INSTRUMENTS FOR THE ASSESSMENT OF HOSPITALIZED PATIENTS IN PALLIATIVE CARE: INTEGRATIVE REVIEW<sup/>

Bezerra, Tárcilla Pinto Passos; Nobre, Thaiza Teixeira Xavier; Pennafort, Viviane Peixoto dos Santos; Graça, José Ronaldo Vasconcelos da; Barra, Isabel Pires; Holanda, Gisele de Oliveira Mourão; Mendonça, Ana Elza Oliveira de

doi:10.1590/ce.v29i0.95031

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

REVIEW • Cogitare Enferm. 29 • 2024 • https://doi.org/10.1590/ce.v29i0.95031 copy

INSTRUMENTS FOR THE ASSESSMENT OF HOSPITALIZED PATIENTS IN PALLIATIVE CARE: INTEGRATIVE REVIEW^* * Artigo extraído da dissertação do mestrado: “INSTRUMENTOS PARA AVALIAÇÃO DE PACIENTES HOSPITALIZADOS EM CUIDADOS PALIATIVOS: REVISÃO INTEGRATIVA”, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil, 2022.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to identify the instruments used to assess patients hospitalized in palliative care.

Method:

integrative literature review carried out in January 2024 on the online data platforms: National Library of Medicine and Latin America and the Caribbean Literature on Health Sciences (LILACS) and the virtual library Scientific Electronic Library Online. Twelve scientific articles were analyzed.

Results:

Sixteen instruments were identified, seven of them generic, four specific for people in palliative care, four specific for oncology patients and one for the diagnosis of COVID-19. The Palliative Performance Scale and Edmonton Symptom Assessment were the most used instruments in the studies and the most relevant aspects to be evaluated in patients receiving palliative care were functional capacity, physical and psychological symptoms and old age.

Conclusion:

The instruments were useful as they guided health professionals, assessed patients, and planned care and decision-making.

KEYWORDS:
Palliative care; Health assessment; Patient care; Quality of Health Care; Death.

