Abordaje de los síntomas neurológicos desde la perspectiva de los cuidados paliativos

Universidad Industrial de Santander. Revista. Salud

Ibáñez Alfonso, Luz Eugenia¹  López Alba, Julián Alberto²  Ramírez Ospina, María Angélica³ 

[1] Universidad El Bosque, Colombia;Universidad Industrial de Santander, Colombia;Universidad de los Llanos, Colombia

关键词: Neurologic manifestations;    palliative care;    nursing;    terminally ill;    delirium.;   

DOI  :  10.18273/revsal.v50n3-2018008

学科分类：医学（综合）

来源: Universidad Industrial de Santander

【 摘 要 】

Objective: To address neurological symptoms from the perspective of palliative care through the review of available scientific literature taking into account the theoretical components of the Revised Symptom Management Model of Marylin J. Dodd.Methodology: Following the steps proposed by the PRISMA statement, a systematic review was made of the publications made between 2002 and 2017, of related articles that addressed neurological symptoms from the perspective of palliative care applying any of the components of the Revised Symptom Management Model of Marylin J. Dodd, which include the experience of the symptom, the components of symptoms management strategies and the result in terms of the state and impact of the symptom.Results: According to the search limits defined within the inclusion criteria, 51 articles were selected to be analyzed from the perspective of palliative care applying the components of the Revised Symptom Management Model. It is evident that there is a significant amount of research that addresses delirium as a neurological symptom.Discussion: The multidisciplinary contribution often optimizes the control of neurological symptoms and the quality of life of patients and their families. In the same way, it is important to learn the use of scales and the early recognition of the impact of the symptom on the patient and his family to significantly improve the adaptation process.Conclusions: Although there are not sufficient innovative approaches to improve the management of symptoms as a whole and not as individual manifestations, education and training in the use of non-pharmacological interventions help to provide quality palliative care that complements to the traditional managements.

【 授权许可】

Unknown