This document discusses the history and principles of palliative care. It defines palliative care according to the WHO as an approach that improves the quality of life of patients facing life-limiting illnesses through early identification and treatment of pain and other distressing symptoms, not only physical but also psychosocial and spiritual. It notes that palliative care provides a multidisciplinary approach to managing pain and other symptoms in advanced stages of serious illness, with the goals of relieving suffering and improving quality of life. The document also outlines some of the common causes of pain in palliative care patients and ethical principles of palliative care treatment.
Aula sobre cuidados paliativos e segurança do pacienteProqualis
Aula apresentada por Filipe Tavares Gusman, vice-presidente da Regional Sudeste da Academia Nacional de Cuidados Paliativos, durante webinar sobre 'Cuidados paliativos e segurança do paciente', realizado pelo Proqualis em agosto de 2019.
Aula sobre cuidados paliativos e segurança do pacienteProqualis
Aula apresentada por Filipe Tavares Gusman, vice-presidente da Regional Sudeste da Academia Nacional de Cuidados Paliativos, durante webinar sobre 'Cuidados paliativos e segurança do paciente', realizado pelo Proqualis em agosto de 2019.
Aula 1: introdução ao APH e a Enf. Urgência Emergência, seus aspectos históricos, éticos e legais, para Graduação em Enfermagem da Faculdade Anhanguera.
Indicadores de morbi-mortalidade nacionais e estaduais em saúde do idoso. Pactos, políticas e programas de saúde do idoso no Brasil e no mundo. Papel dos membros da Equipe de Saúde da Família no planejamento de ações e avaliação de riscos em saúde do idoso. Ações da clínica e do cuidado nos principais agravos da saúde do idoso.
Apresentação feita por Daniel Forte, no seminário internacional Conass Debate – Cuidados Continuados e Integrados: um desafio para o presente, realizado em Brasília nos dias 26 e 27 de dezembro.
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
Aula 1: introdução ao APH e a Enf. Urgência Emergência, seus aspectos históricos, éticos e legais, para Graduação em Enfermagem da Faculdade Anhanguera.
Indicadores de morbi-mortalidade nacionais e estaduais em saúde do idoso. Pactos, políticas e programas de saúde do idoso no Brasil e no mundo. Papel dos membros da Equipe de Saúde da Família no planejamento de ações e avaliação de riscos em saúde do idoso. Ações da clínica e do cuidado nos principais agravos da saúde do idoso.
Apresentação feita por Daniel Forte, no seminário internacional Conass Debate – Cuidados Continuados e Integrados: um desafio para o presente, realizado em Brasília nos dias 26 e 27 de dezembro.
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
The course of death and dying has changed tremendously in the past.docxrtodd643
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
Non-communicable Diseases And Interventions to minimize itGaaJeen Parmal
Rise of non-communicable diseases like RTA, obesity, psychological disturbance, etc. Its impact towards the healthcare of a nation. The steps or approach that can be taken to minimize the disease.
The lecture I gave for the Indiana University Health Joint Transplant Education and Research Lecture Series on palliative care. That's right, palliative care in transplant patients NOT at the end-of-life.
This webinar provides expert guidance and clear answers to common myths about hospice care. Learn about the history and philosophy of hospice care, common hospice prognoses, who pays for hospice, and the difference between hospice and palliative care. Explore the four levels of care and the role of the interdisciplinary hospice team to provide medical, psychosocial and spiritual solutions that support quality of life at the end of life for patients and families. Learn how advance directives can ensure patients are referred to hospice care early in the disease process to enjoy its full benefits.
