Cuidados paliativos e medicina de família e comunidade: conceitos e interseções

Abstract

Despite technological advances, many diseases are not amenable to curative therapy, becoming chronic and progressives, having death as his hopeless outcome. It is estimated that about 20 million people still die in the world without access and attention which could minimize his suffering and symptoms of the disease, chronic in the majority of the cases. Palliative Care (PC) is a growing area; however, the actual number of professionals trained to deal with the patient without expectation of curative therapy is insufficient. Through a narrative bibliographical review of the conceptual pillars of the Family Health Strategy, Primary Health Care and the principles of PC, this article aims to identify the points that make the intersection between the CP and the Family and Community Medicine (MFC), as they use similar attributes, which enable them to monitor patients whose specific symptoms of chronic diseases or those related to the end of life demand a need for differentiated training. This training allows for better management of patients and their families on issues related to the terminal illness, pain control and other symptoms involving care in many spheres (physical, social, cultural, psychological and spiritual) in an integrated and coordinated manner with the other health services. The Health Family Strategy has greater support capacity in terms of scope and continued monitoring of this population is what makes it a potential actor to ensure this health care. (English) [ABSTRACT FROM AUTHOR]