Guia de Consenso para a Prática Clínica sobre Boas Práticas nos Cuidados em Fim de Vida, das Sociedades Espanhola e Portuguesa de Medicina Interna

Autores

  • J. Díez-Manglanoa Servicio de Medicina Interna, Hospital Royo Villanova, Zaragoza, España
  • L. A. Sánchez Muñoz Servicio de Medicina Interna, Hospital Clínico Universitario, Valladolid, España
  • R. García Fenoll Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, España
  • E. Freire Servicio de Medicina Interna, Centro Hospitalar e Universitário do Porto, Portugal
  • S. Isasi de Isasmendi Pérez Servicio de Medicina Interna, Hospital Royo Villanova, Zaragoza, España
  • A. H. Carneiro Departamento de Medicina, Urgência e UCI, Hospital da Luz Arrábida, Vila Nova de Gaia, Portugal
  • O. Torres Bonafonte Servicio de Medicina Interna, Hospital de Sant Pau, Universitat Autònoma de Barcelona, España

DOI:

https://doi.org/10.24950/SEMI/SPMI/1/2021

Palavras-chave:

Boas práticas, Consenso, Cuidados em fim de vida, Guia para a prática clínica

Resumo

Objetivo: Estabelecer recomendações de consenso sobre boas práticas clínicas no acompanhamento de doentes em fim de vida.

Métodos: Uma comissão de 12 peritos espanhóis e portugueses propôs 37 recomendações. Realizou-se um processo Delphi em 2 rondas, com a participação dum painel com105 membros, englobando internistas, outros clínicos, enfermeiros, doentes, juristas, especialistas em bioética, gestores de saúde, políticos e jornalistas. Para cada recomendação, foi enviado um questionário com uma escala de Likert com 5 categorias por questão. Definiu-se consenso forte quando > 95% das respostas estavam totalmente de acordo ou > 90% estavam de acordo e totalmente de acordo; consenso fraco quando > 90% estavam totalmente de acordo ou > 80% estavam de acordo e totalmente de acordo.

Resultados: O painel abordou sete áreas específicas com 37 recomendações que abarcam: Identificação do doente; Conhecimento dos valores e preferências do doente; Informação; Necessidades do doente; Acompanhamento e cuidados; Sedação paliativa e Cuidados pós-morte.

Conclusões: Um Processo Delphi, com participação multidisciplinar, permitiu estabelecer, normas de boas práticas clínicas para os cuidados em fim de vida com envolvimento de doentes, agentes sociais e profissionais de saúde.

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Díez-Manglanoa J, Sánchez Muñoz LA, García Fenoll R, Freire E, Isasi de Isasmendi Pérez S, Carneiro AH, Torres Bonafonte O. Guia de Consenso para a Prática Clínica sobre Boas Práticas nos Cuidados em Fim de Vida, das Sociedades Espanhola e Portuguesa de Medicina Interna. RPMI [Internet]. 15 de Março de 2021 [citado 3 de Julho de 2022];28(1):82-99. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/93

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