Cogitare Enfermagem (Jun 2018)

DEINSTITUTIONALIZATION IN PALLIATIVE CARE: PROFILE OF USERS OF A UNIT IN RIO DE JANEIRO/BRAZIL

  • Patrícia da Silva Olario,
  • Marléa Chagas Moreira,
  • Isabel Borges Moreira,
  • José Carlos Amado Martins,
  • Alexandre Teófilo de Souza

DOI
https://doi.org/10.5380/ce.v23i2.53787
Journal volume & issue
Vol. 23, no. 2
p. e53787

Abstract

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Objective: Gain knowledge on the profile of users of a residential care service provided by a hospital in Rio de Janeiro as part of a deinstitutionalization strategy for individuals in palliative care. Method: descriptive and ret-rospective study based on quantitative investigation. The medical records of patients who received care at a home care service from January 2012 to December 2016 (n = 655) were analyzed. Of these, 330 (50.4%) were women and 493 (75.3%) were older than 60 years. Most of them, 598 (91.3%) lived in the Metropolitan region of Rio de Janeiro and 406 (61.9%) have cancer. Regarding the demand for technical care, there was a prevalence of care related to skin lesions, 150 (22.9%); followed by oral feeding, 528 (80.6%); and gastrostomy, 123 (18.7%); ostomies, 178 (27.1%) and bladder catheter or cystostomy, 106 (16.1%). In addition, 424 (64.7%) users were entirely dependent on care. Conclusion: Re-garding the profile of the users, most of them were elderly individuals entirely dependent on care and diagnosed with cancer. Strategies should be implemented for the management of these individuals.

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