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Introduction: The discussion on palliative care in high-tech environments and interventional practice represents one of the various aspects to be considered in the challenge of providing a continuum of wellness in living and dying for the elderly. Objective: To map and identify the existing works in the literature on nursing actions that focus on palliative care for elderly patients in surgical hospitalization settings. Materials and methods: This scoping review was conducted on eight databases, following the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Review-Scoping Review guidelines. The following descriptors were used: nursing care; palliative care; elderly; surgery. The inclusion criteria were the following: primary research, systematic reviews, meta-analyses, and clinical trials. The search was performed in three stages: database listing / pilot test; broad search/ application of the “PCC” strategy (population, concept, context); and full reading of the content. A total of 509 productions were retrieved and then managed using the Rayyan® software, of which 13 studies were selected. The protocol was registered in the Open Science Framework. Results: The total population consisted of 10,417 people aged from 60 to 109. The most frequent interventions included the physical dimension, for symptomatic control; the cultural dimension, in which the dilemmas present in an environment with a high expectation for recovery and rigid interventionist protocols were highlighted, as well as the communication dimension, which is a basic tool of palliative care. Conclusions: Elderly people with serious conditions can benefit from palliative care in the perioperative setting. However, there is a need for training nurses in pain management, empowerment to participate in ethical decisions, and training for better communication. It should be noted that evidence on interventions to improve palliative care is still limited by methodological flaws, so rigorous evaluations are needed to measure significant results for patients and care. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to identify the characteristics of services in Brazil that compound the Brazilian Pediatric Palliative Care (PPC) Network. Methods: An online survey was conducted among representatives from PPC services. A total of 90 services from Brazil completed the online survey and answered a questionnaire about the service’s characterization, health professionals working in PPC, access to opioid prescription and education, and research in PPC. Results: In total, 80 services (88.9%) were created after 2010, 52 (57.9%) were in the southeast region, 56 (62.2%) were in public hospitals, 63 (70%) had up to 100 beds, and 57 (63.3%) were at the tertiary level. Notably, 88 (97.8%) had a physician in the team and 68 (75.5%) dedicated part-time to PPC. Also, 33 (36.7%) revealed concern with the care of health professionals and 36 (40%) reported difficulty or no access to opioid prescription. Research studies were reported to be conducted in 29 (32.2%) services. Conclusions: This mapping points out to a concentration of PPC services in the southeast region, with part-time professional dedication, and the need to improve professionals’ care. Difficulty in opioid access was reported. It is necessary to extend PPC participation to other Brazilian regions, increase time dedicated to PPC, improve professionals’ care and improve access to opioid prescription. [ABSTRACT FROM AUTHOR]

Introduction: Introduction: palliative care has been linked to the management of patients without a curative option. The detection of malnutrition allows establishing nutritional intervention strategies to make an adequate use of resources and contribute to support measures. Objective: to describe changes in nutritional status and their impact on survival in patients with cancer disease under palliative care. Methods: descriptive observational study of a retrospective cohort. The patients had stage IV cancer disease, Karnofsky index ≤70 and a survival prognosis <6 months. A complete nutritional assessment was carried out and they were followed for one year. The nutritional status and its characteristics, the presence of cachexia and the median survival at one year were described. Results: of 256 patients at the beginning of the follow-up, 60,9 % had some degree of malnutrition, which increased to 71,9 % at the end of the follow-up. There was an increase in patients with a thin body mass index (BMI) (+7.6%, p = 0.04) and a decrease in patients with excess weight (overweight -3.6%, p = 0, 24; and obesity -2.6%, p = 0.17). Overall survival at 1 year was 60 % (95% CI: 53-65). Conclusion: malnutrition was frequent in patients under palliative care (60,9 %) and increased throughout the follow-up. Differences were observed between the complete nutritional diagnosis and BMI, which can lead to a misclassification of the diagnosis and a decrease in the effectiveness of cancer treatment. [ABSTRACT FROM AUTHOR]

Introduction Administering systemic lidocaine has been shown to deliver effective analgesia for both cancer-related and non-cancer pain. Adverse effects and toxicity are rare with controlled administration. Objective To report the results obtained after the indication to manage with IV lidocaine infusion to control neuropathic pain flares in 9 cancer patients. Methodology Observational, descriptive, case series-type study. A search was conducted in the files of the Pain and Palliative Care Service of the National Cancer Institute - Instituto Nacional de Cancerología - in Bogotá. Patients over 18 years old diagnosed with cancer, who experienced high intensity neuropathic pain and with the cognitive ability to rate their pain in a numerical analogue scale (NAS), without any absolute contraindications for the use of IV lidocaine were included; patients were assessed between September 27 and November 21, 2019. Results 9 patients experiencing a pain flare-up which was characterized as neuropathic were registered, of which 89 % had some improvement following the administration of an initial lidocaine bolus. After one hour, 60 % reported over 40% improvement in the initial NAS. After 24 hours all patients had experienced some improvement, with a reduction of 46% in the pain scale as compared to the baseline. Conclusions In this series of cases, the intravenous infusion of lidocaine as an option for the management of neuropathic pain flares seems to reduce pain intensity following the initial bolus administration. [ABSTRACT FROM AUTHOR]

