DEINSTITUTIONALIZATION IN PALLIATIVE CARE: PROFILE OF USERS OF A UNIT IN RIO DE JANEIRO/BRAZIL

Authors

  • Patrícia da Silva Olario EEAN/ UFRJ FDC/UNIESP MS Doutoranda
  • Marléa Chagas Moreira EEAN/UFRJ
  • Isabel Borges Moreira ESEnfC
  • José Carlos Amado Martins ESEnfC
  • Alexandre Teófilo de Souza Ministério da Saúde

DOI:

https://doi.org/10.5380/ce.v23i2.53787

Keywords:

Home care, Oncological nursing, Nursing care, Palliative care, Health management.

Abstract

Objective: Gain knowledge on the profile of users of a residential care service provided by a hospital in Rio de Janeiro as part of a deinstitutionalization
strategy for individuals in palliative care. Method: descriptive and retrospective study based on quantitative investigation. The medical
records of patients who received care at a home care service from January 2012 to December 2016 (n = 655) were analyzed. Of these, 330 (50.4%)
were women and 493 (75.3%) were older than 60 years. Most of them, 598 (91.3%) lived in the Metropolitan region of Rio de Janeiro and 406 (61.9%)
have cancer. Regarding the demand for technical care, there was a prevalence of care related to skin lesions, 150 (22.9%); followed by oral feeding,
528 (80.6%); and gastrostomy, 123 (18.7%); ostomies, 178 (27.1%) and bladder catheter or cystostomy, 106 (16.1%). In addition, 424 (64.7%) users
were entirely dependent on care. Conclusion: Regarding the profile of the users, most of them were elderly individuals entirely dependent on care
and diagnosed with cancer. Strategies should be implemented for the management of these individuals.

Author Biographies

Patrícia da Silva Olario, EEAN/ UFRJ FDC/UNIESP MS Doutoranda

Coordenadora do Serviço de Atenção à Desospitalização do Hospital Federal Cardoso Fontes/MS (SADES/HFCF). Docente da Faculdade de Duque de Caxias/ UNIESP. Doutoranda em Enfermagem pela Escola de Enfermagem Anna Nery/UFRJ. Bolsista CAPES em estágio de doutoramento na Escola Superior de Enfermagem de Coimbra.

Marléa Chagas Moreira, EEAN/UFRJ

Professora Adjunta do Departamento de Metodologia da Enfermagem da Escola de Enfermagem Anna Nery/UFRJ. Doutora em Enfermagem pela Escola de Enfermagem Anna Nery/UFRJ.

Isabel Borges Moreira, ESEnfC

Professora da Escola Superior de Enfermagem de Coimbra. Doutora em Enfermagem pela Universidade Católica Portuguesa

José Carlos Amado Martins, ESEnfC

Professor da Escola Superior de Enfermagem de Coimbra. Pós-Doutor pela Universidade de São Paulo. Doutor  em Enfermagem pela Universidade do Porto.

Alexandre Teófilo de Souza, Ministério da Saúde

Servidor Público da Administração Federal do Ministério da Saúde. Especialista em Gestão Pública pela Universidade Federal Fluminense

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Published

2018-07-05

How to Cite

Olario, P. da S., Moreira, M. C., Moreira, I. B., Martins, J. C. A., & de Souza, A. T. (2018). DEINSTITUTIONALIZATION IN PALLIATIVE CARE: PROFILE OF USERS OF A UNIT IN RIO DE JANEIRO/BRAZIL. Cogitare Enfermagem, 23(2). https://doi.org/10.5380/ce.v23i2.53787

Issue

Vol. 23 No. 2 (2018)

Section

ORIGINAL ARTICLE

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