POR UMA PSIQUIATRIA PALIATIVA: APLICAÇÃO DE CUIDADOS PALIATIVOS A USUÁRIOS DA REDE DE ATENÇÃO PSICOSSOCIAL (RAPS)

Luiz Roberto Curia Konig

doi:10.36489/saudecoletiva.2024v14i89p13278-13287

Authors

Luiz Roberto Curia Konig Médico (PUCPR) especializando em Psiquiatria no Hospital São Lucas (PUCRS). Especialista em Terapia Cognitivo- -Comportamental pelo Instituto Paranaense de Terapia Cognitiva (IPTC). Psicólogo clínico (UNIP). https://orcid.org/0000-0003-0334-6085

DOI:

https://doi.org/10.36489/saudecoletiva.2024v14i89p13278-13287

Keywords:

Mental health issues; palliative care; chemical dependency; Brazilian Psychosocial Care Network (RAPS); Palliative psychiatry.

Abstract

This study sought to understand the existence of a Palliative psychiatry as Brazilian Psychosocial Care Network (RAPS) offers palliative care to patients momentarily or permanently ineligible for rehabilitation. Therefore, its main purpose was to search medical and bioethical bases for palliative practice under the circumstances of non-physical illnesses. The specific goals were to identify the bioethical foundations of the idea of care; to examine the role of individualized care plan (PTS) in the background of the psychiatric reform; and to glimpse palliative strategies in mental care interventions. The author conducted an exploratory study based on bibliographic data. From a bioethical standpoint, the Ethics of care justifies palliative approaches. The investigation also revealed that words such as “cure” and “care” have some sort of conceptual imprecision (and therefore plasticity) that enables the use of palliative measures within the context of RAPS, in light of the hospice movement and the psychiatric reform. It can be accomplished through a non-asylum approach when developing users’ PTS. By including supportive measures alone or in association with healing interventions, the current model is likely to encompass palliative practices. Nonetheless, mental care multiprofessional teams require proper training to improve assistance skills.

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