Fernández MLE

Language: Spanish
References: 0
Page: 120-126
PDF size: 296.02 Kb.

ABSTRACT

Palliative management of patients in advanced stages of different diseases poses a challenge in medical care. The fact of prolonging life in clinical situations of extreme severity has been coupled with the problem of defining when it is not ethically correct to prolong the agony. The main elements that condition the importance of the improvement of the attention to the patients in terminal stage from the Primary Health Care are described with attentive glance of leaders of this services. In order to carry out this work, a bibliographic review on the subject was carried out using the main databases and internet resources as a source. The search was limited to free full texts and published works of which 97.05% corresponds to the last 5 years. The work is based on the presence in Cuba of pathologies that lead early to the terminal stage, mainly cancer, which is why it is necessary to improve its approach in the health services of Primary Care.
Palliative care has become a social problem for public health due to the high prevalence of sick people in a terminal situation. The health system must provide this health program so that all the demand for palliative care is covered in any geographical location and in the first level of medical care. Managers at this level must generate a change of model that provides sufficient coverage, effectiveness, stability, and continuity with justice and equity.