Palliative care in favelas in Brazil: An integrative review
DOI:
https://doi.org/10.33448/rsd-v10i6.16183Keywords:
Palliative care; Poverty areas; Risk groups; Primary health care.Abstract
Objectives: Identify how palliative care (PC) is offered for residents of brazilian favelas. Methods: This is a bibliographic review of the integrative type, from which were analyzed articles published between the year of 2014 and 2019, in the Scielo, Lilacs, Bdenf and Medline databases (via PubMed). On this study were included original articles that were available in full text and that respected the established time limit. Results and discussion: 25 articles were selected. 19 of them were about the situation of PC in Brazil and 6 of them were about PC in vulnerable communities, and they were divided in two categories: “the understanding of health access for favela’s residents” and “difficulties in accessing palliative care in poverty areas”. These articles show that the needs of people eligible for PC in favelas are unknown by public health services. Conclusion: Cultural barriers around death and dying associated with lack of financial and educational investments contribute for an incipient development of palliative care in Brazil. In addition, is important to highlight the need of further studies about the availability of this service on poor communities in Brazil to raise information to support the provision of appropriate actions to guarantee the right to health and well-being of life of this population.
References
Academia Nacional de Cuidados Paliativos. (2018). Panorama dos Cuidados Paliativos no Brasil. Academia Nacional de Cuidados Paliativos.
BRASIL. (2014). Portaria Nº 483, de 1º de abril de 2014. Redefine a Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde (SUS) e estabelece diretrizes para a organização das suas linhas de cuidado. Brasil: Ministério da Saúde.
Carmo, M. E., & Guizardi, F. L. (2018). O conceito de vulnerabilidade e seus sentidos para as políticas públicas de saúde e assistência social. Cad Saúde Pública; 34(3).
Hawley, P. (2017). Barriers to Access to Palliative Care. Palliat Care Res Treat
Huynh, L., Henrym B., & Dosani, N. (2015). Minding the gap: access to palliative care and the homeless. BMC Palliat Care; 14(1):62.
Instituto Brasileiro de Geografia e Estatística. (2010). Censo Demográfico 2010: aglomerados subnormais, informações territoriais. IBGE.
Instituto Brasileiro de Geografia e Estatística. (2020). Distância do Estabelecimento de Saúde de Atenção Primária mais próxima ao Aglomerado Subnormal. IBGE.
Jeanniton, L. (2016). Low-Cost Approaches to Improve Quality of Life & Access to Healthcare in Brazilian Favelas. Clin Soc Work Heal Interv.
McIlfatrick, S., Noble, H., McCorry, N. K., Roulston, A., Hasson, F., McLaughlin, D., Johnston, G., Rutherford, L., Payne, C., Kernohan, G., Kelly, S., & Craig, A. (2014). Exploring public awareness and perceptions of palliative care: A qualitative study. Palliat Medicine; 28(3):273–80.
Nickel, L., Oliari, L. P., Vesco, S. N. P. D., & Padilha, M. I. (2016). Research groups in palliative care: the brazilian reality from 1994 to 2014. Esc Anna Nery – Revista; 20(1).
Pinto, L. F., Harzheim, E., Hauser, L., D’Avila, O. P., Gonçalves, M. R., Travassos, P., & Pessanha, R. (2017). A qualidade da Atenção Primária à Saúde na Rocinha – Rio de Janeiro, Brasil, na perspectiva dos cuidadores de crianças e dos usuários adultos. Cien Saude Colet; 22(3):771–81.
Resolução nº 41, de 31 de outubro de 2018. Dispõe sobre as diretrizes para a organização dos cuidados paliativos, à luz dos cuidados continuados integrados, no âmbito Sistema Único de Saúde (SUS). Diário Oficial da União.
Ribeiro, J. R., & Poles, K. (2019). Cuidados Paliativos: Prática dos Médicos da Estratégia Saúde da Família. Revista Brasil Educação Medicina; 43(3), 62–72.
Santos, C. E., Campos, L. S., Barros, N., Serafim, J. A., Klug, D., & Cruz, R. P. (2019). Palliative care in Brasil: present and future. Revista Associação Medica Brasileira; 65(6):796–800.
Savassi, L. C. M. (2016). Os atuais desafios da Atenção Domiciliar na Atenção Primária à Saúde: uma análise na perspectiva do Sistema Único de Saúde. Rev Bras Med Família e Comunidade; 11(38):1–12.
Schramm, F. R. (2007). Proteger os vulnerados e não intervir aonde não se deve Protect people who have become vulnerable and do not intervene where there is no need. Revista Brasilera de Bioética; 3(3):377–89.
Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Integrative review: what is it? How to do it? Einstein; 8(1):102–6.
Victor, G. H. G. G. (2016). Cuidados Paliativos no Mundo. Revista Brasileira de Cancerologia.
World Health Organization (WHO). (2020). Definition of palliative care.
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Copyright (c) 2021 Alexandre Ernesto Silva; Flávia Borba Paulino Coelho; Frederico Mendes Silva Pereira; Ismael Carrilho de Castro; Larissa Silva Braga; Moisés Fiúsa Menezes; Patrícia Soares Mesquita; Regis Michel Ribeiro Martins; Stefãne Amorim Ribeiro; Thayane Vieira Carvalho
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