Conferência familiar e o luto na família: relatório de prática clínica

Relatório de Estágio apresentado à Escola Superior de Saúde Dr. Lopes Dias do Instituto Politécnico de Castelo Branco para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Cuidados Paliativos,Integrado no 7º Mestrado em Cuidados Paliativos da Escola Superior de Saúde , serve o presente relatório para descrever, relatar e refletir, crítica e pormenorizadamente, sobre todas as actividades preconizadas em Projeto de Prática Clínica e Relatório, realizadas na Unidade Curricular de Prática Clínica. Tal é um requisito para obtenção do grau de mestre. A prática clínica foi realizada numa Unidade de Cuidados Paliativos, num total de 300 horas. O Estágio foi realizado sob Orientação Pedagógica Científica da Professora Doutora Ana Paula Gonçalves Antunes Sapeta. No presente relatório cruza-se a observação direta e participante com a evidência científica, descreve-se o modelo de organização e funcionamento da equipa de Cuidados Paliativos, aprofundando a tipologia de prestação de cuidados e características do serviço; refletem-se as competências adquiridas nas áreas-chave dos Cuidados Paliativos, especificamente no trabalho em equipa, comunicação família; e, demonstra-se a aquisição de competências na estruturação e implementação de programas em Cuidados Paliativos. Posteriormente apresento o Projeto de Intervenção e Formação, que serão implementados numa Unidade de Cuidados Paliativos. O Projeto de Intervenção é um Projeto de Melhoria da Qualidade e consiste em implementar a realização de conferências familiares, de forma programada e estruturada, e de um plano de apoio ao luto, conforme preconizam Indicador de Qualidade para os Serviços de Cuidados Paliativos e que a eles se referem. O Projeto de Formação consiste em fazer Formação à Equipa multidisciplinar da mesma Unidade, sobre o Projeto de Intervenção e sobre o tema “Conferência familiar e luto na família". O Projeto de Intervenção inclui uma análise das “forças, fraquezas, oportunidades e ameaças” (SWOT), as ações a curto, médio e longo prazo e a forma de avaliação da melhoria do Projeto de Intervenção, com a respetiva construção dos Indicadores de avaliação. O Projeto de Formação, inclui os objetivos plano de sessão (conteúdos, metodologia, recursos, diapositivos da sessão de formação). É apresentada uma Revisão Sistemática da Literatura, sobre os temas dos Projetos de Intervenção e Formação "Conferência familiar e luto na família".ABSTRACT: Part of the 7th Master's Degree in Palliative Care at the Dr. Lopes Dias School of Health of the Castelo Branco Polytechnic Institute, this report serves to describe, report and reflect, critically and in detail, on all the activities advocated in the Clinical Practice Project and Report. and held at the Clinical Practice Course. This is a requirement for obtaining the master's degree. Clinical practice was performed in a Palliative Care Unit for a total of 300 hours. The internship was conducted under the Scientific Pedagogical Orientation of Professor Ana Paula Gonçalves Antunes Sapeta. This report crosses the direct and participant observation with the scientific evidence, describes the model of organization and operation of the Palliative Care team, deepening the typology of care and characteristics of the service; skills acquired in key areas of Palliative Care, specifically teamwork, communication, symptom control and family support are reflected; and it demonstrates the acquisition of skills in the structuring and implementation of programs in Palliative Care. Subsequently I present the Intervention and Training Project, which will be implemented in a Palliative Care Unit. The Intervention Project is a Quality Improvement Project and consists of implementing scheduled and structured family conferences and a grief support plan, as recommended by the Quality Indicator for Palliative Care they refer to. The Training Project consists of training the multidisciplinary team of the same Unit, on the Intervention Project and on the theme Part of the 7th Master's Degree in Palliative Care at the Dr. Lopes Dias School of Health of the Castelo Branco Polytechnic Institute, this report serves to describe, report and reflect, critically and in detail, on all the activities advocated in the Clinical Practice Project and Report. and held at the Clinical Practice Course. This is a requirement for obtaining the master's degree. Clinical practice was performed in a Palliative Care Unit for a total of 300 hours. The internship was conducted under the Scientific Pedagogical Orientation of Professor Ana Paula Gonçalves Antunes Sapeta. This report crosses the direct and participant observation with the scientific evidence, describes the model of organization and operation of the Palliative Care team, deepening the typology of care and characteristics of the service; skills acquired in key areas of Palliative Care, specifically teamwork, communication, symptom control and family support are reflected; and it demonstrates the acquisition of skills in the structuring and implementation of programs in Palliative Care. Subsequently I present the Intervention and Training Project, which will be implemented in a Palliative Care Unit. The Intervention Project is a Quality Improvement Project and consists of implementing scheduled and structured family conferences and a grief support plan, as recommended by the Quality Indicator for Palliative Care they refer to. The Training Project consists of training the multidisciplinary team of the same Unit, on the Intervention Project and on the themePart of the 7th Master's Degree in Palliative Care at the Dr. Lopes Dias School of Health of the Castelo Branco Polytechnic Institute, this report serves to describe, report and reflect, critically and in detail, on all the activities advocated in the Clinical Practice Project and Report. and held at the Clinical Practice Course. This is a requirement for obtaining the master's degree. Clinical practice was performed in a Palliative Care Unit for a total of 300 hours. The internship was conducted under the Scientific Pedagogical Orientation of Professor Ana Paula Gonçalves Antunes Sapeta. This report crosses the direct and participant observation with the scientific evidence, describes the model of organization and operation of the Palliative Care team, deepening the typology of care and characteristics of the service; skills acquired in key areas of Palliative Care, specifically teamwork, communication, symptom control and family support are reflected; and it demonstrates the acquisition of skills in the structuring and implementation of programs in Palliative Care. Subsequently I present the Intervention and Training Project, which will be implemented in a Palliative Care Unit. The Intervention Project is a Quality Improvement Project and consists of implementing scheduled and structured family conferences and a grief support plan, as recommended by the Quality Indicator for Palliative Care they refer to. The Training Project consists of training the multidisciplinary team of the same Unit, on the Intervention Project and on the theme “Family Conference and Family Mourning“. The Intervention Project includes an analysis of "Strengths, Weaknesses, Opportunities and Threats" (SWOT), short, medium and long term actions and how to evaluate the improvement of the Intervention Project, with the respective construction of the Evaluation Indicators. . The Training Project includes the session plan objectives (contents, methodology, resources, slides of the training session). A Systematic Literature Review is presented on the themes of the intervention and Training Projects “Family Conference and Family Mourning”