HIGHLIGHTS

1. Sixteen (16) tools were identified for people in palliative care.

2. They assess functionality, physical and psychological symptoms and old age.

3. The Palliative Performance Scale (PPS) was the most frequently used tool.

4. These instruments assist in palliative care planning.

n.	AUTHORS	TITLE	PERIODICAL/ YEAR OF PUBLICATION	LEVEL OF EVIDENCE
1	Sanvezzo VMS, Montandon DS, Esteves LSF.⁸8 Sanvezzo VMS, Montandon DS, Esteves LSF. Instruments for the functional assessment of elderly persons in palliative care: an integrative review. Rev. Bras. Geriatr. Gerontol. [Internet]. 2018 [cited 2024 Jan. 17]; 21(5). Available from: http://dx.doi.org/10.1590/1981-22562018021.180033 http://dx.doi.org/10.1590/1981-225620180...	Instruments for the functional assessment of elderly persons in palliative care: an integrative review.	Revista Brasileira de Geriatria e Gerontologia / 2018	II
2	Cabianca CAM, Menegueti GG, Bernardi ICP, Gurgel SJT.⁹9 Cabianca CAM, Menegueti GG, Bernardi ICP, Gurgel SJT. Comparação entre Escala de Performance de Karnofsky e Escala de Avaliação de Sintomas de Edmonton como determinantes na assistência paliativa. Rev. Soc. Bras. Clín. Méd. [Internet]. 2017 [cited 2024 Jan. 28]; 15(1). Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-833045 https://pesquisa.bvsalud.org/portal/reso...	Comparação entre Escala de Performance de Karnofsky e Escala de Avaliação de Sintomas de Edmonton como determinantes na assistência paliativa.	Revista Sociedade Brasileira de Clínica Médica / 2017	IV
3	Castôr KS, Moura ECR, Pereira EC, Alves DC, Ribeiro TS, Leal PCKS.¹⁰10 Castôr KS, Moura ECR, Pereira EC, Alves DC, Ribeiro TS, Leal PCKS. Palliative care: epidemiological profile with a biopsychosocial look ononcological patients. BrJP. [Internet]. 2019 [cited 2024 Feb. 10]; 2(1). Available from: https://doi.org/10.5935/2595-0118.20190010 https://doi.org/10.5935/2595-0118.201900...	Palliative care: epidemiological profile with a biopsychosocial look on oncological patients.	Brazilian Journal of Pain / 2019	IV
4	Allgar VL, Chen H, Richfield MB, Currow D, Jonhson MJ Allgar VL.¹¹11 Allgar VL, Chen H, Richfield MB, Currow D, Jonhson MJ. Psychometric properties of the needs assessment tool-progressive disease cancer in U.K. primary care. J Pain Symptom Manage. [Internet]. 2018 [cited 2024 Feb. 17]; 56(4). Available from: https://doi.org/10.1016/j.jpainsymman.2018.07.002 https://doi.org/10.1016/j.jpainsymman.20...	Psychometric Properties of the Needs Assessment TooldProgressive Disease Cancer in U.K. Primary Care.	Journal of Pain and Symptom Management / 2018	-
5	Idrobo MF, Muñoz PO, Vargsd-Escobar LM, Buenhombre MCR.¹²12 Idrobo MF, Muñoz PO, Vargsd-Escobar LM, Buenhombre MCR. Necesidades de cuidado paliativo del paciente con falla cardiaca: un estudio mixto. Revista Cuidarte. [Internet]. 2023 [cited 2024 Feb. 20]; 14(1):e2539 Available from: https://doi.org/10.15649/cuidarte.2539 https://doi.org/10.15649/cuidarte.2539...	Necesidades de cuidado paliativo del paciente con falla cardiaca: un estudio mixto.	Revista Cuidart / 2023	II
6	Yang GM, Pang GSY, Lee GL, Neo PSH, Wong YY, Qu DL. et al.¹³13 Yang GM, Pang GSY, Lee GL, Neo PSH, Wong YY, Qu DL, et al. Validation of the comprehensive needs assessment tool in patients with advanced Cancer. Indian J Palliat Care. [Internet]. 2019 [cited 2024 Feb. 11]; 25(3). Available from: https://doi.org/10.4103/ijpc.ijpc_38_19 https://doi.org/10.4103/ijpc.ijpc_38_19...	Validation of the Comprehensive Needs Assessment Tool in Patients with Advanced Cancer.	Indian Journal of Palliative Care / 2019	IV
7	Cheng L, DeJesus AY, Rodriguez MA.¹⁴14 Cheng L, Jesus AY de, Rodriguez MA. Using laboratory test results at hospital admission to predict short-term survival in critically Ill patients with metastatic or advanced Cancer. J Pain Symptom Manage. [Internet]. 2017 [cited 2024 Jan. 27]; 53(4). Available from: https://doi.org/10.1016/j.jpainsymman.2016.11.008 https://doi.org/10.1016/j.jpainsymman.20...	Using Laboratory Test Results at Hospital Admission to Predict Short-term Survival in Critically Ill Patients with Metastatic or Advanced Cancer.	Journal of Pain and Symptom Management / 2017	IV
8	Conen K.¹⁵15 Conen K, Guthrie DM, Stevens T, Winemaker S, Seow H. Symptom trajectories of non-cancer patients in the last six months of life: identifying needs in a population-based home care cohort. PLoS ONE. [Internet]. 2021 [cited 2024 Jan. 17]; 16(6):e0252814. Available from: https://doi.org/10.1371/journal.pone.0252814 https://doi.org/10.1371/journal.pone.025...	Symptom trajectories of non-cancer patients in the last six months of life: Identifying needs in a population-based home care cohort.	Journal Pone / 2021	IV
9	Milani L.; Silva MM.¹⁶16 Milani L, Silva MM. Nursing and palliative care in primary health care. R. Fund Care Online. [Internet]. 2021 [cited 2024 Feb. 13]; 13:434-42. Available from: http://dx.doi.org/10.9789/2175-5361.rpcfo.v13.7485 http://dx.doi.org/10.9789/2175-5361.rpcf...	A enfermagem e os cuidados paliativos na atenção primária à saúde.	Revista de Pesquisa Cuidado é Fundamental Online / 2021	II
10	Clara MGS, Silva VR, Alves R, Coelho MCR.¹⁷17 Clara MGS, Silva VR, Alves R, Coelho MCR. The palliative care screening tool as an instrument for recommending palliative care for older adults. Rev. Bras. Geriatr. Gerontol. [Internet]. 2019 [cited 2024 Jan. 11]; 22(5). Available from: https://doi.org/10.1590/1981-22562019022.190143 https://doi.org/10.1590/1981-22562019022...	The Palliative Care Screening Tool as an instrument for recommending palliative care for older adults.	Revista Brasileira de Geriatria e Gerontologia / 2019	IV
11	Fusi-Schmidhauser T. et al.¹⁸18 Fusi-schmidhauser T, Preston NJ, Keller N, Gamondi. Conservative management of COVID-19 patients - emergency palliative care in action. J Pain Symptom Manage. [Internet]. 2020 [cited 2024 Feb. 20]; 60(1). Available from: https://doi.org/10.1016/j.jpainsymman.2020.03.030 https://doi.org/10.1016/j.jpainsymman.20...	Conservative Management of COVID-19 Patients-Emergency Palliative Care in Action.	Journal of Pain and Symptom Management / 2020	VI
12	Alba JAL; García DMJ; Gamba NCR.²⁰20 Andrade CG, Costa ICP, Batista PSS, Alves AMPM, Costa BHS, Nasif MS, et al. Palliative care and communication: a reflection in the light of the peaceful end of life theory. Cogitare Enferm. [Internet]. 2022 [cited 2023 Jan. 17]; 27:e80917. Available from: http://dx.doi.org/10.5380/ce.v27i0.80917 http://dx.doi.org/10.5380/ce.v27i0.80917...	Validade de conteúdo do NECPAL CCOMS-ICO© em espanhol para identificar necessidades paliativas em crianças e adolescentes com câncer.	Investigación y Educación en Enfermería / 2022	IV

INSTRUMENT	ABBREVIATION	STUDY	n	%
Edmonton Symptom Assessment	ESAS	5, 6, 1, 2, 7	5	20,86
Palliative Perfomance Scale	PPS	6, 3, 1	3	12,56
Palliative Care Screening Tool	PCST	5, 11	2	8,33
Karnofsky Perfomance Scale	KPS	5, 6	2	8,33
Brief Pain Inventory	BPI	5	1	4,16
The Rotterdam Sympton Checklist	RSCL	5	1	4,16
Palliative Care Outcome Scale	POS	5	1	4,16
Resident Assessment Instrument for Home Care	RAI-HC	12	1	4,16
3D-Ticino 2019-nCov Score	-	9	1	4,16
The 59-item Comprehensive Needs Assessment Toll in Cancer	CNAT	8	1	4,16
The Needs Assessment Tool Progressive Disease - Cancer	NAT: PD - C	10	1	4,16
Rapid Desabillity Rating Scale	RDRS	3	1	4,16
World Health Organization Quality of Life	WHOQOL	3	1	4,16
Índice de Lawton & Brody	-	3	1	4,16
Índice de comorbidade de Elixhauser	-	4	1	4,16
Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being	FACIT-Sp-12	2	1	4,16
Total			24	100,0

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Associate editor: Dra. Luciana Nogueira