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Published on: July 29, 2020
New demands for primary health care in Brazil: palliative care
Cássia Regina de Paula Paz1, Juliana Dias Reis Pessalacia2, Elma Lourdes Campos Pavone Zoboli3
1Universidade de São Paulo -EEUSP-, São Paulo, São Paulo, Brazil.
Objective:
Assess the need for incorporation of palliative care in primary health care (PHC) through the characterization of users eligible for this type of care, enrolled in a program for devices dispensing.
Methods:
Descriptive study of case series conducted in 14 health units in São Paulo (Brazil) in 2012. It was included medical records of those enrolled in a program for users with urinary and fecal incontinence, and it was applied Karnofsky Performance Scale Index (KPS) to identify the indication of palliative care.
Results:
141 of the 160 selected medical records had KPS information. Most cases (98.3%, 138/141) had performance below 70% and, therefore, patients were eligible for palliative care. The most frequent pathologies was related to chronic degenerative diseases (46.3%), followed by disorders related to quality of care during pregnancy and childbirth (24.38%).
Conclusion:
It is necessary to include palliative care in PHC in order to provide comprehensive, shared and humanized care to patients who need this.
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