Systemic family approach to life closure in palliative care in Primary Health Care
Introduction: Closure of life composes the lexicon of palliative care by including tasks of preparation for death such as facing unfinished business in the personal, spiritual, family, social, financial, and legal dimensions. Supporting family members and patients regarding measures related to death...
| Autores: | , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | Brasil |
| Institución: | Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
| Repositorio: | Revista Brasileira de Medicina de Família e Comunidade (Online) |
| Idioma: | portugués |
| OAI Identifier: | oai:ojs.rbmfc.org.br:article/3860 |
| Acceso en línea: | https://rbmfc.org.br/rbmfc/article/view/3860 |
| Access Level: | acceso abierto |
| Palabra clave: | Relações Familiares Cuidados Paliativos Atenção Primária à Saúde Relaciones Familiares Atención Primaria de Salud Family Relations Palliative Care Primary Health Care |
| Sumario: | Introduction: Closure of life composes the lexicon of palliative care by including tasks of preparation for death such as facing unfinished business in the personal, spiritual, family, social, financial, and legal dimensions. Supporting family members and patients regarding measures related to death is a constitutive part of the work in Primary Health Care (PHC). At this intersection, the systemic family approach offers a set of clinical and communication tools that can be used in a timely manner for palliative care at this level of health care. Objective: The aim of this study was to demonstrate the applicability of systemic family approach tools in palliative care in PHC. Methods: The article described qualitative research through a case study, analyzing the solutions adopted by a family receiving home care in PHC to bring closure to their lives. Data were collected from family members’ narratives based on the use of family approach tools by a Family Practice resident physician and team. Results: The systemic family intervention preordained the tasks of life closure allowing manifestations of pacification in relationships, spiritual connection, financial resolutions, and distribution of sentimental goods, preparation for death and promotion of effective mourning. Conclusion: The systemic family approach to ending end-of-life tasks proved to be appropriate and feasible. It equalized care support in the available time and the patients’ wishes regarding unfinished business. Primary Care professionals are in a privileged position to apply these care tools. |
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