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Prospects for palliative care in primary healthcare: a descriptive study

Cissa Azevedo, Camila Maria Pereira Rates, Juliana Dias Reis Pessalacia, Luciana Regina Ferreira da Mata


Aim: To identify eligible patients for palliative care and characterize the  services  involved  in  primary  healthcare.  Method:  This  was  a  descriptive  and documental  study  conducted  in  19  health  units  in  a  municipality  in  the  countryside  of Minas  Gerais  in  Brazil.  The  Karnofsky  performance  scale  was  applied  to  the  medical records  of  patients  in  the  health  sector  with  the  largest  number  of  eligible  individuals. Results:  We  identified  2,715  eligible  individuals,  representing 3.59%  of  the  registered population  and  25.3%  of  patients  in  sector  seven,  which  had the  highest  number  of eligible  individuals.  Diabetes  was the most common  pathology,  followed  by  cancer  and cardiovascular   diseases.   Furthermore,   17.2%   of   these   individuals   have   required palliative  care  precociously;  9.7%,  required  exclusive  care,  and  the  elderly  above  60 years  constituted  the  highest  number  among  those  eligible.  Discussion:  The  data confirmed  the  need  for  structuring  the  primary  healthcare  for  early  care in  palliative care,  especially  for  the  elderly.  Conclusion:  It is  necessary to  structure  a  care  network that is integrated and ordained by PHC and professional training.


Delivery of Health Care; Chronic Disease; Family Health Strategy