End-of-life care refers to health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac Care
Cuidados paliativos e dor
1. 2021/1-INTRODUÇÃO AO ESTUDO DA DOR (ELETIVA III)
Cuidados Paliativos e Tratamento da Dor
Carlos Darcy Alves Bersot
Título Superior em Anestesiologia-SBA
Responsável pelo Centro de Ensino e Treinamento HFLagoa
Médico Anestesiologista do Hospital Federal da Lagoa-SUS
Professor Ciências da Dor UNFAA
2. 2002,
A OMS (WHO) DEFINIU OS CUIDADOS PALIATIVOS COMO
“UMA ABORDAGEM QUE VISA
MELHORAR A QUALIDADE DE VIDA DOS DOENTES
QUE ENFRENTAM PROBLEMAS DECORRENTES DE
UMA DOENÇA INCURÁVEL COM PROGNÓSTICO LIMITADO,
E/OU DOENÇA GRAVE (QUE AMEAÇA A VIDA),
E SUAS FAMÍLIAS, ATRAVÉS DA PREVENÇÃO E ALÍVIO DO SOFRIMENTO,
COM RECURSO À IDENTIFICAÇÃO PRECOCE,
AVALIAÇÃO ADEQUADA E
TRATAMENTO RIGOROSO DOS PROBLEMAS
NÃO SÓ FÍSICOS, COMO A DOR,
MAS TAMBÉM DOS PSICOSSOCIAIS
E ESPIRITUAIS.”
3. • PALLIUM - DERIVA DO LATIM: MANTO
NÃO UM MANTO QUALQUER – REPLETO DE SIMBOLOGIA
• MEDICINA PALIATIVA: AFIRMAR A VIDA
• CONSIDERA A MORTE COMO UM PROCESSO NATURAL
• NÃO ACELERAR NEM ADIAR A MORTE
• DAR OPORTUNIDADE PARA RESOLUÇÃO DE QUESTÕES
PESSOAIS ANTES DA MORTE
• INTEGRAR ASPECTOS PSICOLÓGICOS E ESPIRITUAIS AOS
CUIDADOS AO PACIENTE E SUA FAMÍLIA
DR Isaac
4. ● A sobrevivência de um homem adulto (M9) com tetraplegia de início juvenil no Neolítico do Vietnã indica provisão de
cuidados contínuos de sua comunidade
● Embora o papel de cuidar para alcançar a sobrevivência seja ocasionalmente reconhece que raramente é elaborado e que
falta um modelo bioarqueológico de cuidado.
● Bioarqueologia do cuidado’ identifica os prováveis impactos funcionais da patologia; possível
e prováveis desafios de saúde encontrados; e natureza do suporte necessário para sustentar a vida.
5. PALEONTOLOGIA DOS CUIDADOS
ESQUELETO NO NORTE DAO VIETNAM, DATADO EM CERCA DE
4000 ANOS:
JOVEM, DE APROXIMADAMENTE VINTE ANOS DE IDADE,
COM SEVERA DIVISIBILIDADE POR DEZ ANOS, QUE
DEPENDERIA DE TOTAL ASSISTÊNCIA DA COMUNIDADE PARA
SOBREVIVER E SE MOVIMENTAR
A COMUNIDADE OU FAMILIARES, QUE CUIDARAM DESTE
MEMBRO FORAM MOLDADOS POR UMA COMBINAÇÃO DE:
VALORES E CRENÇAS CULTURAIS, CONHECIMENTOS
COLETIVOS, APTIDÕES, EXPERIÊNCIAS, ORGANIZAÇÃO SOCIAL
E DE RECURSOS
6. HISTÓRIA MODERNA EM CUIDADOS PALIATIVOS
DESDE 1960
CRIAÇÃO DE HOSPICES
CUIDADOS DOMICILIARES
CUIDADOS DOMICILIARES PALIATIVOS
HOSPITAL DIA
HOSPICE AT HOME
7. Historicamente o marco de transformação desta assistência
Se deu na inglaterra, quando a DRª CICELY SAUNDERS,
Médica e uma das fundadoras do ST. CHRISTOPHER
HOSPICE EM 1967 passou a defender o cuidado a estes
pacientes como atribuição de equipe
Em 1965, Dame Cicely Saunders foi agraciada como Oficial da Ordem do Império Britânico . É reconhecida como a
fundadora do moderno movimento hospice e recebeu muitas honrarias pelo mérito de seu trabalho. Em sua vida, recebeu
um total de 25 homenagens e honrarias, tanto na Inglaterra como em outros lugares do mundo.
