28 documents found, page 1 of 3
Dificuldades e oportunidades da medicina interna na gestão da situação de morte...
Carneiro, Rui; Capelas, Manuel Luís; Simões, Catarina; Carneiro, António H.Contexto: Em Portugal, dois terços das mortes ocorrem no hospital. O Internista assume-se como perito na abordagem dos doentes de uma forma holística e deverá ser capaz de proporcionar cuidados paliativos no final da vida. A evidência científica mais recente aponta que doentes em morte iminente (Mi) continuam a receber cuidados de tipologia do doente agudo. Objetivo Identificação das principais dificuldades e o...
O cuidado ao doente em morte iminente nas enfermarias de medicina interna em Po...
Carneiro, Rui; Capelas, Manuel Luís; Simões, Catarina; Carneiro, António H.; Gonçalves, António Ferraz; Araújo, AntónioContexto: Em Portugal, dois terços das mortes ocorrem no hospital. Não há dados nacionais que caracterizem a forma como os doentes em morte iminente (Mi) últimas horas ou dias de vida internados nos serviços de Medicina Interna (MI) portugueses são cuidados. Objetivos: Caracterizar (1) o cuidado de doentes em Mi em enfermarias de MI nacionais, segundo os elementos de boas práticas previamente validados; (2) a p...
High specificity clinical signs of impending death: a scoping review
Simões, Catarina; Carneiro, Rui; Teixeira, Abílio CardosoBackground Accurate diagnosis of impending death is essential to provide proper care in the last days and hours of life. Recognising the death situation immediately allows adjustment of care goals, ensuring that they suit the patient's condition, as well as tuning the team's and family's expectations. Objective To map and describe evidence on high specificity clinical signs of impending death in cancer and nonc...
Validação de boas práticas no cuidado em morte iminente em medicina interna: es...
Carneiro, Rui; Capelas, Manuel Luís; Simões, Catarina; Freire, Elga; Carneiro, António H.Contexto: Em Portugal, dois terços das mortes ocorrem no hospital. O Internista assume-se como perito na abordagem dos doentes de uma forma integral e deverá ser capaz de proporcionar cuidados paliativos no final da vida. Bons cuidados em fim de vida significam poder ser tratado com dignidade e receber os melhores cuidados de saúde baseados na melhor evidência científica disponível. Objetivo: Validação nacional...
The needs of family caregivers providing palliative home care in Portugal: a mu...
Laranjeira, Carlos; Dixe, Maria dos Anjos; Coelho, Alexandra; Reigada, Carla; Carneiro, Rui; Querido, Anaackground: In palliative care (PC), family caregivers (FCs) play an important role in managing patient symptoms and addressing patient needs. In end-oflife (EoL), FCs frequently experience distress that exacerbates emotional strain and complicates grieving. Training FCs to care for palliative patients should be implemented urgently, enhancing their preparation, reducing their burden, and assuring Quality of Lif...
Generating consensus on good practices in the care of Portuguese internal medic...
Carneiro, Rui; Capelas, Manuel Luís; Simões, Catarina; Freire, Elga; Carneiro, António HenriquesContext: Modern medicine aims to ensure a world in which all people experience a good end of life as an integral part of their life journey. A good end-of-life experience means dying with dignity and receiving the best healthcare based on scientific evidence. Objective: This study aims to reach a consensus about the contents of a comprehensive instrument based on the 10/40 Model of the International Collaborati...
Provoked Death at Request of the Person, Opinion of SPMI Associates
Carneiro, António; Carneiro, Rui; Sanches, Ana Rita; Ferreira, Nuno RibeiroThe Portuguese Parliament recently approved the law that “… regulates the special conditions in which medically assisted death is not punishable” and created a new concept for the Portuguese: death provoked at the request of the person. The diploma intends to rule the conditions for access to this procedure, namely the framework of admission, procedures and main players. Physicians are directly involved in this...
A Prevalence of Dysphagia in Patients Admitted to a Department of Internal Medi...
Reis Aguiar, Joana; Carneiro, Rui; Carneiro, Inês; Magalhães, Luís; H. Carneiro, AntónioIntroduction: Dysphagia is a frequent problem during the course of life, but its prevalence in the population admitted to internal medicine services is unknown. Material and Methods: We developed a prospective, single-centre study with the purpose of calculating the prevalence rate of dysphagia in an Internal Medicine service, identifying risk factors and characterizing its main complications. Results: In a sam...
Words and Concepts in Clinical Relation
H. Carneiro, António; Carneiro, Rui; Simõe, CatarinaClinical relation is the most differentiating element in clinical practice. Communication is the most relevant element in the establishment of a relationship. Listening, asking, clarifying and debating are essential elements to build a relationship but they demand the use of proper words adjusted to the participant’s culture. Recent discussions about end of life issues showed that health care professionals, med...
"Death that Occurs by Decision of the Person Himself": Critical Reflection on t...
H. Carneiro, António; Carneiro, Rui; Simões, CatarinaThe authors discuss terms and concepts included in the "definitions" of Decreto nº. 199/XIV of the National Portuguese Assembly Republic, considering that the expression "medically assisted death" is equivocal and incorrect. They argue that the determining criterion of "death by the will of the person himself" in the context of this diploma is intolerable suffering and not the diagnosed disease.; Os autores dis...