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Authors
Advisor(s)
Abstract(s)
Introdução: A pandemia causada pelo SarS-CoV2 que provocou a COVID-19, tem
sobressaltado a vida de todos, desde pessoas saudáveis, a doentes crónicos, alguns
deles com prognóstico vital limitado, aos seus familiares e aos profissionais de saúde.
Morrer com dignidade é um direito, definido como um processo com as seguintes
características: morrer com o menor sofrimento possível e sem intervenções médicas
inadequadas ao nível de intervenção para os doentes nesta fase da sua vida.
Objetivo: Entender de que forma a pandemia alterou a forma de morrer nos cuidados
em fim de vida e o que podemos então acrescentar ao que era realizado anteriormente.
Metodologia: Foi realizada uma revisão sistemática com síntese narrativa, seguindo
as linhas orientadoras do PRISMA e assim realizada a pesquisa de literatura nas bases
de dados PubMed/MEDLINE, Scielo e Web of science, que respondesse à pergunta
investigadora. Esta pesquisa foi realizada entre o período de dezembro de 2019 e junho
de 2021, tendo sido realizada no mês de setembro de 2022. Nesta pesquisa, foram
incluídos artigos com dados originais escritos em inglês, português e espanhol. Foram
utilizadas como Palavras-Chave: "end of life”; "paliative care"; "covid-19";"dignity" e
Telemedicine".
Resultados: 22 estudos cumpriram os critérios de inclusão. Notou-se uma grande
heterogeneidade na origem destes estudos, sendo que foram realizados em 12 países
diferentes. Cinco temas foram encontrados a partir da análise dos artigos; Cuidados
Paliativos durante a Pandemia Covid-19; Fim de vida durante a Pandemia de Covid-19;
Evolução da Telemedicina durante a Pandemia Covid-19; O uso da Telemedicina nos
Cuidados Paliativos e, por fim, o uso da Telemedicina e a Dignidade em Fim de vida.
Os outcomes apresentaram-se relativamente positivos quanto a alguns parâmetros, no
entanto algumas propostas de melhoria foram salientadas.
Conclusão: A síntese dos estudos analisados revelou que a Telemedicina tem um
enorme potencial para melhorar os cuidados em fim de vida, a nível da qualidade de
vida, da sua autonomia e na adesão ao tratamento farmacológico e não farmacológico.
No entanto, são necessários mais estudos interventivos de forma a criar protocolos de
acompanhamento em Telemedicina para o doente em fim de vida no seu domicílio.
Introduction: The pandemic caused by the SarS-CoV2 that caused COVID-19 has shaken the lives of everyone, from healthy people to the chronicaly ill, some of them with a limited vital prognosis, to their families and health professionals. Dying with dignity is a right, defined as a process with the following characteristics: dying with the least possible suffering and without inadequate medical interventions at the level of intervention for patients at this stage of their lives. Objective: To understand how the pandemic changed the way of dying in end-of-life care and what we can then add to what was done previously Methodology: A systematic review with narrative synthesis was carried out, following the PRISMA guidelines, and thus a literature search was carried out in the PubMed/MEDLINE, Scielo and Web of science databases, which answered the investigative question. This research was carried out between December 2019 and June 2021, having been carried out in September 2022. In this research, articles with original data written in English, Portuguese and Spanish were included. The following keywords were used: "end of life"; "paliative care"; "covid-19"; "dignity" and Telemedicine. Results: 22 studies met the inclusion criteria. There was a great heterogeneity in the origin of these studies, which were carried out in 12 different countries. Five themes were found from the analysis of the articles; Paliative Care during the Covid-19 Pandemic; End of life during the Covid-19 Pandemic; Evolution of Telemedicine during the Covid-19 Pandemic; The use of Telemedicine in Paliative Care and, finaly, the use of Telemedicine and End-of-Life Dignity. Outcomes were relatively positive regarding some parameters, however some improvement proposals were highlighted. Conclusion: The synthesis of the analyzed studies revealed that Telemedicine has enormous potential to improve end-of-life care, in terms of quality of life, autonomy and adherence to pharmacological and non-pharmacological treatment. However, more interventional studies are needed to create telemedicine follow-up protocols for end-oflife patients at home.
Introduction: The pandemic caused by the SarS-CoV2 that caused COVID-19 has shaken the lives of everyone, from healthy people to the chronicaly ill, some of them with a limited vital prognosis, to their families and health professionals. Dying with dignity is a right, defined as a process with the following characteristics: dying with the least possible suffering and without inadequate medical interventions at the level of intervention for patients at this stage of their lives. Objective: To understand how the pandemic changed the way of dying in end-of-life care and what we can then add to what was done previously Methodology: A systematic review with narrative synthesis was carried out, following the PRISMA guidelines, and thus a literature search was carried out in the PubMed/MEDLINE, Scielo and Web of science databases, which answered the investigative question. This research was carried out between December 2019 and June 2021, having been carried out in September 2022. In this research, articles with original data written in English, Portuguese and Spanish were included. The following keywords were used: "end of life"; "paliative care"; "covid-19"; "dignity" and Telemedicine. Results: 22 studies met the inclusion criteria. There was a great heterogeneity in the origin of these studies, which were carried out in 12 different countries. Five themes were found from the analysis of the articles; Paliative Care during the Covid-19 Pandemic; End of life during the Covid-19 Pandemic; Evolution of Telemedicine during the Covid-19 Pandemic; The use of Telemedicine in Paliative Care and, finaly, the use of Telemedicine and End-of-Life Dignity. Outcomes were relatively positive regarding some parameters, however some improvement proposals were highlighted. Conclusion: The synthesis of the analyzed studies revealed that Telemedicine has enormous potential to improve end-of-life care, in terms of quality of life, autonomy and adherence to pharmacological and non-pharmacological treatment. However, more interventional studies are needed to create telemedicine follow-up protocols for end-oflife patients at home.
Description
Keywords
Covid-19 Cuidados Paliativos Dignidade e Telemedicina Fim de Vida