Cuidados Paliativos: Da Identificação Precoce ao Cuidado Centrado na Família, num Serviço de Medicina Interna. RPMI [Internet]. 21 de Setembro de 2021 [citado 19 de Agosto de 2022];28(3):277-8. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/136

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