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Palliative care for end-of-life patients in a basic emergency service

2017-12-05Journal article Open access
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dc.contributor.authorPereira, Maria Eduarda de Menezes Diniz
dc.contributor.authorBarbosa, António
dc.contributor.authorDixe, Maria dos Anjos
dc.date.accessioned2019-10-01T10:50:53Z
dc.date.available2019-10-01T10:50:53Z
dc.date.issued2017-12-05
dc.description.abstractThis research sought to describe the care provided by the nursing staff of the Western Department of the Basic Emergency Service for end‐of‐life patients. This was a retrospective, quantitative, exploratory and descriptive (level I) study, which sought to research the nursing records of 83 patients from admission to death. Patients who met the following inclusion criteria were considered eligible: adults; had an oncological or nononcological, advanced and irreversible chronic disease; and died in the Basic Emergency Service in the period from January 2011 to December 2012. An instrument was created for data collection, the content, relevance and adequacy of which was validated by a panel of experts in the area of palliative care. The study protocol was approved by the Institutional Ethics Committee. The main results indicate that the majority of patients died in the Observation Room in a period between the first two and twenty‐four hours. Nursing interventions favoured technical‐instrumental care related to medical prescriptions and service routines such as venous punctures, catheterisations, taking blood samples for analysis, aspiration of secretions, intravenous administration of fluids and drugs for symptomatic control, and monitoring of vital parameters and the state of consciousness. With the proximity of death, the nurses favoured the registration of cardiorespiratory arrest, cardiopulmonary resuscitation manoeuvres and aspiration of secretions. In the recognition of predictive factors of imminent death, the nurses favoured the patient's entry into a comatose state and aggravation of asthenia. In most patients, the entry into agony phase was not diagnosed.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPereira, M. E. D., Barbosa, A., & Dixe, M. dos A. (2018). Palliative care for end‐of‐life patients in a basic emergency service. Scandinavian Journal of Caring Sciences, 32(3), 1056–1063. https://doi.org/10.1111/scs.12551pt_PT
dc.identifier.doi10.1111/scs.12551
dc.identifier.urihttp://hdl.handle.net/10400.8/4133
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/scs.12551pt_PT
dc.subjectChronic diseasept_PT
dc.subjectTerminally illpt_PT
dc.subjectPatient carept_PT
dc.subjectEmerency servicept_PT
dc.subjectPalliative carept_PT
dc.subjectEnd-of-lifept_PT
dc.titlePalliative care for end-of-life patients in a basic emergency servicept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.endPage1063pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage1056pt_PT
oaire.citation.titleScandinavian Journal of Caring Sciencespt_PT
oaire.citation.volume32pt_PT
person.familyNameDixe
person.givenNameMaria dos Anjos
person.identifier794059
person.identifier.ciencia-idDB15-BD76-2B75
person.identifier.orcid0000-0001-9035-8548
person.identifier.ridB-9257-2018
person.identifier.scopus-author-id55885797900
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication591800d1-2c83-4227-af0a-b330a0acebac
relation.isAuthorOfPublication.latestForDiscovery591800d1-2c83-4227-af0a-b330a0acebac

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