Planeamento Antecipado de Cuidados para Pessoas com Esquizofrenia e em Situação de Fim de Vida: Uma Revisão Sistemática Qualitativa
Palavras-chave:Cuidado Terminal, Cuidados Paliativos, Esquizofrenia, Planeamento Antecipado de Cuidados
Introduction: People with schizophrenia suffer a higher risk of mortality and at the same time receive less palliative care, of which advance care planning is a key element. This review aims to gather available evidence regarding the use of advance care planning in palliative care in people with schizophrenia, its obstacles and the best practices that should be followed.
Methodology: A systematic review of the literature over the past 20 years, with a qualitative focus, on the use of advance care plans for people with schizophrenia and in end‑of‑life or palliative situations.
Results: Seven articles were included in the review. Five themes were identified from the thematic analysis, namely decision capacity in severe mental illness, peculiarities of advance care planning in people with schizophrenia, characteristics of schizophrenia that can affect advance care planning, communication and training, and multidisciplinarity and continuity of care.
Conclusion: More research in this area is urgently needed. Patients face obstacles related to their mental illness, discomfort and doubt from health professionals, and lack of supportive figures. A multidisciplinary and collaborative approach, training and recognition of patients’ inherent ability to make choices and to have effective discussions about their health status, facilitate the process of advance care planning.
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