Compreensão dos enfermeiros da atenção primária à saúde sobre os cuidados paliativos: revisão integrativa.

Abstract

Introduction: Palliative care is a health care approach that aims to improve the quality of life for patients in advanced stages of serious diseases, incurable and progressive, aiming the control of physical and psychological signs and symptoms. The geographical, cultural and emotional closeness of the primary health care professionals can contribute much to the care of people with chronic diseases occur in a humane way, respecting the autonomy of patients and families in a coordinated manner. Objective: To know the opinions of nurses of the Family Health Program on the implementation of palliative care in primary care. Methodology: This is an integrative literature review that aims to gather and synthesize results of research on the perception of the primary health care nurses on palliative care. It was used as inclusion criteria for articles in Portuguese, English and Spanish; publications available in the free form of full and articles that addressed the issue in question, excluding documents that did not meet these criteria. two searches were carried out at Scielo databases, Bireme and Lilacs. In the first using the keywords "Palliative Care" and "Primary Health Care". In the second descriptors were adopted "Palliative Care", "Primary Health Care" and "Nursing". In both searches, the descriptors were applied in three languages described. Results and Discussion: In the first search found 2677 publications, with the removal of duplicate items and applying the exclusion criteria, 09 articles were left for analysis. In the second search was found 611 documents, eliminating duplicate items, and with the use of the exclusion criteria, remaining 02 documents for review. 11 articles were analyzed, according to the author, year of publication, title, objectives and main results of each document. From this analysis it was carried out by categories, which are: Ethics in Palliative Care; Difficulties related to graduation; Need for specific training; Difficulties refer the patient to other services and Recommendations for nursing practice. Conclusion: They realized, many difficulties faced by palliative caregivers for their actions, from academic aspects to ethical. The importance of the nurse as caregiver should be emphasized and deficiencies remedied in accordance with their demands that thus occurs a better quality of life given to people who no longer have a cure as reality. Keywords: Palliative