This study aims to understand the applicability of palliative care in chronic and degenerative diseases. It is a descriptive integrative review, with qualitative characteristics, the inclusion criteria: complete research articles published in the last 10 years; published in Portuguese, English or Spanish, those of exclusion were considered studies that did not present the performance of the nurse in palliative care. In addition, it consists of the fulfillment of the stages; identification of the theme; selection of the research question; establishment of the eligibility criteria and critical analysis; through the categorization of the studies and the evaluation of the results the studies brought the theorization of the assistance in palliative care. They consist of assistance promoted by a multidisciplinary team in the face of a progressive and irreversible disease. It is observed the need to increase the discussions about this therapeutic modality in the groups of professionals and students, in order to improve the assistance to this public that presents an expressive number of new cases. [ABSTRACT FROM AUTHOR]

Palliative care is an approach that supports the assistance of health professionals in the care of patients in situations of intense suffering, resulting from a disease that threatens the continuity of life, aiming to promote relief of suffering and quality of life for patients and their families, within of possible measures and until the end of life. The study aimed to carry out and describe the implementation and implementation of a multiprofessional assistance program in Palliative Care. The study characterized as action research, presents 5 phases for the development of the service proposal. With the implementation of the program, the humanization of the multidisciplinary team in dealing with patients and families can be provided. Among the expectations that were attributed to the proposal to create a palliative care service, its creation and application were carried out within the expected time, in addition to a better use and results than those previously expected. [ABSTRACT FROM AUTHOR]

Objective: to identify the difficulties in addressing palliative care and terminality in the perception of Nursing and Medical students from a public university. Method: this is an exploratory, descriptive study with a qualitative approach, whose data collection was carried out between September 2019 and January 2020, through semi-structured interviews. Results: two main thematic categories emerged: Challenges of communication in palliative care and Unpreparedness to deal with dying and death. Final thoughts: Nursing and Medical students present difficulties related to communication in palliative care and end-of-life situations. This unpreparedness was also present in dealing with death, human suffering and moral conflicts arising from religious beliefs. [ABSTRACT FROM AUTHOR]

Objective: Identify and synthesize the research on the comfort of patients in palliative care. Method: Integrative review in 11 databases, with the following research question: "What are the strategies used to minimize the comfort needs of patients in palliative care?". The selected studies were submitted to content analysis; with the aid of the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires - IRAMUTEQ. Results: The research identified 8,109 articles. After applying the inclusion and exclusion criteria, 16 articles were selected and analyzed. The dendogram generated in the analysis performed with the aid of the IRAMUTEQ software made easier the identification of the main strategies used to minimize the comfort needs of patients in palliative care, as follows: social support network, comfort interventions and communication in palliative care. Conclusion: The synthesis of the studies analyzed indicated that the main strategies used to reduce the patients' comfort needs in palliative care are support (from the team, social and family), physical contact, affection, communication, knowledge, pain relief, kindness, bathing, music therapy, radiotherapy, contact with the external environment (nature), recreation, contact with other people and spirituality. The studies showed that several non-pharmacological interventions, which seem trivial and of little technological complexity (such as availability, affection, support, bathing), have the ability to significantly affect the patients' state of comfort. [ABSTRACT FROM AUTHOR]

Objective: To report the experience of nursing care to the first patient in palliative care oncology with COVID-19, in Rio de Janeiro. Method: This is a descriptive study of an experience report about nursing care for patients with COVID-19 in a reference institution. Results: During data collection, it was found that nursing care is fragmented and without systematization in records and medical records, consisting of: surveillance of the general condition of the patient, ventilatory assistance and risk of falling. Measures to alleviate fear in the face of the most expressive physical symptoms were included. The use of technology by video call was the resource used to alleviate anxiety. Conclusion: The nursing team's approach to patients with advanced disease and with COVID-19 becomes peculiar due to the rapid evolution of this disease, making nursing care multiple, complex, with biopsychosociocultural care. The rapid worsening of the disease, isolation, absence of caregiver / family and risk of contamination of the team in view of the adequacy of the hospitalization service in the context of the pandemic made nursing care more specific and careful. In the midst of chaos, mixed feelings and fear, the true essence of Palliative Care was experienced. [ABSTRACT FROM AUTHOR]

