El rol del médico de familia en el cuidado paliativo de pacientes crónicos y terminales

Medina, Pedro José Sarmiento; Prada, V.A. Díaz; Rodríguez, Natalia

doi:10.1016/j.semerg.2018.09.011

Cited by 13 publications

(8 citation statements)

References 66 publications

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“…In addition to pain, patients with cancer experience unpleasant respiratory, psychosomatic, gastrointestinal, and urinary symptoms [ 22 , 23 , 24 , 25 ]. In palliative care, professional healthcare teams must include doctors, nurses, nutritionists, physical therapists, and medical social workers [ 26 , 27 , 28 , 29 ]. Therefore, pharmacists must fully understand the roles of other healthcare professionals and collaborate appropriately.…”

Section: Discussionmentioning

confidence: 99%

Pharmacists’ Behavioral Changes after Attending a Multi-Prefectural Palliative Care Education Program

Yamada,

Uchida,

Hada

et al. 2024

Pharmacy

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Central to the pharmacist’s role in palliative care is symptom management through direct participation in patient care and the provision of optimal pharmacotherapy to support patient outcomes. Consequently, palliative care requires extensive knowledge and action for patients with cancer. Therefore, this study aimed to evaluate how pharmacists’ behavior changed after attending a palliative care educational program. We conducted a web-based questionnaire survey examining the behavior of pharmacists regarding palliative care before participating in the program, two months after participating in the program, and eight months after participating in the program to determine their behavior and changes over time. For all questions, scores were higher at two and eight months after attending the program than before attending the program (p < 0.05). In addition, no significant difference was observed between two and eight months after attending the program for any question (p = 0.504–1.000). The knowledge gained from the educational program was used to repeatedly intervene with patients with cancer in order to address the various symptoms they experienced and maintain their behavior. The proven effectiveness of this program serves as a stepping stone for nationwide rollout across Japan’s 47 prefectures.

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Section: Discussionmentioning

confidence: 99%

Pharmacists’ Behavioral Changes after Attending a Multi-Prefectural Palliative Care Education Program

Yamada,

Uchida,

Hada

et al. 2024

Pharmacy

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“…Assim, o MF e o EF estão na posição ideal para prestar CP aos seus doentes, com base nas suas competências profissionais, capacidade para criar relação com os doentes e suas famílias e capacidade de coordenação de recursos médicos. [8][9] Apesar de ter uma posição privilegiada, por que motivo o MF não faz pleno uso dos CPG na abordagem de doenças crónicas e progressivas? Por que razão o MF dificilmente aborda assuntos relativos ao fim de vida com os seus utentes?…”

Section: Os Cuidados Paliativos: O Papel Do Médico De Famíliaunclassified

A atuação do médico de família e os cuidados paliativos: o método ACERTAR

Gouveia¹,

Reis-Pina²

2023

RPMGF

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O médico de família (MF) é responsável pela prestação de cuidados continuados longitudinalmente, estando na posição ideal para prestar cuidados paliativos (CP), visto que possui uma relação de confiança e proximidade com o doente/família. Alguns fatores condicionam a prestação de CP pelo MF, como a falta de formação, de tempo e de normas de orientação clínica. Na prática, o MF pode hesitar relativamente ao melhor método a seguir nas situações de CP. Propõe-se um método que visa estruturar a atuação do MF durante as visitas domiciliárias – o método ACERTAR, acróstico que congrega os sete objetivos (e intervenções decorrentes) da prestação de cuidados domiciliários: Avaliar; Comunicar; Empoderar; Rever/Reduzir; Tratar; Antecipar e Referenciar. O MF tem um papel vital no acompanhamento dos doentes com necessidades paliativas. Pretende-se, assim, divulgar um guia que possa ajudar o MF na prestação de cuidados aos utentes com necessidades paliativas.

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“…He maintains that his training and experience gave him the tools to be able to guide his family in making decisions, giving priority to the patient's comfort and not invading with measures that would only serve to prolong an unfailing process, thus adding measures that would not only generate discomfort and pain but would also be a merely technical end without taking into account the patient's humanity at the time of the end-of-life process. (19) Antonella Linares, an adult General Hospitalization and Intensive Care Unit nurse, had two different experiences with her parents. Her mother became ill with COVID-19 at the beginning of the pandemic.…”

Section: Developmentmentioning

confidence: 99%

Illness and death: how we cope with the end of life of a family member as health professionals

Linares,

Manos,

Tolaba

2023

Community and Interculturality in Dialogue

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As healthcare professionals, we face the daily challenge of providing quality care to our patients with different pathologies at different stages, often even at the end of life. However, what happens when one of our family members is the one who is going through the end of life? Are we able to get involved as primary caregivers? If we do, how does it affect us emotionally? Has our profession given us the necessary tools to handle such a situation? We ask these questions based on the premise that, although we are dedicated to caring for others, we are only sometimes prepared to do so with people we are united by love or affection. About the subject of study of this work, we highlight the personal experiences of this team and colleagues, who could/we were able to contribute different life experiences in the personal sphere without leaving aside our professionalism when making decisions, finding a bibliography that relates in a scientific and empirical professional way that serves us as a theoretical framework, but that does not propose its application in the specificity that we propose, that is, our professional being related to the personal experience lived. As a common denominator, most of the colleagues consulted, and ourselves believe that experience in the practical field helps us to provide comfort and security to both the patient and the family environment, not only in the end-of-life process but also in the context of some pathology in the acute phase.

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El rol del médico de familia en el cuidado paliativo de pacientes crónicos y terminales

Cited by 13 publications

References 66 publications

Pharmacists’ Behavioral Changes after Attending a Multi-Prefectural Palliative Care Education Program

Pharmacists’ Behavioral Changes after Attending a Multi-Prefectural Palliative Care Education Program

A atuação do médico de família e os cuidados paliativos: o método ACERTAR

Illness and death: how we cope with the end of life of a family member as health professionals

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