Palliative rehabilitation: The essence of personalized care

Ramanjulu, Raghavendra

doi:10.4103/0973-1075.300816

Cited by 5 publications

(7 citation statements)

References 8 publications

(4 reference statements)

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“…Esta revisão mostrou que terapeutas ocupacionais intervêm junto a pacientes em Cuidados Paliativos oncológicos de diversas maneiras para melhorar a participação nas AVD, influenciando tanto na funcionalidade e incapacidade, quanto nos fatores contextuais relacionados à atividade. Essa perspectiva ampliada está em consonância com os princípios dos Cuidados Paliativos aplicados à reabilitação, porque visam prioritariamente à manutenção da qualidade de vida e da dignidade do sujeito (Ramanjulu, 2020).…”

Section: Discussionunclassified

Intervenções terapêuticas ocupacionais para as Atividades de Vida Diária em Cuidados Paliativos oncológicos: revisão integrativa

Ferreira

Fuly

Nascimento

2023

RSD

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Objetivo: analisar as intervenções de Terapia Ocupacional para melhorar a participação nas Atividades de Vida Diária de pacientes em Cuidados Paliativos oncológicos. Metodologia: revisão integrativa, com análise por estatística descritiva. Os resultados foram discutidos nas categorias: “aspectos avaliados”, “problemas identificados” e “intervenções propostas”, a partir da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Resultados: os aspectos avaliados incluíram habilidades requeridas e qualidade de participação. Os problemas mais frequentes foram as restrições na participação, além de deficiências do corpo e barreiras ambientais. As intervenções de Terapia Ocupacional foram de recuperação e compensação de funções físicas e cognitivas, e controle de sintomas; promoção da participação, mudança de rotina, hábitos, e adaptação ambiental. Conclusão: as intervenções focaram na participação nas atividades de vida diária durante todas as fases da doença, por meio da recuperação das funções do corpo, ou adaptação da estrutura da atividade e de fatores contextuais. Considerações finais: esta revisão acrescenta à produção em Cuidados Paliativos um perfil de intervenções para manutenção da participação e autonomia dos pacientes, o principal objetivo dessa abordagem, além de fortalecer a relevância da Terapia Ocupacional nas equipes de saúde.

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Section: Discussionunclassified

Intervenções terapêuticas ocupacionais para as Atividades de Vida Diária em Cuidados Paliativos oncológicos: revisão integrativa

Ferreira

Fuly

Nascimento

2023

RSD

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“…Interestingly, no research has been conducted for those opting for conservative care. In other conditions, palliative prehabilitation helps maintain independence and supports symptom management and the achievement of meaningful goals, as well as reducing carer and family burden [99,100].…”

Section: Acute and Inpatient Rehabilitationmentioning

confidence: 99%

Targeted Non-Pharmacological Interventions for People Living with Frailty and Chronic Kidney Disease

Mayes

Young

Blacklock

et al. 2022

Kidney and Dialysis

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Frailty is highly prevalent within people living with chronic kidney disease (CKD) and is associated with the increased risk of falls, hospitalisation, and mortality. Alongside this, individuals with CKD report a high incidence of depression and reduced quality of life. The identification of frailty within nephrology clinics is needed to establish comprehensive management plans to improve clinical outcomes and quality of life for people with CKD. Current research exploring the role of non-pharmacological management has primarily focussed on exercise and physical activity interventions in the frail CKD population. However, there is a growing evidence base and interest in this area. This review provides an up-to-date overview of the literature into frailty assessment in CKD and subsequent non-pharmacological treatment approaches.