12. DOENÇA INSTALADA
CONTROLE DA DOENÇA EVOLUÇÃO PARA MORTE INEVITÁVEL
CURA
PRESERVAÇÃO DA VIDA
ALÍVIO DOS SINTOMAS
PRESERVAÇÃO DA VIDA
NÃO MALIFICÊNCIA
BENEFICÊNCIA
BENEFICÊNCIA
NÃO MALEFICÊNCIA
ALÍVIO ALÍVIO
13.
14. PACIENTES ELEGÍVEIS PARA CUIDADOS
PALIATIVOS
PORTADORES DE DOENÇA QUE LEVA A
DECLÍNIO CLÍNICO E DECLÍNIO DA CAPACIDADE FUNCIONAL
PORTADORES DE DOENÇA NÃO RESPONDE
AO TRATAMENTO CURATIVO
PORTADORES DE DOENÇA EM PROCESSO DE MORTE
MEDIDAS CURATIVAS NÃO SÃO POSSÍVEIS,
MEDIDAS CURATIVAS SÃO INAPROPRIADAS
“CURAR ÀS VEZES, ALIVIAR MUITO FREQUENTEMENTE
E CONFORTAR SEMPRE”
15. DOENTES EM FASE AVANÇADA DE DOENÇA
EM ADULTOS
CÂNCER
SIDA
SÍNDROMES DEMENCIAIS
DOENÇAS NEUROLÓGICAS PROGRESSIVAS
SEQUELAS NEUROLÓGICAS
INSUFICIÊNCIA CARDÍACA CONGESTIVA (ICC)
DOENÇA PULMONAR OBSTRUTIVA CRÔNICA (DPOC)
INSUFICIÊNCIA RENAL
OUTRAS SITUAÇÕES INCURÁVEIS E EM PROGRESSÃO
16. DOENTES EM FASE AVANÇADA DE DOENÇAS
EM CRIANÇAS
MALFORMAÇÕES CONGÊNITAS SEVERAS
FIBROSE CÍSTICA
PARALISIA CEREBRAL
DISTROFIAS MUSCULARES
CÂNCER
SIDA
OUTRAS SITUAÇÕES INCURÁVEIS E EM PROGRESSÃO
18. • DOR-50%
• FADIGA
• DISPNÉIA
• TOSSE PERSISTENTE
• XEROSTOMIA
• ANOREXIA
• NÁUSEAS E VÔMITOS
• CONSTIPAÇÃO
• CONFUSÃO MENTAL
• INSÔNIA
Cada um tem uma maneira de reagir à
dor e ao sofrimento
tolerar suportar permitir dor é sempre
subjetiva e pessoal
19. N Á U S E A
S
V Ô M I T O S
CONSTIPAÇÃO
DIARRÉIA
NEOPLASIA
DOENÇA
GRAVE
DISPNÉIA
ANOREXIA
CAQUEXIA
EFEITOS
COLATERAIS
MEDICAÇÕES
DEPRESSÃO
ANSIEDADE
DESESPERANÇA
FINANCEIRO
SOCIAL
INFECÇÕES
CIRURGIAS
PROCEDIMENTOS
ASTENIA
NEUROPATIA
ALTERAÇÕES
HIDROLETROLÍTICAS
IMOBILISMO
PELE
ALTERADA
20. TRATAMENTO DA DOR EM CUIDADOS
PALIATIVOS
Abordagem multidisciplinar:
Maior atenção , ações coordenadas entre os diversos profissionais
• MÉDICOS
• FISIOTERAPÊUTAS
• ENFERMAGEM
• PSICÓLOGOS
• ASSISTENTES SOCIAIS
• FONOAUDIÓLOGOS
• RELIGIOSOS
• CUIDADORES
21. PRÓPRIO CÂNCER (CAUSA MAIS COMUM)-
46% A 92%:
-INVASÃO ÓSSEA TUMORAL
