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Structuring a palliative care service in Brazil: experience report.
João Batista Santos Garcia1, Rayssa Fiterman Rodrigues2, Sara Fiterman Lima3
1Discipline of Anesthesiology, Pain, and Palliative Care, Universidade Federal do Maranhão, São Luís, MA, Brazil; Post Graduate Program, Universidade Federal do Maranhão, São Luís, MA, Brazil.
Structuring palliative care (PC) in Brazil is a public health challenge. This initiative in an oncology hospital demonstrates a reproducible model for developing PC services through local engagement and sensitization.
Area of Science:
- Oncology
- Public Health
- Palliative Care
Background:
- Palliative care (PC) is underdeveloped in Brazil, posing a public health concern.
- Oncology patients in Maranhão faced challenges due to a lack of specialized beds, leading to unrest in general wards.
Purpose of the Study:
- To share experiences and present initiatives for developing a Palliative Care Service in an oncology referral hospital.
- To highlight the importance of local initiatives in establishing PC in resource-limited settings.
Main Methods:
- Implementation of sensitization strategies, including a "Flashes of Life" photo contest.
- Creation of a "Room of Dreams" ward in collaboration with university architecture students.
- Securing dedicated wards and project sponsorship for the PC service.
Main Results:
- Successful sensitization process leading to the allocation of wards for PC.
- Commitment from a hospital sponsor to sustain the PC project.
- Demonstrated a reproducible model for PC development in a cancer hospital setting.
Conclusions:
- Local initiatives are crucial for advancing palliative care in Brazil.
- Key elements for structuring PC services include symptom management, humanization, multidisciplinary approach, and professional education.
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