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Orientador(es)
Resumo(s)
A dor é um sintoma ou uma doença que se apresenta numa forma subjetiva e multidimensional, tornando a sua interpretação de um ponto de vista clínico difícil. É por demais evidente que se torna necessário diagnosticá-la, avaliá-la e geri-la da maneira mais eficaz e sistemática.
Como definido pela DGS, toma suma importância que a dor e os seus efeitos terapêuticos sejam sistematicamente e periodicamente avaliados e registados pelos profissionais de saúde, sendo tal reconhecido como uma norma de boa prática e como uma rotina altamente humanizante na abordagem de todo o tipo de doentes que sofrem de dor. Nas passadas décadas tem-se vindo a verificar um aumento nesta preocupação e um investimento de recursos neste sentido, tanto a nível mundial como em Portugal.
As várias escalas e instrumentos para avaliação da dor existentes podem ser classificados, de uma forma simplista, consoante o método de aplicação utilizado, classificando-os em métodos que recorrem a uma autoavaliação ou a uma observação, ou consoante as dimensões da dor que os próprios têm capacidade de avaliar, distinguindo-os em elementos unidimensionais ou multidimensionais. Tal classificação permite, posteriormente à análise das várias características do doente em causa, de uma forma sucinta, definir os vários tipos de abordagem a utilizar nesta mesma avaliação.
Atualmente, com o envelhecimento da população e com a cada vez maior prevalência de doenças crónicas, a avaliação da dor e a sua gestão terapêutica tomam um papel cada vez mais central. Através das escalas e instrumentos aqui descritos, podemos rever a importância que tem a utilização e adequação dos mesmos a diversas situações e doentes, para que o outcome terapêutico seja o melhor possível.
Pain is a symptom or a disease that presents itself in a subjective and multidimensional way, increasing the difficulty of its interpretation from a clinical point of view. This emphasizes in a very obvious way the nedd to diagnose it, to evaluate it and to manage it in the most effective and systematic way. As defined by the DGS, it is extremely important that pain and its therapeutic effects are systematically and periodically evaluated and recorded by health professionals, being this recognized as a standard of good practice and as a highly humanizing routine in the approach to all types of patients that suffer from pain. Over the past decades there has been an increase in this concern and an investment of resources, both worldwide and in Portugal. The various scales and instruments for assessing pain can be classified in a simplistic way depending on the method of application used, whether it is a self-assessment or an observation, or depending on the dimensions of the pain that the assessment tools themselves are able to assess, distinguishing them in one-dimensional or multidimensional elements. This classification allows, after the analysis of the various characteristics that concern the patient in question, a succinct definition of the various types of approach that is required in this same evaluation. Nowadays, with an aging population and an increasing prevalence of chronic diseases, pain assessment and therapeutic management play an increasingly central role. Through the scales and instruments hereby described, it is possible to review the importance of usage and adaptation of them to different situations and patients, as to achieve the best therapeutic outcome.
Pain is a symptom or a disease that presents itself in a subjective and multidimensional way, increasing the difficulty of its interpretation from a clinical point of view. This emphasizes in a very obvious way the nedd to diagnose it, to evaluate it and to manage it in the most effective and systematic way. As defined by the DGS, it is extremely important that pain and its therapeutic effects are systematically and periodically evaluated and recorded by health professionals, being this recognized as a standard of good practice and as a highly humanizing routine in the approach to all types of patients that suffer from pain. Over the past decades there has been an increase in this concern and an investment of resources, both worldwide and in Portugal. The various scales and instruments for assessing pain can be classified in a simplistic way depending on the method of application used, whether it is a self-assessment or an observation, or depending on the dimensions of the pain that the assessment tools themselves are able to assess, distinguishing them in one-dimensional or multidimensional elements. This classification allows, after the analysis of the various characteristics that concern the patient in question, a succinct definition of the various types of approach that is required in this same evaluation. Nowadays, with an aging population and an increasing prevalence of chronic diseases, pain assessment and therapeutic management play an increasingly central role. Through the scales and instruments hereby described, it is possible to review the importance of usage and adaptation of them to different situations and patients, as to achieve the best therapeutic outcome.
Descrição
Trabalho Final de Mestrado Integrado, Ciências Farmacêuticas, Universidade de Lisboa, Faculdade de Farmácia, 2017
Palavras-chave
Dor Avaliação da dor Escalas de avaliação Autoavaliação Unidimensional Mestrado Integrado - 2017
