The COVID-19 pandemic has negatively impacted the provision of Palliative Care (PC), challenging teams aiming to provide adequate care. This is a qualitative study that intends know, from perspective health professionals Unit (PCU), main challenges in providing PC during and describes strategies be adopted solve identified difficulties. We utilized content analysis, according Bardin, for data analysis written narratives PCU (n=14). In difficulties PC, professionals, were five themes: 1)...

After more than 25 years working in palliative care (PC) observing thousands of patients and family behaviors, I use my long experience notes as a source data for qualitative research study. The aim is to identify frequent families' behavior patterns PC better describe the culture PC.This article part larger project, using autoethnography methodology, with helping doctors interested health professionals understand reality PC. focus not author but social - context within end-of-life period...

Heart failure is a chronic, progressive, and incurable disease. Cardiac cachexia strong predictor of poor prognosis, regardless other important variables. This review intends to gather evidence enable recognition cardiac cachexia, identification early stages muscle waste sarcopenia, improve patients with terminal heart in need palliative care, whose symptoms are no longer controlled by usual medical measures. The pathophysiology complex multifactorial. There many treatment options prevent or...

he family represents a fundamental pillar in supporting the patient with increased needs, particularly at stage of advanced disease, incurable and progressive. The crisis that suffering palliative care is not only reaches sick all those who live them you are emotionally attached. problems inherent this period life cycle require an appropriate response by doctor who, hopefully acting alone, should not, however, dismiss monitoring family. Apart from expertise within symptomatic support, care,...

A dispneia é um dos sintomas que tem mais impacto tantopara o doente com doença avançada, como para profissional de saúde a responsabilidade acompanhar.Sem prejuízo se dever aprofundar evidência disponívelsobre as indicações e eficácia da oxigenoterapia, já vasta ainformação suporta uso oxigéniocom intenção paliativa deve ser prescrito forma criteriosapois, à semelhança qualquer outro tratamento, efeitossecundários associados pode causar malefícios. O artigo quese apresenta uma revisão...

Leptomeningeal carcinomatosis (LC) is rare in solid tumours, particularly gastrointestinal cancers. While other treatment strategies remain undefined, inclusion of palliative care essential due to its very poor prognosis and variable manifestations. We report a case oesophagogastric junction adenocarcinoma, previously submitted surgery chemotherapy, diagnosed with LC followed unit. Treatment was comanaged the oncology team approach decided. In this report, we review literature evaluate...

Introdução: O delirium é frequente nos doentes idosos internados. Define-se como uma alteração aguda e flutuante ao nível da cognição, atenção consciência, geralmente reversível de etiologia multifactorial, com aumento morbimortalidade dos custos, mas que permanece sub-diagnosticada. Neste sentido, avaliou-se a ocorrência numa enfermaria Medicina Interna, os principais factores risco o impacto no episódio internamento após 3 meses. Materiais Métodos: estudo prospectivo observacional meses...

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