Palliative care in geriatric: a systematic review
DOI:
https://doi.org/10.33448/rsd-v12i2.39949Keywords:
Old age assistance; Palliative care; Geriatrics.Abstract
Objective: Analyze palliative care in Geriatrics, through a systematic review. Methods: A systematic review study, in which the time frame was made over a period of six years (2016 to 2022), in English and Portuguese languages. The following platforms were used as sources of information: MEDLINE/PubMed, LILACS, SCIELO and EMBASE. With the following health descriptors associated with the Boolean operator AND: elderly and palliative care and geriatrics. Results: From the nine articles analyzed for the review, it was possible to verify that the interdisciplinarity aimed at individualized follow-up to the elderly patient and their family, allows better management of physical, psychosocial and spiritual symptoms and a greater understanding of this care, focused on collaborate for holistic patient care, improving care in geriatric palliative care. Non-pharmacological interventions have a relevant role in the action of the geriatrician in palliative care. Conclusion: The field of palliative care is capable of offering a deeply integrated care that can cover up different goals of care in Geriatrics, but that also facilitates a solid shifting process from the goal of functional recovery to goals oriented towards comfort.
References
Academia Nacional de Cuidados Paliativos (2018). Análise situacional e recomendações para estruturação de programas de cuidados paliativos no Brasil. São Paulo.
Arcanjo, S. P., Saporetti, L. A., Curiati, J. A. E., Jacob-Filho, W., & Avelino-Silva, T. J. (2018). Clinical and laboratory characteristics associated with referral of hospitalized elderly to palliative care. Einstein, 16.
Brasil. (2022). Ministério da Educação. Conselho Nacional de Educação. Parecer CNE/CES Nº: 265/2022. Alteração da Resolução CNE/CES no 3, de 20 de junho de 2014, que institui as Diretrizes Curriculares Nacionais do Curso de Graduação em Medicina e dá outras providências.
Chávarri‐Guerra, Y., Ramos‐López, W. A., Covarrubias‐Gómez, A., Sánchez‐Román, S., Quiroz‐Friedman, P., Alcocer‐Castillejos, N., ... & Soto‐Perez‐de‐Celis, E. (2021). Providing supportive and palliative care using telemedicine for patients with advanced cancer during the COVID‐19 pandemic in Mexico. The oncologist, 26(3), e512-e515.
Clarke, M. (2001) Cochrane Reviewers’ Handbook 4.1. In: Clarke, M. Oxman, A.D. (Eds). Review Manager (RevMan) [Computer program]. Version 4.1. Oxford, England: The Cochrane Collaboration.
Costa, R. S. D., Santos, A. G. B., Yarid, S. D., Sena, E. L. D. S., & Boery, R. N. S. D. O. (2016). Reflexões bioéticas acerca da promoção de cuidados paliativos a idosos. Saúde em debate, 40, 170-177.
Luz, R., & Bastos, D. F. (2019). Experiências contemporâneas sobre a morte e o morrer: O legado de Elisabeth Kübler-Ross para os nossos dias. Summus Editorial.
Macena, W. G., Hermano, L. O., & Costa, T. C. (2018). Alterações fisiológicas decorrentes do envelhecimento. Revista Mosaicum, (27), 223-238.
Mackey, R. M., Yeow, M. E., Christensen, A. R., Ingram, C., Carey, E. C., & Lapid, M. I. (2022). Reconnecting: strategies for supporting isolated older adults during COVID-19 through tele-palliative care. Clinical gerontologist, 45(1), 204-211.
Marcucci, F. C. I., Martins, V. M., Barros, E. M. L. D., Perilla, A. B., Brun, M. M., & Cabrera, M. A. S. (2018). Functional capacity of patients indicated for palliative care in primary care. Geriatrics, Gerontology and Aging, 12(3), 159-165.
Mendes, P. B., Pereira, A. D. A., & Barros, I. D. C. (2021). Bioética y cuidados paliativos en la graduación médica: propuesta curricular. Revista Bioética, 29, 534-542.
Mercadante, S., Gregoretti, C., & Cortegiani, A. (2018). Palliative care in intensive care units: why, where, what, who, when, how. BMC anesthesiology, 18(1), 1-6.