-INVASÃO TUMORAL VISCERAL
-INVASÃO TUMORAL DO SISTEMA NERVOSO PERIFÉRICO
-EXTENSÃO DIRETA ÀS PARTES MOLES
-AUMENTO DA PRESSÃO INTRACRANIANA
DOR Alto potencial
22. CAUSAS DE DOR EM CUIDADOS
PALIATIVOS
Relacionada ao câncer-12% a
29%:
-ESPASMO MUSCULAR
-LINFEDEMA
-ESCARAS DE DECÚBITO
-CONSTIPAÇÃO INTESTINAL, ENTRE OUTRAS
23. CAUSAS DE DOR EM CUIDADOS
PALIATIVOS
ASSOCIADA AO TRATAMENTO ANTITUMORAL-5% A 20%:
-PÓS-OPERATÓRIA: DOR AGUDA, PÓS-TORACOTOMIA, PÓSMASTECTOMIA,
PÓS-ESVAZIAMENTO CERVICAL, PÓS-AMPUTAÇÃO (DOR FANTASMA)
- PÓS-QUIMIOTERAPIA: MUCOSITE, NEUROPATIA PERIFÉRICA, NEVRALGIA PÓS-
HERPÉTICA, ESPASMOS VESICAIS, NECROSE DA CABEÇA DO
FÊMUR, PSEUDO-REUMATISMO (CORTICOTERAPIA)
-PÓS-RADIOTERAPIA: MUCOSITE, ESOFAGITE, RETITE ACTÍNICA,
RADIODERMITE, MIELOPATIA ACTÍNICA, FIBROSE ACTÍNICA DE PLEXO
BRAQUIAL E LOMBAR
24. CAUSAS DE DOR EM CUIDADOS
PALIATIVOS
DESORDENS CONCOMITANTES-8%
A 22%:
-OSTEOARTRITE
-ESPONDILOARTROSE, ENTRE OUTRAS
•CUIDADOS PALIATIVOS ONCOLÓGICOS: CONTROLE DA
DOR. – RIO DE JANEIRO: INCA, 2001
25. CUIDADOS
• TRATAMENTO MEDICAMENTOSO
• HIGIENE, CONFORTO, HIDRATAÇÃO, CURATIVOS
• SONDAS E CATETERES
• VIAS DE ADMINISTRAÇÃO DE MEDICAMENTOS E A
HIPODERMÓCLISE
• CIRURGIA PALIATIVA
• QUIMIOTERAPIA PALIATIVA
DOR EM CUIDADOS PALIATIVOS
26. NECESSIDADES EM CUIDADOS
PALIATIVOS
• ACESSO ÀS DROGAS :
PACIENTE PODE NECESITAR DE
MAIORES QUANTIDADES E MAIOR NÚMERO DE
MEDICAÇÕES
• INTEGRAR TODOS OS SETORES DE CUIDADOS EM SAÚDE
❖ EMERGÊNCIAS
❖ UNIDADES DE INTERNAÇÃO
❖ UNIDADES DE TERAPIA INTENSIVA(UTI)
❖ INTERNAÇÕES DOMICILIARES – “HOMECARE”
❖ HOSPICES
27. REFERIDAS PELA OMS E RECONHECIDAS PELA
LITERATURA:
TÉCNICAS FÍSICAS, MECÂNICAS E COGNITIVAS
INTERVENÇÕES COMPLEMENTARES E
ALTERNATIVAS AO TRATAMENTO
MEDICAMENTOSO
REDUZIR O SOFRIMENTO RELACIONADO E/OU ACENTUADO
PELA DOR
PROMOVER A QUALIDADE DE VIDA
NAS DIFERENTES FASES DO TRATAMENTO CLÍNICO USUAL
28. SEGUNDO O NATIONAL HEALTH
INTERVIEW
SURVEY
[NHIS]
UM TERÇO DOS ADULTOS UTILIZA ALGUM TIPO DE TERAPIA
