Cuidados paliativos en pacientes con enfermedades crónicas avanzadas en el centro de salud Héroes de Cenepa Loja, 2019-2020

Abstract

Abstract: The present work was an analytical cross-sectional study, where advanced chronic patients from the urban-marginal neighborhoods of the Heroes de Cenepa Health Center were included in 2019, their main objective was to analyze the degree of implementation of the Clinical Practice Guide for care palliatives from Ecuador. We worked with all the chronically ill and the health personnel; Through the application of certain instruments, the absence of implementation of the PC guide in the unit was evident (33% of implementation), it also reflected an average level of knowledge in health professionals (48% of knowledge for doctors and 42% for the nurses); 5.5% of all chronic patients required palliative care, the most prevalent advanced chronic disease was neurological (41%), second place was oncological (33%); the most difficult to control symptoms in terms of presence were exhaustion (present in 100% of patients) and lack of feeling of well-being (present in 100% of patients); in terms of intensity, the feeling of not well-being predominated (61.7%) and low appetite (54.2%)