Palliative care in primary health care: scoping review.

Autor:	Justino ET; Universidade Estadual do Oeste do Paraná, Curso de Enfermagem, Foz do Iguaçu, PR, Brazil.; Scholarship holder at the Fundação Araucária, Foz do Iguaçu, PR, Brazil., Kasper M; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre at the Nursing Research Development, Ribeirão Preto, SP, Brazil.; Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil., Santos KDS; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre at the Nursing Research Development, Ribeirão Preto, SP, Brazil.; Scholarship holder at the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), Brazil., Quaglio RC; Universidade de São Paulo, Hospital da Clinicas da Faculdade de Medicina de Ribeirão Preto, Equipe Gestora de Neurologia e Equipe de Interconsulta de Cuidados Paliativos, Ribeirão Preto, SP, Brazil., Fortuna CM; Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre at the Nursing Research Development, Ribeirão Preto, SP, Brazil.
Jazyk:	English; Portuguese; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2020 Jul 01; Vol. 28, pp. e3324. Date of Electronic Publication: 2020 Jul 01 (Print Publication: 2020).
DOI:	10.1590/1518-8345.3858.3324
Abstrakt:	Objective: to map the available evidence on the main topics investigated in palliative care in primary health care. Method: scoping review type study carried out in five databases, including original articles, based on the descriptors palliative care, palliative care at the end of life, terminal care, terminal state, primary health care and their respective acronyms and synonyms, totaling 18 publications. The extraction of data from primary studies was performed using an instrument produced by the authors and which allowed the construction of the categories presented. Results: 18 publications were included in this review. Among the most studied themes are the difficulties of the teams regarding the continuity of care in the health network; the importance of in-service education by the multidisciplinary team; professional unpreparedness; bioethics; the validation and application of scales for prognosis and care for some pathologies such as cancer and diabetes; among others. Conclusion: it became evident that palliative care in primary health care has been gradually developed, but it is necessary to consider the organization of primary health care and the social policies that support or weaken it, being considered a complex challenge.
Databáze:	MEDLINE
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