Cuidados paliativos en personas sin hogar

IF 0.6 Q4 PSYCHOLOGY Anuario de Psicologia Pub Date : 2017-05-01 DOI:10.1016/j.anpsic.2017.10.003

Bernat Carreras , Jordi Valls , Sylvia Regueiro , Ivette Morilla , Joan Uribe , Cristian Ochoa

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引用次数: 2

Abstract

In Europe, the problem of homelessness far from disappearing has increased. Europe faces the ambivalence of treasuring within its borders the best examples of welfare states and while contemplating how social inequalities are accentuated and the shortage of roof and work are perpetuated.

Moreover, interest in palliative care and a dignified death, has been gaining ground in recent decades. Palliative care being recognized as the most weighted, complete and satisfactory answer to be given to the needs of assistance that involves the terminal stage in the life of a patient.

The development of palliative care has not been uniform in all European countries or in different regions. The Economist report (2015) recently highlighted a pioneering program in Spain consisting of the creation of 42 teams of psychosocial and spiritual care of patients with advanced disease.

One of these teams has initiated a pioneer program to care homeless patients who are in palliative, advanced or chronic disease situation.

This article reviews the situation of homelessness in Europe and Spain, with special emphasis on the prevalence and causes of mortality as well as the specifics of palliative care in the homeless. Finally presents our experience after two years working as clinical psychologists homeless patients.

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无家可归者的姑息治疗

在欧洲，无家可归的问题非但没有消失，反而加剧了。欧洲面临着一种矛盾心理，一方面要珍视本国福利国家的最佳范例，另一方面又要思考社会不平等是如何加剧的，以及住房和工作短缺是如何长期存在的。此外，近几十年来，人们对姑息治疗和有尊严的死亡越来越感兴趣。姑息治疗被认为是最重要的，最完整的和令人满意的答案，可以给予援助的需要，涉及到病人的生命的最后阶段。在所有欧洲国家或不同地区，姑息治疗的发展并不统一。《经济学人》报告(2015)最近重点介绍了西班牙的一个开创性项目，该项目由42个团队组成，为晚期疾病患者提供心理和精神护理。其中一个小组发起了一个先锋项目，照顾处于姑息期、晚期或慢性疾病状况的无家可归的病人。本文回顾了无家可归者在欧洲和西班牙的情况，特别强调了无家可归者的患病率和死亡率的原因，以及姑息治疗的具体情况。最后介绍了我们作为临床心理学家两年来流浪病人的经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anuario de Psicologia Multiple-

CiteScore

0.80

自引率

40.00%

发文量

期刊介绍： The Anuario de Psicología, one of Spain"s most important general psychology journals, is published by the Faculty of Psychology of the University of Barcelona. It appears three times a year. The Anuario combines continuity with the past with a strong commitment to the present and the future. The journal is broad-ranging, interdisciplinary, and innovative. The Anuario publishes research reports and applied studies in all fields of psychology. We also accept theorical, epistemological studies, organize dossiers on topical themes, and hold debates on controversial subjects deriving from a central article.