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...
Contexto: 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...
Background 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...
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...
Chronic Kidney Disease is characterized by progressive, persistent, and irreversible loss of kidney function, with a high prevalence and increasing trend in the population. An important observation, common to all recent studies, is the constant changes experienced by these individuals. Analytical changes, health status and the patient's preferences should be considered when planning anticipatory care at any pha...
Context: 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...
Abstract Skin is the largest organ of the human body. Skin changes can result from natural ageing, as well as from acute or chronic diseases and failure of body systems. Various types of wounds are identified in Palliative Care, and terminal pressure ulcers are often incorrectly classified. This case study highlights the importance of recognizing skin ulcers in patients’ last hours and days of life as a diagnos...
The emergence of antibiotic resistance (ABR) is one of the most serious public health threats worldwide. The inappropriate use of antibiotics is considered the main determinant for the increase and development of ABR, contributing to a greater risk of therapeutic ineffectiveness, particularly within primary care context. Therefore, this pilot study aims to raise awareness and promote an adequate antibiotic use ...
The inadequate use of antibiotics led to the development of multi-resistant bacteria that are now causing millions of deaths worldwide. Since most antibiotics are prescribed/dispensed to treat respiratory tract infections, it is important to raise awareness among health professionals to optimize antibiotic use, especially within the primary care context. Thus, this pilot study aimed to evaluate pharmacists' fee...
Introduction: When we talk about young adults we tend to consider them as a population in good health. However, in recent times, the transition from adolescence to adulthood has been the focus of attention to implement strategies for health promotion and disease prevention. The aim of this study was to understand the health status of a young adult population attending higher education and, in what way, the pand...