O cuidado paliativo e domiciliar em países da América Latina

Simão, Vilma Margarete; Mioto, Regina Célia Tamaso

doi:10.1590/0103-1104-20161080013

Cited by 12 publications

(11 citation statements)

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“…This care modality has been recurrently recommended to meet the needs of people with chronic illnesses and diseases that lead to dependency, based on values such as family coexistence and affection, as well as the presumption of a better quality of life for the patient and, obviously, a reduction in costs related to hospital beds 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Clinical and epidemiological characterization of patients receiving home care in the city of Maceió, in the state of Alagoas, Brazil

Carnaúba

Silva

Viana

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: To clinically and epidemiologically characterize patients receiving home care in the city of Maceio, in the state of Alagoas, Brazil. Methods: An observational, crosssectional study with a sample of 859 patients was carried out, based on data obtained from the medical records of institutions that provide a home care service. A total of 445 patients were from a public service and 414 were from a private service. Descriptive analysis was used for the demographic, clinical and functional variables. Results: Most patients were elderly, female, bedridden, fed orally and had neurological disorders, with stroke the most common diagnosis. Regarding patient evolution, 16.8% of individuals were discharged from home care, 45% of patients died and 24% were hospitalized during the period of home care. A total of 9% of patients had a tracheostomy, 84.7% breathed room air, 9.3% used oxygen, 4% used noninvasive mechanical ventilation, 1.9% used invasive mechanical ventilation, and 24.9% of patients had pressure ulcers. All patients received medical visits, with 693 receiving nursing care, 767 undergoing physiotherapy, 233 receiving speech therapy sessions, 665 patients accompanied by a nutritionist, 64 undergoing occupational therapy sessions and 98 receiving counseling. Conclusion: It was noted that some results differed from literature and between the public and private service. This divergence could be related to the specific epidemiology of each region and the type of insurance paying for care (Unified Health Service or Private).

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Section: Introductionmentioning

confidence: 99%

Clinical and epidemiological characterization of patients receiving home care in the city of Maceió, in the state of Alagoas, Brazil

Carnaúba

Silva

Viana

et al. 2017

Rev. bras. geriatr. gerontol.

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“…The social condition of the families is a determining factor in dehospitalisation and continuity of care. Literature reveals that home care can reduce hospital costs, but it can also increase the costs of care in the family, which can impair dehospitalisation (3) . Moreover, in the process of dehospitalisation the caregiver must be an explicit cause for concern.…”

Section: It' S a Lot About The Social Issue The Patients Here At Thementioning

confidence: 99%

“…One of the greatest challenges for home care is the changes to daily life and work imposed by this form of care. Other studies show that this situation can lead family members to abandon their jobs and forces them to reconcile housework with care, alter hours and the home environment, and encounter difficulties related to leisure (3,15) .…”

Section: Family Organisation For the Dehospitalisation Processmentioning

confidence: 99%

“…Dehospitalisation is associated with humanisation and hastens home recovery in order to rationalise the use of hospital beds (1)(2)(3)(4) . The global trend in home care is being supported by a strategy widely adopted by hospitals through the process of dehospitalisation (2) .…”

Section: Introductionmentioning

confidence: 99%

“…The global trend in home care is being supported by a strategy widely adopted by hospitals through the process of dehospitalisation (2) . Healthcare costs are very high, which forces countries to give priority to hospital beds for acute and decompensated diseases (3) .…”

Section: Introductionmentioning

confidence: 99%

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