Cuidados paliativos en pacientes con enfermedades crónicas avanzadas en los barrios del norte del centro de salud Velasco Ibarra

Abstract

Abstract: Introduction: Globally, 40 million patients deserve palliative care. Objective: To assess the degree of implementation of the palliative care clinical practice guideline of the Ministry of Public Health of Ecuador and its impact on the care of people with chronic diseases you are advancing at the Velasco Ibarra health center, Machala. Methodology: Descriptive cross-sectional study in the northern neighborhoods belonging to the Velasco Ibarra health center, period 2019-2020. Instruments were applied to the administrative manager, physicians, NECPAL and ESAS. Results: The degree of implementation of the guide was low. The level of knowledge of the medical personnel was medium, the prevalence of need for palliative care was 13%, and the predominant symptoms were depression 92%, anxiety 90% and pain 80% of the respondents. 100% reported a lack of feeling of well-being. Most of the symptoms were of severe intensity. Conclusions: It is necessary to insist on monitoring symptom control and associate it with the level of knowledge of the health team through comparable indicators.