Objective: To identify in the literature quality indicators in nursing care in palliative care. Method: Integrative literature review in three databases with the keywords Nursing, palliative, indicator, palliative care, nurse care, quality indicator, palliative care, nursing care, palliative care, palliative assistance, quality indicators, hospice care, comfort care, nursing care, health care, quality indicators, with final sample of 7 articles. Results: Among the articles found there was a focus on the direction of indicators for multiprofessional care, however, most of the indicators found applied to nursing care and were divided into physical, psychological, social and spiritual aspects. Conclusion: A small number of references were found in the databases regarding the indicators in palliative care requiring further studies in this area. [ABSTRACT FROM AUTHOR]

An integrative review with articles published from 2006 to 2012, aimed at synthesizing the contribution of research on palliative care focused on patients with chronic kidney disease, with the descriptors " Chronic Kidney Failure, Chronic Renal Insufficiency, and palliative care." Emerged issues related to the interaction between the palliative care team and the nephrology team. We highlighted that even though the palliative care is a recent topic in the Nephrology's curriculum, the care should be instituted earlier in the course of chronic kidney disease. Reinforcing the value of the autonomy and the development of skills in palliative care. [ABSTRACT FROM AUTHOR]

The grieving process of family and child/adolescent who experiences such as being the very finitude generally triggers are diagnosed with a degenerative disease with low expectations of cure. The grieving continues sublimated throughout treatment and at the time this change of perspective, grief can be triggered with even more intensity. However, the way you deal with this process may differ undergone a process called melancholy, or a natural grieving process. Both have a feeling justified by the overall correlation in which they appear, because they have the same external influences that trigger feelings of both. Although the children for their cognitive development and intellectual understands the death just after 6 years of age, it is known that children with cancer come to an understanding of the meaning of death much earlier still not even being the same as adult. Teenagers, in turn, may be more prone to existential crises in a terminal phase, as they associate other types of loss inherent in the very result of the treatment phase and the loss of their identity. In this context, we highlight the importance of having a multidisciplinary team of palliative care and pain control, aimed at holistically address all aspects that involve human beings in order to provide them a dignified dying process and respected by the last moment of their lives. [ABSTRACT FROM AUTHOR]

This article offers some reflections on the experiences of terminally-ill patients, in order to explain the peculiarities of the anticipatory mourning that persons declared incurable by medical science. Three theoretical perspectives on this issue are used to support the point of view of the authors concerning hat in this type of mourning, the object is life itself. On the basis of clinical experience and of the literature, the article also shows how this psychic phenomenon that the incurable person experiences can express itself in two opposite ways: to die suffering or live to the very end. [ABSTRACT FROM AUTHOR]

The integral search for improved living conditions for those patients with gastric cancer who have not received curative surgical treatment continues to challenge the knowledge, dexterity and ethical foundations of medical teams. The justification for palliative treatment must be based on a thorough consideration of the available options and the particular situation in each case. This article reviews endoscopic therapy with auto expandable prosthetics for palliative treatment of gastric cancer, as well as the scientific evidence that supports its use and the factors that determine its indication. [ABSTRACT FROM AUTHOR]

Advances seen in health care, and the demographic and epidemiological changes occurring worldwide, have led to a gradual aging of the planet's population with the logical social and economic implications in the fields of education and health systems, and on social security. As a result of the above, it will be much more frequent to find old people going to consultation for disabling chronic pathologies in already advanced stages. Due to the complexity of this type of patients, the implementation of an intervention strategy is required, in order to allow the evaluation of those medical, psychological, social, functional and contextual aspects leading to proper diagnosis, treatment and follow-up over the integral time of these individuals. The above is achieved by comprehensive ("multidimensional") geriatric assessment performed through interdisciplinary teamwork. [ABSTRACT FROM AUTHOR]

Palliative care is a bit inserted in the hospital setting strategy. Thus, the act of caring, in general, promotes the quality of life for the satisfaction of human needs. Objective: To identify the scientific production of nursing, palliative care this is recommended for critically ill patients. Method: Literature review from electronic search in databases and virtual libraries. Data collection occurred between August and October 2013. 10 scientific for the sample to be analyzed were selected. The results were analyzed which were suitable for the subject. Results: This analysis revealed that the act of caring for and dealing with the process of death / dying, promotes certain concerns of the nursing team . The humanization process grounded in valuing life is centered on the patient / family alleviating psychosocial and spiritual suffering of the individual in order to achieve comprehensive care. Conclusions: Issues relating to ethical dilemmas are strongly highlighted in the study. These dilemmas involving individual character, work experience and personal values. In this sense it is essential that nurses seek reflection and discussion on the subject in order to enhance its ethical act every interpersonal relationship. Recommendation: Studies notes the strength of evidence is moderate to strong. Based on selected articles, we determined the importance of palliative care to patients without therapeutic possibility, and prioritized the care of the treating process. [ABSTRACT FROM AUTHOR]