Introduction:

The clinical profile of patients admitted to Internal Medicine services is characterized by increasing frailty and complexity. The main objective of this study was to determine the prevalence of palliative care needs in an Internal Medicine Service using the NECPAL instrument.

Material and Methods:

An institutional, clinical, descriptive, observational and cross-sectional study was conducted. Of the 148 patients admitted to the Internal Medicine Service of a tertiary hospital on 20th April of 2022, 122 patients pre-sented eligibility criteria for application of the NECPAL inquiry by health professionals (doctors and nurses). Statistical analysis was performed in SPSS® version 26 software.

Results:

The prevalence of palliative needs in this Internal Medicine Service was 88.5% (n = 108). Of these, 72.2 % (n = 78) were in stage 3 prognosis of NECPAL, whose median survival is 3.6 months. Most healthcare professionals (56.9%, n = 29) had no basic training in palliative care. Nurses and physicians were concordant in most of their assessments regarding the surprise question, differing in 27.9% (n = 34) of patients, and in all of these the prognosis-defining disease was non-oncologic.

Discussion/Conclusion:

The palliative needs in this Internal Medicine Service are high, possibly portraying the national reality. Giving visibility to the needs of our population is imperative for better management of individual care, human resources and creation of government plans.

        · resumo em Português     · texto em Português     · Português ( pdf )