TELECONSULTATION AS A NURSING INTERVENTION WITH PEOPLE IN PALLIATIVE SITUATIONS

• DOI: 10.22533/at.ed.1593942316112

• Palavras-chave: Palliative care. Nursing. Teleconsultation

• Keywords: Palliative care. Nursing. Teleconsultation

• Abstract:

  Introduction: Associated with an increasingly aging society with incurable diseases, we are witnessing a paradigm shift in care. The focus became what is important for the patient/family. Teleconsultation is a nursing consultation carried out remotely, using interactive, audiovisual and data communications, recorded on specific equipment and in the patient's clinical file. Objective: Demonstrate the importance of teleconsultation in nursing care for people in palliative situations and their families. Methodology: By design, allowing the development of a manual of good practices with intervention flowcharts and an algorithm for scheduling nursing teleconsultation, with symptomatic assessment of patients and planning of nursing care. The "Integrated Patient Care Outcome Scale" (IPO-S) was used to assess patients' symptoms. Reassessment via teleconsultation in 3/4 days if symptoms are uncontrolled, or in 7/8 days if symptoms are controlled. Results and final considerations: IPO-S was applied to all consultations of 4 patients over 6 weeks. There was an improvement in at least one symptom assessed, with other symptoms sometimes becoming uncontrolled. It was possible to coordinate with other professionals when this need was identified. Teleconsultation thus allows an increase in effectiveness due to the "proximity" of contact if any symptoms arise, avoiding trips to the hospital. In palliative care, the use of a platform that allows video conferencing is a resource that facilitates direct, patient-centered communication, between the patient and their family, and healthcare teams. Therefore, it is an added value in the clinical assessment of patients and helps their families.