Banca de DEFESA: GUSTAVO HENRIQUE DE OLIVEIRA CALDAS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : GUSTAVO HENRIQUE DE OLIVEIRA CALDAS
DATA : 04/12/2017
HORA: 08:00
LOCAL: sala RUTE - HUOL
TÍTULO:

PALLIATIVE CARE: A PROPOSAL FOR GRADUATE EDUCATION IN MEDICINE

PALAVRAS-CHAVES:

Palliative Care, Medical Education, competences, Palliative Medicine, Curriculum.

PÁGINAS: 60
GRANDE ÁREA: Ciências da Saúde
ÁREA: Medicina
RESUMO:

INTRODUCTION: The deepening of the topics related to the terminality of life has been a concern of health professionals who deal with patients in this situation. The individual and family demands regarding deficiencies in the care given to patients who need palliative care lead us to reflect on the need to acquire competences in the area of Palliative Care in the training of medical undergraduates. OBJECTIVES: To propose essential competences for the teaching of Palliative Care in undergraduate courses in medicine. METHODOLOGICAL COURSE: The research was delineated as a descriptive and qualitative study of the case study type. Initially, a documentary research was done in the national and international literature on general competences in Palliative Care; in the sense of constructing a framework with suggestions of specific competences for undergraduate education in Brazil. Next, the elaborated material was presented individually to 8 professionals with specialized training in palliative care from different areas (doctor, nurse, psychologist, occupational therapist) for analysis, accompanied by a semi-structured interview with two main questions: 1) Comment on the importance of interprofessionality in teaching in Palliative Care, emphasizing the biological, psychological, social and spiritual dimensions of care and 2) Talk about obstacles to the implantation of the proposal in the teaching of medical graduation. In the documentary analysis and in the interviews with the professionals, the categorical thematic content analysis proposed by Bardin was used. RESULTS: The initial documentary research resulted in 5 categories (Introduction, Symptom Control, Interprofessional Team, Palliative Care Topic, Assistance in the Last Moments of Life), 8 subcategories and 96 units of analysis that gave subsidy to the researcher to construct the suggestions of compentences, distributed in a framework in five modules, with their respective contents. From the interviews with the professionals, after reading the material that was given to them, 6 categories emerged (Basic Principles of Palliative Care, Symptom Management, Ethical and Legal Issues, Communication and Psychosocial and Spiritual Aspects, Teamwork and Challenges for the Implantation of Proposal), in addition to 12 subcategories and 168 analysis units. About the category "Challenges for the Implantation of the Proposal" the conceptual unfamiliarity of managers and health professionals about palliative care appears, in the units of analysis, as one of the main obstacles to be overcome. From the speeches contained in the subcategories and units of analysis, emerged suggestions for better distribution of the modules, resulting in the renaming of these modules (Basic Principles of Palliative Care, Symptom Management, Teamwork, Palliative Care in Medical Specialties, Ethical and Legal Issues, Assistance in the Last Moments of Life), thus emphasizing the importance of interprofessional teamwork as an essential competency to be acquired in the teaching of Palliative Care at graduation. FINAL CONSIDERATIONS: The gap in undergraduate medical education about the many aspects that involve the terminatity of life can not be ignored in the face of the growing demand in medical practice. The discussion and improvement of Palliative Care competencies suggested in this study will certainly be essential during medical education forums, so that we can have more clarity than is really needed for general practitioner training.

MEMBROS DA BANCA:
Externo à Instituição - LUCIANA BRANCO DA MOTTA - UERJ
Presidente - 2172036 - MARIA JOSE PEREIRA VILAR
Externo ao Programa - 1576805 - THIAGO GOMES DA TRINDADE