Keywords
Symptom
Palliative Care
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Abstract
Objective: Analyze Symptom control in elderly people hospitalized in Palliative Care as a strategy for a person-centered multidisciplinar care plan. Methods: Quantitative study, with 53 individuals, of both sexes, aged 60 years or over admitted to the onco-hematology ward. Data collection was divided into three moments to monitor symptoms using the Edmonton Symptom Assessment Scale (ESAS) with elderly people hospitalized for up to 96 hours in the ward and records of evolution in medical records by professionals to adapt behaviors according to the sympotoms. Palliative Care verification scales, Palliative Care Screening Tool (PCST) and Palliative Performance Scale (PPS) were used. Results: Three symptoms most frequently reported stand out: pain (94%), malaise (92%) and fatigue (83%). There was a significant reduction in the mean ESAS scores after the team applied Symptom control measures. Conclusion: It is concluded that the management of symptoms in a serial manner over time combined with the muldidisciplinary care plan led to a reliable assessment of the elderly through the palliative approach as the association o fone Symptom with another allowed the formulation of strategies for management and control symptoms effectively.
References
ACADEMIA NACIONAL DE CUIDADOS PALIATIVOS – ANCP. História dos cuidados paliativos. São Paulo, 2020.
ALEXANDER GK, et al. Palliative Care and Symptom Management in Older Patients with Cancer. Clinics in geriatric medicine, 2016; 32(1): 45–62.
AMADOR S, et al. A systematic review and critical appraisal of quality indicators to assess optimal palliative care for older people with dementia. Palliative medicine, 2019; 33(4): 415–429.
BALDUCCI L. Geriatric Oncology, Spirituality, and Palliative Care. Journal of pain and symptom management, 2019; 57(1): 171–175.
BAPTISTA JA, et al. Singular therapeutic project in mental health: an integrative review. Rev Bra Enferm., 2020; 73(2): e20180508.
BLASCO PG. A ordem dos fatores altera o produto: reflexões sobre educação médica e cuidados paliativos. Educ Méd., 2018; 19(2): 104-14.
BRAY F. et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians, Hoboken, 2018; 68(6): 394-424.
CALDAS GHO, et al. Cuidados paliativos: uma proposta para o ensino da graduação em Medicina. Rev Bras Geriatr Gerontol., 2018.
CAMILLERI MDBWL, et al. Emerging treatments in neurogastroenterology: a multidisciplinary working group consensus statement on opioid-induced constipation. Neurogastroenterol., 2014; 26(10): 1386–1395.
CASTÔR KS, et al. Palliative care: epidemiological profile with a biopsychosocial look on oncological patients. Brazilian Journal Of Pain, 2019; 2(1): 49–54.
CHANDRA CTHN, et al. Patient-reported geriatric symptoms as risk factors for hospitalization and emergency department visits. Aging Dis., 2015; 6(3): 188–95.
DALMAU N, et al. Untargeted lipidomic analysis of primary human epidermal melanocytes acutely and chronically exposed to UV radiation. Mol. Omics., 2018; 1-11.
DONKOR A, et al. Barriers and facilitators to implementation of cancer treatment and palliative care strategies in low- and middle-income countries: systematic review. International journal of public health, 2018; 63(9): 1047–1057.
FARIAS MV e BEZERRA AM. Perfil Sociodemográfico E Clínico De Pacientes Oncológicos Em Cuidados Paliativos De Um Hospital Público Do Ceará, Brasil. Cadernos ESP, 2021; 15(2): 31–37.
FERLAY J, et al. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. International journal of cancer, 2019; 144(8): 1941-1953.
FINAN GS, et al. The association of sleep and pain: An update and a path forward. J Pain, 2013; 14(12): 1539–52.
FULTON LCSK, et al. Integrated outpatient palliative care for patients with advanced cancer: a systematic review and meta-analysis. Palliat Med., 2019; 33(2): 123-34.
GASHTI TAF, et al. Câncer colorretal: principais complicações e a importância do diagnóstico precoce.Revista Eletrônica Acervo Saúde, 2021; 13(4): e6888.
