Speech-language pathologist intervention of communication in the relief of suffering in palliative care: an integrative review
DOI:
https://doi.org/10.20453/rhr.v7i1.5408Keywords:
speech-language pathologist intervention, communication, palliative care, terminally ill patientAbstract
Objective: To analyze the state of scientific knowledge in relation to the Speechlanguage pathologist intervention of communication in the relief of suffering of the terminally ill patient in palliative care. Materials and methods: The research was conducted under the methodology of an integrative review of the literature, descriptive and retrospective in scope, focused on the parameters established by Whittemore. Results: Phonoaudiological intervention strategies were proposed for adults and pediatric patients, which were focused on interpersonal communication, being intervened from the categories of communication to adjust to change, meeting needs, simplifying, giving and receiving gratitude, regret and end-of-life support. The multidisciplinary work was cross-sectional to alleviate the suffering of the terminally ill patient in palliative care. Conclusions: The difficulty of integrating interventions in languages other than English, Spanish, French and Portuguese was a limitation; however, the objective was achieved.
Downloads
References
International Association for Hospice and Palliative Care. Palliative care definition [Internet]. IAHPC; 2019, 18 de febrero. Disponible en: https://hospicecare.com/what-we-do/projects/consensusbased-definition-of-palliative-care/definition/
Organización Mundial de la Salud. Cuidados paliativos [Internet]. OMS; 2020, 20 de agosto. Disponible en: https://www.who.int/es/newsroom/fact-sheets/detail/palliative-care
Organización Mundial de la Salud. Cáncer [Internet]. OMS; 2022, 3 de febrero. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/cancer
Organización Panamericana de la Salud. Prevención, control y eliminación de enfermedades transmisibles [Internet]. OPS; [s. f.]. Disponible en: https://www.paho.org/es/enfermedadestransmisibles-determinantes-ambientales-salud
Von Gunten CF. Interventions to manage symptoms at the end of life. J Palliat Med [Internet]. 2005; 8(Suppl 1): S88-S94. Disponible en: https://doi.org/10.1089/jpm.2005.8.s-88
Gomes AM. El cuidador y el enfermo en el final de la vida - familia y/o persona significativa. Enf Global [Internet]. 2010; 9(1): 18. Disponible en: https://revistas.um.es/eglobal/article/view/93841
Twycross R. Medicina paliativa: Filosofía y consideraciones éticas. Acta Bio [Internet]. 2000; 6(1): 28-46. Disponible en: http://dx.doi.org/10.4067/S1726-569X2000000100003
Ellershaw J, Ward C. Care of the dying patient: The last hours or days of life. Commentary: a “good death” is possible in the NHS. BMJ [Internet]. 2003; 326(7379): 30-34. Disponible en: https://doi.org/10.1136/bmj.326.7379.30
Goldberg S. There’s an elephant in the room: Issues in death and dying [Internet]. Stan Goldberg Writer; 2007. Disponible en: https://stangoldbergwriter.com/theres-an-elephant-in-the-roomissues-indeath-and-dying/
Tobar-Fredes R, Olivares-Matus CA, Tapia-Saavedra S. Fonoaudiología en cuidados paliativos para adultos y adultos mayores: fundamentos, roles, abordajes y desafíos. Rev Chil Fonoaudiol [Internet]. 2021; 20: 1-16. Disponible en: https://doi.org/10.5354/0719-4692.2021.58486
Kelly K, Cumming S, Corry A, Gilsenan K, Tamone C, Vella K, et al. The role of speech-language pathologists in palliative care: Where are we now? A review of the literature. Prog Palliat Care [Internet]. 2016; 24(6): 315-323. Disponible: https://doi.org/10.1080/09699260.2016.1141745
Whittemore R. Combining evidence in nursing research: Methods and implications. Nurs Res [Internet]. 2005; 54(1): 56-62. Disponible en: https://doi.org/10.1097/00006199-200501000-00008
Whittemore R, Knafl K. The integrative review: Updated methodology. J Adv Nurs [Internet]. 2005; 52(5): 546-553. Disponible en: https://doi.org/10.1111/j.1365-2648.2005.03621.x
De Souza MT, Da Silva MD, De Carvalho R. Integrative review: what is it? How to do it? Einstein [Internet]. 2010; 8(1): 102-106. Disponible en: https://doi.org/10.1590/s1679-45082010rw1134
Pérez LL. Condiciones de salud y trabajo de los profesionales de enfermería en América del Sur (revisión integrativa) [tesis de maestría en Internet]. Bogotá: Universidad Nacional de Colombia; 2017. Disponible en: https://repositorio.unal.edu.co/handle/unal/62362
Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative review. Scand J Caring Sci [Internet]. 2016; 30(4): 662-669. Disponible en: https://doi.org/10.1111/scs.12327
Manterola C, Asenjo-Lobos C, Otzen T. Jerarquización de la evidencia: Niveles de evidencia y grados de recomendación de uso actual. Rev Chil Infectol [Internet]. 2014; 31(6): 705-718. Disponible en: http://dx.doi.org/10.4067/S0716-10182014000600011
Singh H, Haghayegh AT, Shah R, Cheung L, Wijekoon S, Reel K, et al. A qualitative exploration of allied health providers’ perspectives on cultural humility in palliative and end-of-life care. BMC Palliat Care [Internet]. 2023; 22: 92. Disponible en: https://doi.org/10.1186/s12904-023-01214-4
Roe JW, Leslie P. Beginning of the end? Ending the therapeutic relationship in palliative care. Int J Speech Lang Pathol [Internet]. 2010; 12(4): 304-308. Disponible en: https://doi.org/10.3109/17549507.2010.485330