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“…seseorang, distres psikologis, gangguan neurologis dan muskuloskeletal. Gangguan yang bersifat progresif lebih lanjut akan menyebabkan gejala yang baru seperti nyeri, kelelahan, sesak nafas yang akan mengurangi kemampuan beraktivitas dan kualitas hidup seseorang (Ramanjulu, 2020). Rehabilitasi dan perawatan paliatif merupakan dua konsep yang berbeda, namun profil pasien yang ditujukan mencakup dalam cakupan kesehatan universal menurut Badan Kesehatan Dunia (Timm et al, 2021).…”

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“…Dengan mengoptimalkan mobilitas fungsional, perawatan diri, efikasi diri, dan kognisi, fisioterapis dan penyedia rehabilitasi bertujuan untuk membantu pasien mempertahankan kemandirian sebanyak mungkin (Navarro-Meléndez et al, 2023). Intervensi ini bersifat komprehensif dimana kedua komponen penting ini dapat mengurangi beban keluarga atau pengasuh dimana dampak yang akan dirasakan berupa peningkatan kualitas hidup dan well-being seseorang (Ramanjulu, 2020). Fisioterapis meresepkan adaptasi yang tepat, alat bantu, dan peralatan untuk meningkatkan kemandirian fungsional.…”

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Peran Kedokteran Rehabilitasi Pada Pasien Dengan Perawatan Paliatif

SILAKARMA,

SUMINAR

2023

healthy

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Rehabilitation medicine is a multidisciplinary field aimed at enhancing patients' quality of life by improving their function. Patients receiving palliative care often experience symptoms such as fatigue, decreased functional independence, mood disturbances, pain, and breathlessness. Many rehabilitation interventions can ameliorate these symptoms. The aim of this research is to evaluate the scope and effectiveness of rehabilitation interventions and exercise programs that can enhance the quality of life and alleviate existing symptoms in palliative care patients. The research method involves a literature review on the topic and cancer rehabilitation techniques specifically applied to patients with limited life expectancy. The impact of exercises and other rehabilitation interventions on the common symptoms and disabilities experienced by this patient population is analyzed. Current available literature supports the use of exercise programs and rehabilitation interventions to improve fatigue, mood, functional independence, breathlessness, and pain. Rehabilitation practitioners and palliative care providers share common goals in their approach to patients and complement each other. Palliative care providers should consider referrals to physiotherapy (physical medicine and rehabilitation) to help optimize patients' quality of life. ABSTRAKKedokteran rehabilitasi merupakan bidang multidisiplin yang bertujuan meningkatkan kualitas hidup pasien dengan meningkatkan fungsi. Pasien dengan perawatan paliatif sering mengalami gejala seperti kelelahan, penurunan kemandirian fungsional, gangguan mood, nyeri, dan sesak napas. Banyak intervensi rehabilitasi dapat memperbaiki gejala ini. Tujuan penelitian ini untuk mengevaluasi ruang lingkup dan efektivitas intervensi rehabilitasi dan program latihan yang dapat meningkatkan kualitas hidup dan memperbaiki gejala yang ada pada pasien paliatif. Metode penelitian ini dengan Tinjauan literatur tentang topik dan teknik rehabilitasi kanker yang secara khusus diterapkan pada pasien dengan waktu hidup yang terbatas. Latihan dan intervensi rehabilitasi lainnya dianalisis pengaruhnya terhadap gejala umum dan kecacatan yang dialami oleh populasi pasien ini. Literatur yang tersedia saat ini mendukung penggunaan program latihan dan intervensi rehabilitasi untuk memperbaiki kelelahan, mood, kemandirian fungsional, sesak napas, dan nyeri. Praktisi Rehabilitasi dan perawatan paliatif memiliki tujuan yang sama dalam pendekatan terhadap pasien dan saling melengkapi satu sama lain. Penyedia perawatan paliatif harus mempertimbangkan rujukan ke fisioterapi (kedokteran fisik dan rehabilitasi) untuk membantu mengoptimalkan kualitas hidup pasien.

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Palliative rehabilitation: The essence of personalized care

Cited by 5 publications

References 8 publications

Intervenções terapêuticas ocupacionais para as Atividades de Vida Diária em Cuidados Paliativos oncológicos: revisão integrativa

Intervenções terapêuticas ocupacionais para as Atividades de Vida Diária em Cuidados Paliativos oncológicos: revisão integrativa

Targeted Non-Pharmacological Interventions for People Living with Frailty and Chronic Kidney Disease

Peran Kedokteran Rehabilitasi Pada Pasien Dengan Perawatan Paliatif

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