ALTERNATIVA E COMPLEMENTAR EM TRATAMENTOS DE SAÚDE
(BARNES ET AL., 2004)
OS PROFISSIONAIS QUE INDICAM OU ATUAM COM ALGUMA
DESSAS TERAPIAS TRATAM DAS MANIFESTAÇÕES FÍSICAS E
BIOQUÍMICAS
TAMBÉM ABORDAM ASPECTOS NUTRICIONAIS, SOCIOEMOCIONAIS E
ESPIRITUAIS (CORNER ET AL., 2009)
29. SINTOMAS ABORDADOS COM MAIOR
FREQUÊNCIA
• DOR (N=17)
• ESTRESSE-SOFRIMENTO (N=16)
• ANSIEDADE (N=13)
• NÁUSEAS E VÔMITOS (N=10)
• MEDOS (N=5)
30. EM CASOS DE DOR CRÔNICA
• 70% DOS PACIENTES RESPONDEM POSITIVAMENTE AO TENS
NAS PRIMEIRAS SESSÕES
• APENAS 30% SE BENEFICIAM APÓS UM ANO DE TRATAMENTO
A TÉCNICA TEM SIDO INDICADA PARA
• PACIENTES EM CUIDADOS PALIATIVOS COM DOR DE
INTENSIDADE LEVE A MODERADA
• NAS REGIÕES DA CABEÇA E PESCOÇO
• DERIVADA DA INVASÃO TUMORAL NERVOSA
• DA NEVRALGIA PÓS-HERPÉTICA
• DA METÁSTASE ÓSSEA
(KHADILKAR, ODEBIYI, BROSSEAU & WELLS, 2008; KHADILKAR ET AL., 2005;
BENNETT ET
AL., 2010)
31. • SEDAÇÃO PALIATIVA: SEDAR O QUE?
• AS ÚLTIMAS 48 HORAS
• ESPIRITUALIDADE
• A MORTE E O LUTO
MORRER É UM PROCESSO NATURAL DO
VIVER
• BIOÉTICA
• LEGISLAÇÃO
• COMO LIDAR COM TRATAMENTOS PARALELOS NÃO
CIENTÍFICOS
32. PRINCÍPIOS ÉTICOS
• VERACIDADE
• PROPORCIONALIDADE TERAPÊUTICA
• EFEITO TERAPÊUTICOS X EFEITOS COLATERAIS
• PREVENIR SOFRIMENTO
• PRINCÍPIO DO NÃO ABANDONO
• TRATAR DOR E OUTROS SINTOMAS
33. PRICÍPIOS ÉTICOS
ALIVIAR SOFRIMENTO: PREVENIR E ALIVIAR A DOR E
SINTOMAS RESPEITO A EXPERIÊNCIA DE VIDA E SUPORTE AO
PROCESSO DE MORTE PROMOVER O BEM ESTAR
RESPEITO À PESSOA E SUAS
CRENÇAS RESPEITO À
DIGNIDADE
RESPEITO À AOS RELACIONAMENTOS
RESPEITO ÀS DIFERENÇAS
PROMOVER A IGUALDADE
PROMOVER A INTEGRIDADE ÉTICA PROFISSIONAL
UTILIZAR SISTEMAS ORGANIZACIONAIS PARA SUPORTE DO BOM
CUIDADO E PRÁTICA ÉTICA
THE HASTING CENTER GUIDELINES FOR DECISION ON LIFE-SUSTAINING
TREATMENT AND
CARE NEAR THE END OF LIFE
NANCY BERLING, BRUCE JENNINGS E SUSAN M. WOLF
REVISED AND EXPANDED SECOND EDITION, OXFORD UNIVERSITY PRESS ,
2013