HENSON LA, et al. Palliative Care and the Management of Common Distressing Symptoms in Advanced Cancer: Pain, Breathlessness, Nausea and Vomiting, and Fatigue. J Clin Oncol, 2020; 38(9): 905-914.
INSTITUTO NACIONAL DE CÂNCER JOSÉ ALENCAR GOMES DA SILVA. Tipos de câncer. Rio de Janeiro: INCA, 2019.
INSTITUTO NACIONAL DE CÂNCER. A avaliação do paciente em cuidados paliativos.
LUCCHETTI BRFAS, et al. Uso de uma escala de triagem para cuidados paliativos nos idosos de uma instituição de longa permanência. Geriatr Gerontol Aging, 2018.
MACIEL MGS e CARVALHO RT. A Escala de Desempenho em Cuidados Paliativos versão 2 (EDCP v2). Victoria Hospice Society, 2009; 2: 2–4.
MANFREDI PL, et al. Palliative care consultations: How do they impact the care of hospitalized patients? Journal of Pain and Symptom Management, 2000; 20(3): 166–173.
MARTINS NIM, et al. Variáveis demográficas e clínicas como preditoras diferenciais de alteração cognitiva na doença de Parkinson. Revista Brasileira de Geriatria e Gerontologia, 2019; 22(1): 1–9.
NEVES MR, et al. Evaluation of symptoms in oncological patients admitted to an exclusive palliative care unit. Cogitare Enfermagem, 2020; 25: 1–13.
PACHECO CL e GOLDIM JR. Percepções da equipe interdisciplinar sobre cuidados paliativos em oncologia pediátrica. Revista Bioética, 2019; 27(1): 67-75.
PEREIRA NC e FORTES RC. Autoimagem corporal de pacientes com câncer gastrointestinal. Comunicação em Ciências da Saúde, 2015; 2(26): 29-44.
PYSZORA A, et al. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Support Care Cancer, 2017; 25(9): 2899-2908.
RODGERS PE. End-of-life care: serious illness progression, prognostication, and advance care planning. FP Essentials, Leawood, KS, 2020; 498: 21-25.
SADOVSKY PWRB, et al. Índice de Desenvolvimento Humano e prevenção secundária de câncer de mama e colo do útero: um estudo ecológico. Cad Saúde Pública, 2015.
SCARBOROUGH BM e SMIITH CB. Optimal pain management for patients with cancer in the modern era. CA Cancer J Clin, 2018; 68(3): 182-196.
SCHMID W, et al. Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review. BMC Palliative Care, 2018; 17(1): 32.
SELMAN BRGKB, et al. Primary care physicians’ educational needs and learning preferences in end of life care: A focus group study in the UK. BMC Palliat Care, 2017; 16(1): 1–9.
SILVA AS, et al. Envelhecimento populacional: realidade atual e desafios. Glob Acad Nurs., 2021; (Sup.3): e188.
SKACZKOWSKI G, et al. Effect of a spa bath on patient symptoms in an acute palliative care setting: A pilot study. Complementary Therapies in Clinical Practice, 2018; 32(1): 100-102.
SOUSA ADRS, et al. Intervenções de enfermagem nos cuidados paliativos em Oncologia Pediátrica: revisão integrative. Revista Brasileira de Enfermagem, 2019; 72: 531-540.
SOUZA MCS, et al. Comfort of patients in palliative care: an integrative review. Enfermería Global, 2021; 61: 449-463.
SUELEN J, et al. Projeto terapêutico singular como estratégia do cuidado. Rev. Ter. Ocup. Univ., 2007; 2(1).
VANBUTSELE G, et al. Effect of early and systematic integration of palliative care in patients with advanced cancer: a randomised controlled trial. The Lancet Oncolog, 2018; 19(3): 394-404.
VAN LANCKER BVV, et al. Symptom clustering in hospitalised older palliative cancer patients: A cross-sectional study. Int J Nurs Stud., 2016; 61: 72–81.
WOOD H, et al. Updates in palliative care - overview and recent advancements in the pharmacological management of cancer pain. Clin Med (Lond), 2018; 18(1): 17-22.
YANG J, et al. Acupuncture for palliative cancer pain management: systematic review. BMJ Support Palliat Care, 2021; 11(3): 264-270.