[Moral and operational challenges for the inclusion of palliative care in primary health care].
Palliative care, a model in end-of-life care, is currently undergoing expansion in Brazil. This article emphasizes the need to implement palliative care in primary health care, with an important role in end-of-life care, especially in areas without specialized palliative-care teams. The article discusses key aspects in the organization of this treatment modality and analyzes how palliative care could and should be implemented within primary health care in Brazil. The article describes several challenges for health teams to provide such care, related to the primary caregiver, inherent ethical conflicts, and human resource allocation.
Floriani
Ciro Augusto
CA
Faculdade de Medicina, Fundação Educacional Serra dos Orgãos, Teresópolis, Brasil. ciroafloriani@terra.com.br
Schramm
Fermin Roland
FR
D001938:Brazil; D002983:Clinical Competence; D003695:Delivery of Health Care / Q000458:organization & administration*; D004496:Education, Continuing; D005194:Family Practice; D005195:Family Relations; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D010166:Palliative Care / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development; D011788:Quality of Life; D013727:Terminal Care / Q000458:organization & administration