Silva CL, Bertoncelo C, Barros AP, Padovani M. Caracterização dos recursos de comunicação utilizados por pacientes em cuidados paliativos - revisão integrativa. Revista CEFAC [Internet]. 2017; 19(6): 879-888. Disponible en: https://www.scielo.br/j/rcefac/a/WjpgfNSvYsmpJ8vVLCcp/?format=pdf&lang=pt
Moreira MJ, Guimarães MF, Lopes L, Moreti F. Contribuições da fonoaudiologia nos cuidados paliativos e no fim da vida. CoDAS [Internet]. 2020; 32(4): e20190202. Disponible en: https://doi.org/10.1590/2317-1782/20202019202
Antunes AP, Centurion DS, Ferreira LP. Cuidados paliativos na fonoaudiologia: revisão integrativa. Rev Kairós [Internet]. 2019; 22(4): 417-427. Disponible en: https://revistas.pucsp.br/index.php/kairos/article/view/50148
Barriguinha CI, Mourão MT, Martins JC. Dificuldades de comunicação e deglutição em doentes em cuidados paliativos: visão dos doentes e familiares e/ou cuidadores informáis. Audiol Commun Res [Internet]. 2017; 22: e1655. Disponible en: https://doi.org/10.1590/2317-6431-2015-1655
Aguirre-Bravo AN, Sampallo-Pedroza R. Fonoaudiología en los cuidados paliativos. Rev Fac Med [Internet]. 2015; 63(2): 289-300. Disponible en: http://dx.doi.org/10.15446/revfacmed.v63n2.48539
Nagdee N, De Andrade VM. ‘I don’t really know where I stand because I don’t know if I took something away from her’: Moral injury in South African speech–language therapists and audiologists due to patient death and dying. Int J Lang Commun Disord [Internet]. 2023; 58(1): 28-38. Disponible en: https://doi.org/10.1111/1460-6984.12765
Mendes BN, Christmann MK, Schmidt JB, De Abreu ES. Percepção de fonoaudiólogos sobre a atuação na área de cuidados paliativos em um hospital público de Santa Catarina. Audiol Commun Res [Internet]. 2022; 27: e2565. Disponible en: https://doi.org/10.1590/2317-6431R-2021-2565
Krikheli L, Carey LB, Erickson S, Carey-Sargeant CL, Mathisen BA. Recommendations for speechlanguage pathologists in paediatric palliative care teams (ReSP3CT): An international modified Delphi study. Int J Speech Lang Pathol [Internet]. 2021; 23(5): 486-496. Disponible en: https://doi.org/10.1080/17549507.2020.1866073
Krikheli L, Mathisen BA, Carey LB. Speechlanguage pathology in paediatric palliative care: A scoping review of role and practice. Int J Speech Lang Pathol [Internet]. 2018; 20(5): 541-553. Disponible en: https://doi.org/10.1080/17549507.2017.1337225
Chahda L, Carey LB, Mathisen BA, Threats T. Speech-language pathologists and adult palliative care in Australia. Int J Speech Lang Pathol [Internet]. 2021; 23(1): 57-69. Disponible en: https://doi.org/10.1080/17549507.2020.1730966
Chahda L, Mathisen BA, Carey LB. The role of speech-language pathologists in adult palliative care. Int J Speech Lang Pathol [Internet]. 2017; 19(1): 58-68. Disponible en: https://doi.org/10.1080/17549507.2016.1241301
Collins CA. ‘There’s this big fear around palliative care because it’s connected to death and dying’: a qualitative exploration of the perspectives of undergraduate students on the role of the speech and language therapist in palliative care. Palliat Med [Internet]. 2022; 36(1): 171-180. Disponible en: https://doi.org/10.1177/02692163211050818
Jacinto-Scudeiro LA, Ayres A, Olchik MR. Tomada de decisão: papel do fonoaudiólogo em cuidados paliativos. Distúrbios Comun [Internet]. 2019; 31(1): 141-146. Disponible en: https://doi.org/10.23925/2176-2724.2019v31i1p141-146
Holland AL, Nelson RL. Counseling in communication disorders: a wellness perspective. 3.a ed. San Diego: Plural Publishing; 2018.
Emmons RA, McCullough ME. The psychology of gratitude. New York: Oxford University Press; 2004.
Kapleau P. The Zen of Living and Dying: A Practical and Spiritual Guide [Internet]. Colorado: Shambhala; 1998. Disponible en: https://terebess.hu/zen/mesterek/Zen-of-living-and-dying.pdf
Travis LE, Wood KS. Handbook of speech pathology. New York: Appleton-Century-Crofts; 1957.
Bernal SG, Pereira OL, Rodríguez GE. Comunicación humana interpersonal. Una mirada sistémica [Internet]. Bogotá: Corporación Universitaria Iberoamericana; 2018. Disponible en: https://repositorio.ibero.edu.co/handle/001/596
Mathisen B, Carey LB, Carey-Sargeant CL, Webb G, Millar CJ, Krikheli L. Religion, spirituality and speech-language pathology: A viewpoint for ensuring patient-centred holistic care. J Relig Health [Internet]. 2015; 54(6): 2309-2323. Disponible en: https://doi.org/10.1007/s10943-015-0001-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 José José Ariza De La Barrera
This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles published in the Revista Herediana de Rehabilitación are under a Creative Commons Reconocimiento 4.0 International license.
The authors retain the copyright and grant the journal the right of first publication, with the work registered with the Creative Commons License, which allows third parties to use what is published whenever they mention the authorship of the work, and to the first publication in this magazine.
Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version published in this journal, provided they clearly indicate that the work was published in this journal.
The authors can file in the repository of their institution:
The research work or thesis of degree from which the published article derives.
The pre-print version: the version prior to peer review.
The Post-print version: final version after peer review.
The definitive version or final version created by the publisher for publication.
Esta obra está bajo una 