Abstract
Abstract The objective of the present study was to evaluate the use of the Palliative Care Screening Tool (PCST) for the recommendation of palliative care among older patients admitted to an Intensive Care Unit, as well as to evaluate the prevalence of basic diseases, religion and agreement between the results of the PCST and the Palliative Performance Scale (PPS). A cross-sectional, descriptive, analytical, retrospective, documental study with a quantitative approach was performed. Analysis of 594 medical records revealed that cardiovascular diseases accounted for 26.8% of hospitalizations among older adults, followed by neoplasia 20.2% and renal failure 16.8%, and that aspects related to the religiosity and spirituality of the older adults were not considered. There was agreement of 1.0 between the PCST and PPS scales, as measured by the Kappa test, a score considered to be perfect. The PCST can therefore be considered an excellent tool for the evaluation of palliative care among older adults. It can be concluded that, in view of the significant level of agreement between the scales, new studies using the PCST with larger samples should be performed, with the aim of extending the use of the tool, and to assess if there is a need for adjustments aimed at adapting it more closely to the Brazilian population.
Highlights
IntroductionThe practice of palliative care, despite being health systems from curative forms focused on disease relatively recent, has as its cornerstone the integral towards the implementation of comprehensive care treatment of the patient, the consideration of the centered on older adults[8]
The World Report on Aging and Health, published by the World Health Organization (WHO) in 2015, highlighted the need to transformThe practice of palliative care, despite being health systems from curative forms focused on disease relatively recent, has as its cornerstone the integral towards the implementation of comprehensive care treatment of the patient, the consideration of the centered on older adults[8]
In Brazil, according to a study conducted by the National Academy of Palliative Care in 2018, there was a low number of palliative services in health institutions, which were unevenly distributed across the country[3]
Summary
The practice of palliative care, despite being health systems from curative forms focused on disease relatively recent, has as its cornerstone the integral towards the implementation of comprehensive care treatment of the patient, the consideration of the centered on older adults[8]. In this sense, the need to finitude of life, respect for the patient’s wishes, and the identify older adults who would benefit from palliative encouraging of therapy that aims to allow individuals care is evident. We chose to use the PCST scale as we believe it is more comprehensive and, can accurately assess palliative criteria, with the aim of preventing patients indicated for palliative care suffering from therapeutic obstinacy, The consequences of the situational diagnosis occupying ICU beds unnecessarily, and making them of palliative care in Brazil are: patients indicated more likely to receive palliative care when indicated
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