Min, L., Saul, D. A., Firn, J., Chang, R., Wiggins, J., & Khateeb, R. (2022). Interprofessional geriatric and palliative care intervention associated with fewer hospital days. Journal of the American Geriatrics Society, 70(2), 398-407.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G (2009). PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. Jul 21;6(7):e1000097.
Ning, X. (2018). Hospice and palliative care in mainland China: history, current status and challenges. Chinese Medical Sciences Journal, 33(4), 199-203.
Oliveira, A. S. (2019). Transição demográfica, transição epidemiológica e envelhecimento populacional no Brasil. Hygeia-Revista Brasileira de Geografia Médica e da Saúde, 15(32), 69-79.
Queiroga, V. M., Menezes, L. V., Lima, J. M. R., & Andrade, D. D. B. C. (2020). Cuidados Paliativos de Idosos no Contexto da Atenção Primária à Saúde: uma revisão da literatura. Brazilian Journal of Development, 6(6), 38821-38832.
Rodriguez, M. I. F. (2013). Internação domiciliar: avaliações imperativas implicadas na função de cuidar. Psicologia Revista, 22(2), 197-212.
Ruthsatz, M., & Candeias, V. (2020). Non-communicable disease prevention, nutrition and aging. Acta Bio Medica: Atenei Parmensis, 91(2), 379.
Santos, A. F., Ferreira, E. A., & Guirro, Ú. D. (2020). Atlas dos cuidados paliativos no Brasil 2019. São Paulo: Academia Nacional de Cuidados Paliativos.
Sarradon-Eck, A., Besle, S., Troian, J., Capodano, G., & Mancini, J. (2019). Understanding the barriers to introducing early palliative care for patients with advanced cancer: a qualitative study. Journal of Palliative Medicine, 22(5), 508-516.
Spindler, D. M., & dos Santos, C. M. (2021). Percepção da qualidade de vida e sobre a morte de um idoso Perception of quality of life and on the death of an elderly person. Brazilian Journal of Health Review, 4(4), 15981-16003.
Sun, H., Lee, J., Meyer, B. J., Myers, E. L., Nishikawa, M. S., Tischler, J. L., & Blinderman, C. D. (2020). Characteristics and palliative care needs of COVID‐19 patients receiving comfort‐directed care. Journal of the American Geriatrics Society.
Strang, P., Bergström, J., Martinsson, L., & Lundström, S. (2020). Dying from COVID-19: loneliness, end-of-life discussions, and support for patients and their families in nursing homes and hospitals. A national register study. Journal of Pain and Symptom Management, 60(4), e2-e13.
Ten Koppel, M., Onwuteaka-Philipsen, B. D., Van den Block, L., Deliens, L., Gambassi, G., Heymans, M. W., ... & van der Steen, J. T. (2019). Palliative care provision in long-term care facilities differs across Europe: results of a cross-sectional study in six European countries (PACE). Palliative medicine, 33(9), 1176-1188.
Vieira, R. C., de Morais, M. T. M., Sarmento, L. M. C., Ferreira, A. D. C., & de Sousa Muñoz, R. L. (2017). Demanda por cuidados paliativos em enfermarias clínicas gerais. Revista Ciência e Estudos Acadêmicos de Medicina, (08).
Voumard, R., Rubli Truchard, E., Benaroyo, L., Borasio, G. D., Büla, C., & Jox, R. J. (2018). Geriatric palliative care: a view of its concept, challenges and strategies. BMC geriatrics, 18(1), 1-6.
Vu, T. T. H., Hoang Nguyen, L., Xuan Nguyen, T., Thi Hoai Nguyen, T., Ngoc Nguyen, T., Thi Thu Nguyen, H., ... & CM Ho, R. (2019). Knowledge and attitude toward geriatric palliative care among health professionals in Vietnam. International journal of environmental research and public health, 16(15), 2656.
Zoccoli, T. L. V., Ribeiro, M. G, Fonseca, F. N., & Ferrer, V. C. (2019). Desmistificando cuidados paliativos. [livro eletrônico]. Brasília: Oxigênio.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Laura Gonzaga de Carvalho Bonifácio; Thayana Louize Vicentini Zoccoli
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.
