Health status and actions of patients under palliative care assisted by a multidisciplinary home care team: an epidemiological analysis
Patients under palliative care
DOI:
https://doi.org/10.13037/ras.vol23.e20259119Keywords:
cuidados paliativos integrativos, Equipe de assistência ao paciente, visitadores domiciliaresAbstract
Introduction: Palliative care comprises a set of measures aimed at improving the quality of life of patients and family members who are faced with issues related to a disease that threatens the continuity of life. This care encompasses the prevention and relief of suffering, made possible by early identification, efficient assessment, and treatment of pain, as well as attention to other physical, psychological, and spiritual symptoms. Objectives: To identify the health status and actions of patients in palliative care assisted by a multidisciplinary home care team (MHCT). Materials and Methods: Retrospective research through the analysis of medical records of patients in palliative care assisted by an MHCT in Ceara, Brazil, between January and June 2022, to identify the epidemiological profile and compare the variables analyzed between sexes. Results: In total, 52 participants were included, 21 female and 31 male, median age 80 and 73 years, respectively, without differences between the two groups. The majority of patients were classified as complementary palliation both in the male (64.5%) and female (61.9%) groups. There were no differences between the two groups when comparing the stratification of the palliative care (p=0.38) and monthly income (p=0.98). There was a higher percentage of the presence of a partner in the group of men (74.2%; p= 0.03). Concerning comorbidities, there was a higher percentage of hypertensive women (p=0.02), without differences for other comorbidities. Conclusion: The data presented in this study highlight the importance of the multidisciplinary home care team in attending patients in palliative care.
Downloads
References
Academia Nacional de Cuidados Paliativos. Manual de cuidados paliativos. Rio de Janeiro: Diagraphic, 2009. __. Manual de cuidados paliativos. Ampliado e Atualizado. 2. ed. Rio de Janeiro, 2012.
Menezes RA. Em busca da boa morte: antropologia dos cuidados paliativos. Rio de Janeiro: Garamond, FIOCRUZ, 2004.
Cecílio LCO. A integralidade do cuidado como eixo da gestão hospitalar. Campinas: Unicamp, 2003.
Rehem TCMSB, Trad LAB. Assistência domiciliar em saúde: subsídios para um projeto de atenção básica brasileira. Revista Ciência & Saúde Coletiva; 2005: 231-42.
Oliveira EM, Spiri WC. Programa Saúde da Família: a experiência de equipe multiprofissional. Revista de Saúde Pública 2006; 40(4): 727-33.
Assessing the development of palliative care worldwide: a set of actionable indicators. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO.
Sleeman K, de Brito Maja, Etkind S, et al. The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. The Lancet Global Health 2019;7:7):883-92.
Stjernsward J, Foley KM, Ferris FD, Estratégia de saúde pública para cuidados paliativos. Journal of Pain and Symptom Management 2007;35(35):486-93.
Savassi LCM, Dias MF, Dias MB, et al. Relatoria do GESF: Módulo Visita Domiciliar. Grupo de Estudos em Saúde da Família. AMMFC: Belo Horizonte, 2006 (Relatório, 20p).
Lotufo P. O escore de risco de Framingham para doenças cardiovasculares. Revista De Medicina 2008;87(4):232-37.
Feuerwerker LCM. A contribuição da atenção domiciliar para a configuração de redes substitutivas de saúde: desinstitucionalização e transformação da prática. Revista Panamericana de Salud Publica 2008;24(3):180-188.
Donkor A, Luckett T, Aranda S et al. Barriers and facilitators to implementation of cancer treatment and palliative care strategies in low- and middle-income countries: systematic review. International Journal of Public Health 2018;63(9):1047-57.
Castôr KS, Moura ECR; Pereira EC, et al. Palliative care: epidemiological profile with a biopsychosocial look on oncological patients. Brazilian Journal of Pain 2019;2(1):49-54.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Thales Bezerra de Alcântara, Yára Juliano, Patrícia Colombo-Souza, Ana Paula Ribeiro, Carolina Nunes França, Neil Ferreira Novo

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Policy Proposal for Journals offering Free Delayed Access
Authors who publish in this magazine agree to the following terms:
- Authors maintain the copyright and grant the journal the right to the first publication, with the work simultaneously licensed under a Creative Commons Attribution License after publication, allowing the sharing of the work with recognition of the authorship of the work and initial publication in this journal.
- Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this magazine (eg, publishing in institutional repository or as a book chapter), with the acknowledgment of the authorship and initial publication in this journal.
- Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase impact and citation of the published work (See The Effect of Open Access).