<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282024000400290</article-id>
<article-id pub-id-type="doi">10.29315/gm.v11i4.910</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Avaliação das Necessidades Paliativas numa Unidade de Saúde Familiar]]></article-title>
<article-title xml:lang="en"><![CDATA[Assessment of Palliative Needs in Primary Care Unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Ilda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[Céu]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Ferraz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,- ULS Matosinhos USF Porta do Sol ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS Matosinhos Unidade de Cuidados Paliativos ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>11</volume>
<numero>4</numero>
<fpage>290</fpage>
<lpage>300</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282024000400290&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282024000400290&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282024000400290&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A população portuguesa está em processo de envelhecimento, pelo que as necessidades paliativas deverão estar previsivelmente a aumentar. Uma das barreiras ao acesso atempado de cuidados paliativos é a dificuldade na identificação dos doentes que poderão beneficiar deles. Estes doentes estão sobretudo na comunidade. Assim, as equipas de cuidados de saúde primários estão na melhor posição para identificar doentes com potenciais necessidades paliativas. O nosso objetivo foi avaliar as necessidades paliativas numa Unidade de Saúde Familiar (USF) do Concelho de Matosinhos.  Métodos:  Estudo observacional transversal numa amostra de utentes com idade igual ou superior a 65 anos de uma USF do Concelho de Matosinhos, através da aplicação da escala de avaliação de necessidades paliativas - SPICT-PT&#8482;.  Resultados:  A amostra foi constituída por 349 utentes, 56,4% do sexo feminino e 43,6% do sexo masculino. A mediana de idades foi de 74 anos. O grupo patológico mais prevalente foi do aparelho circulatório, seguido do grupo de doenças endócrinas e as doenças oncológicas. Foram identificados 25 (7,2%) doentes com necessidades paliativas. Estes apresentam uma mediana de idade superior assim como um grau mais elevado de dependência. Este grupo apresenta um número maior de doenças do aparelho circulatório, do foro psicológico e do foro oncológico. Dos doentes com necessidades paliativas, 6 (24%) estavam referenciados à equipa de cuidados paliativos.  Conclusão:  A identificação de 7,2% de doentes com necessidades paliativas é semelhante à referida noutros estudos. O baixo número de referenciação de doentes com necessidades paliativas à equipa de cuidados paliativos pode dever-se a uma manifesta dificuldade dos médicos de família na identificação destes doentes ou ao facto de os doentes estarem sintomaticamente controlados e serem de baixa complexidade. A divulgação e aplicação da ferramenta SPICT-PT&#8482; nos cuidados de saúde primários poderá ser uma mais-valia na melhoria da identificação destes doentes, conhecimento, prestação e planeamento de cuidados a vários níveis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The Portuguese population is in an aging process so palliative needs should be predictably increasing. One of the barriers to timely access to palliative care is the difficulty in identifying patients who may benefit from it. These patients are mainly in the community. Therefor primary health care teams are in the best position to identify patients with potential palliative needs. We aimed to assess palliative needs in a Family Health Unit in Matosinhos.  Methods:  Cross-sectional observational study in a sample of patients aged 65 years or over from a Family Health Unit in Matosinhos, using the palliative needs assessment scale - SPICT-PT&#8482;.  Results:  The sample consisted of 349 patients, 56.4% female and 43.6% male. The median age was 74 years. The most prevalent pathological group was related to the circulatory system, followed by the group of endocrine diseases and oncological diseases. 25 (7.2%) patients with palliative needs were identified. These have a higher median age as well as a higher degree of dependence. This group had a greater number of diseases of the circulatory system, psychological and oncological. Of the patients with palliative needs, 6 (24%) were referred to the palliative care team.  Conclusion:  The identification of 7.2% of patients with palliative needs is similar to that reported in other studies. The low number of referrals of patients with palliative needs to the palliative care team may be due to a clear difficulty of family physicians in identifying these patients or to the fact that patients are symptomatically controlled and are of low complexity. The application of this tool allows the identification of these patients and the best planning of care at various levels. The divulgation and application of the SPICT-PT&#8482; tool in primary health care could be an added value in improving the identification of these patients, knowledge, provision and planning of care at various levels.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de Saúde Primários]]></kwd>
<kwd lng="pt"><![CDATA[Prestação de Cuidados de Saúde]]></kwd>
<kwd lng="en"><![CDATA[Delivery of Health Care]]></kwd>
<kwd lng="en"><![CDATA[Palliative Care]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
</kwd-group>
</article-meta>
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