title: [Palliative care needs in the inmobilized population of a Primary Care area in Vigo Spain].
abstract: To determine palliative care needs in a sample of people with mobility problems in the area of the C.S. Matama by using the NECPAL instrument (identification and integral-integrated care of people with advanced chronic diseases in social and healthcare provision services).
  
  
  METHODS
  Descriptive and cross-sectional study of patients immobilized in a health centre in Vigo (87 subjects overall).
  
  
  RESULTS
  The average age of our patients is 84.34 years and 82% are women. The most frequent immobilization type was the patient's inability to leave their home (64%). The result of this test was positive in 38% of cases (33 patients), most of whom have chronic diseases and only 1 patient has been diagnosed with cancer. There is a significant negative association between the score obtained on the Barthel scale and the ratio of positives to the test. Concerning the use of resources there are important differences regarding hospital admissions and PHC depending on the outcome of the test. These differences were statistically significant with regard to PHC and emergency consultations.
  
  
  CONCLUSIONS
  An immobilized patient is not synonymous with a patient in need of palliative care; the tool used has been proved to be useful to detect this need, which concerns a third of our patients. The results of the questionnaire of need for care palliative (NECPAL) relate well to the basic activities of daily living (Barthel scale score) and to indicators of use of health services.
authors.affiliation: Servicio de Atención Primaria Matamá, Vigo, España.
authors.forename: J R
authors.initials: JR
authors.lastname: Ferraz-Falcao
authors.affiliation: Servicio de Atención Primaria Matamá, Vigo, España.
authors.forename: T
authors.initials: T
authors.lastname: Cadaval-Rodríguez
authors.affiliation: Servicio de Atención Primaria Matamá, Vigo, España. Electronic address: rosa.rgueziglesia@cmpont.es.
authors.forename: R M
authors.initials: RM
authors.lastname: Rodríguez-Iglesia
authors.affiliation: Servicio de Atención Primaria Matamá, Vigo, España.
authors.forename: V M
authors.initials: VM
authors.lastname: del Campo-Pérez
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand; D006305:Health Status Indicators; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010166:Palliative Care; D011320:Primary Health Care / Q000706:statistics & numerical data*; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Cuidados paliativos; Immobilised patients; Inmovilizados; NECPAL (NECesidades PALiativas); NECPAL (Palliative needs); Palliative care