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| Author(s): |
Beatriz Furlan Paz
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Jaboticabal. 2022-07-18. |
| Institution: | Universidade Estadual Paulista (Unesp). Faculdade de Ciências Agrárias e Veterinárias. Jaboticabal |
| Defense date: | 2022-03-04 |
| Advisor: | Andrigo Barboza de Nardi |
| Abstract | |
Palliative care involves therapies aimed at improving the quality of life and relieving the physical, emotional and social suffering of animals with chronic, degenerative, or life-threatening diseases. In addition to the multidimensional aspect of care for the animal, it aims at the well-being and relief of the emotional, social and spiritual suffering experienced by its owner. The aim of this research is to promote the control of symptoms and the improvement of the quality of life of dogs with cancer during palliative care, offered at the Veterinary Hospital “Governador Laudo Natel”. Seventy-three animals formed the care group (Group A), composed of dogs that received palliative care. Meanwhile, the control group (Group C) was formed by 45 animals without access to this therapy. All tutors answered the “Modified Symptom Assessment Scale” form, which evaluated up to fourteen symptoms presented by the animal in the last seven days. The instrument measured the intensity, frequency and distress generated by the symptom to the animal and its caregiver. At the end of the period of care, the tutors of patients in group A assigned a score from zero to ten according to the quality of life of their animals, with ten referring to the quality of life that could not be better and zero that it could not be better. worst. Patients who received palliative care had a greater burden of symptoms, with a higher frequency of anorexia (45.4% versus 14.9%, p < 0.001), pain (42.53% versus 18.54%, p < 0.001), lack of energy (42.53% versus 17.22%, p < 0.001) among others. In this group, there was also a higher frequency of metastases (40.3% versus 11.11%, p < 0.001), and a death rate (73.9% versus 22.3%, p < 0.001). In view of this situation, it was observed that patients who received palliative care had a better quality of life compared to the period without this treatment, with a median and IIR score of 8 (6-8) for the period with joint palliative care, and 6 (4-8) when receiving exclusive care to fight cancer. When palliative care was started early, right after the animal's first consultation or at the time of cancer diagnosis, a better evolution of symptoms was observed than those animals that started treatment late. Therefore, the use of palliative care for veterinary cancer patients has improved the symptom burden and quality of life of these animals. (AU) | |
| FAPESP's process: | 20/13368-0 - Palliative care in the treatment of dogs with cancer: promotion of symptom relief and the perspective of the owner |
| Grantee: | Beatriz Furlan Paz |
| Support Opportunities: | Scholarships in Brazil - Master |