The propulsion of call service in palliative oncology care in the COVID-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v11i5.28300Keywords:
COVID-19; Neoplasms; Palliative Care; Home Nursing; Telemedicine; Teaching.Abstract
Objective: to describe the experience of a home care service to ensure continuity of care for patients in exclusive palliative cancer care during the pandemic. Methodology: qualitative, descriptive study, experience report type. The setting was a Federal Hospital, located in Rio de Janeiro, Brazil. Development: during the COVID-19 pandemic, strategies were developed to improve tele-service in health, a tool that was already used in the service in an incipient way and that started to assume greater importance in the service's routines. The paths adopted were directed not only to meet spontaneous demands, but also to carry out an active search for symptomatic patients, allowing for the screening of cases by severity. Final considerations: Although several challenges were encountered, such as the insufficiency of professionals and lack of technological support, among others, some actions promoted the reception and monitoring of patients remotely and safely. It is concluded that the incorporation of teleservice has contributed to the care of patients monitored by this service with benefits that exceed the needs of the pandemic period.
References
Academia Nacional de Cuidados Paliativos (ANCP) (2020). Posicionamento da Academia Nacional de Cuidados Paliativos sobre o Covid-19. https://paliativo.org.br/ancp/covid19
Bittencourt, N. C. C. M., Santos, K. A., Mesquita, M. G. R., Silva, V. G., Telles, A. C. & Silva, M. M. (2021). Signs and symptoms manifested by patients in palliative cancer care in homecare: integrative review. Esc Anna Nery, 25(4), 1-14.
Brasil. (2020). Lei nº 13989 de 15 de abril de 2020. Dispõe sobre o uso da telemedicina durante a crise causada pelo coronavírus (SARS-CoV-2). Brasil: Diário Oficial da União. https://www.in.gov.br/en/web/dou/-/lei-n-13.989-de-15-de-abril-de-2020-252726328
Brasil. (2015). Ministério da Saúde (2015). Custeio dos Núcleos de Telessaúde. Manual Instrutivo. http://189.28.128.100/dab/docs/portaldab/documentos/manual_tecnico_telessaude_preliminar.pdf
Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos Departamento de Ciência e Tecnologia. (2019). Guia Metodológico para Programas e Serviços em Telessaúde. http://www.ans.gov.br/images/MS-telessaude-manual_2019.pdf
Brasil. Ministério da Saúde. Manual de Telessaúde para Atenção Básica / Atenção Primária à Saúde / Ministério da Saúde, Universidade Federal do Rio Grande do Sul. – Brasília: Ministério da Saúde (2012). Disponível em: http://189.28.128.100/dab/docs/portaldab/publicacoes/manual_telessaude.pdf
Caetano, R., Silva, A. B, Guedes, A. C. C. M., Paiva, C. C. N., Ribeiro, G. R., Santos, D. L. & Silva, R. M. (2021). Challenges and opportunities for telehealth during the COVID-19 pandemic: ideas on spaces and initiatives in the Brazilian context. Cadernos de Saúde Pública, 36(5), 1-16.
Creswell, J. W. (2010). Projeto de pesquisa: métodos qualitativo, quantitativo e misto. Artmed.
Hui, D., Titus, A., Curtis, T., Ho-nguyen, V. T., Frederickson, D., Wray, C., Granville, T., Bruera, E., Mckee, D. K., & Rieber, A. (2017). Implementation of the Edmonton Symptom Assessment System for Symptom Distress Screening at a Community Cancer Center: A Pilot Program. Oncologist, 22(8), 995-1001.
Indini, A., Aschele, C., Cavanna, L., Clerico, M., Daniele, B., Fiorentini, G., Fioretto, L., Giordano, M., Montesarchio, V., Ortega, C., Pinotti, G., Scanni, A., Zamagni, C., Blasi, L., & Grossi, F. (2020). Reorganization of medical oncology departments during the novel coronavirus disease-19 pandemic: a Nationwide Italian survey. Eur J Cancer, 132, 17-23.
Krause, L. H (2014). Avaliação do potencial da telemedicina em cuidados paliativos no câncer avançado. Dissertação - Universidade do Estado do Rio de Janeiro, Faculdade de Ciências Médicas – Pós-graduação em Ciências Médicas, 166 f. Disponível em: http://www.bdtd.uerj.br/handle/1/8753
Organização Panamericana da Saúde (OPAS) (2020). Folha informativa – COVID-19 (doença causada pelo novo coronavírus). Disponível em:www.paho.org/bra/index.php?option=com_content&view=article&id=6101:COVID19&Itemid=875
Porzio, G., Cortellini, A., Bruera, E., Verna, L., Ravoni, G., Peris, F., & Spinelli, G. (2020). Home Care for Cancer Patients During COVID-19 Pandemic: The Double Triage Protocol. J Pain Symptom Management, 60(1), 5-7.
Ramos, R. S. A. (2020). Enfermagem oncológica no enfrentamento da pandemia de Covid-19: reflexões e recomendações para a prática de cuidado em oncologia. Revista Brasileira de Cancerologia, 66, 1-5.
Santos, J. F.; Rocha, R. M.; Costa, P. A. D.; Squarcini, C. F. R. (2022). Desafios da enfermagem no programa Melhor em Casa: relato de experiência. Research, Society and Development, [S. l.], 11(4), p. 1-7.
Silva, T. T. M., Araújo, N. M., Sarmento, S. D. G., Castro, G. L. T., Dantas, D. V., & Dantas, R. A. N. (2021). Impact of Covid-19 in patients with cancer: a scoping review. Texto & Contexto – Enfermagem, 30, 1-19.
Sirintrapun, S. J. & Lopez, A. N. (2018). Telemedicine in cancer care. American Society of Clinical Oncology Educational Book, 38, 540-545.
Telles, A. C., São bento, P. A. S., Chagas, M. C., Queiroz, A. B. A., Bittencourt, N. C. C. M., & Silva, M. M (2021). Transition to exclusive palliative care for women with breast cancer. Rev Bras Enferm., 73(0), p. 1-8.
The Lancet Oncology. (2020). COVID-19: global consequences for oncology [Editorial]. Lancet Oncol, 21(4), 467.
Uesugi, J. H. E., Fernandes, C. F., Silva, J. C. C., Martins, H. H. S., Trindade, E. L., & Ferreira, L. A. (2022). Aplicações da telemedicina no cenário da pandemia de COVID-19. Reserach Society and Development, 11(1), 1-6.
Viana, G. K. B, Silva, H. A., Lima, A. K. G., Lima, A. L. A., Mourao, C. M. L., Freitas, A. S. F., Silva, A. M. L., Santos, E. T., & Rodrigues, F. T. S. (2018). Educational intervention in the nursing team beyond palliative care. J. Health Biol Sci, 6(2): p. 165-169.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Vanessa Gomes da Silva; Audrei Castro Telles; Nathália de Paula Albuquerque Guimarães; Flávia Navi de Souza; Lívia Lírio Campo; Nair Caroline Cavalcanti de Mendonça Bittencourt; Regina Bokehi Nigri; Maria das Graças Gazel de Souza
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.