The family physician and palliative care: the ‘ACERTAR’ method

Authors

  • Maria Gouveia UCSP Alcântara - ACES Lisboa Ocidental e Oeiras http://orcid.org/0000-0003-0796-813X
  • Paulo Reis-Pina 1. Unidade de Cuidados Paliativos. Casa de Saúde da Idanha, Sintra, Portugal. 2. Faculdade de Medicina de Lisboa. Universidade de Lisboa, Lisboa, Portugal. http://orcid.org/0000-0002-4665-585X

DOI:

https://doi.org/10.32385/rpmgf.v39i1.13255

Keywords:

Family physicians, Primary health care, Palliative care

Abstract

Family physicians (FPs) are responsible for providing longitudinal and continuous health care to the population. Due to the nature of their relationship with their patients/families, supported by trust and proximity, FPs are in the ideal position to offer palliative care (PC). However, different factors, such as lack of training, time, and guidelines, make it difficult for family physicians to provide PC. Moreover, FPs may struggle to define what is the appropriate method to provide the best care in a PC scenario. Here, we propose a method to clarify FPs’ role during home visits – the ‘ACERTAR’, an acrostic that highlights seven goals (and interventions) in home clinical care: Assess; Communicate; Empower; Review/Reduce; Treat; Anticipate and Refer. FPs have a vital role in the follow-up of palliative needs patients. We, therefore, intend to spread a guide that can help the FPs in the provision of care to patients with palliative needs.

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Author Biographies

Maria Gouveia, UCSP Alcântara - ACES Lisboa Ocidental e Oeiras

Assistente de Medicina Geral e Familiar na UCSP Alcântara - ACES Lisboa Ocidental e Oeiras

Paulo Reis-Pina, 1. Unidade de Cuidados Paliativos. Casa de Saúde da Idanha, Sintra, Portugal. 2. Faculdade de Medicina de Lisboa. Universidade de Lisboa, Lisboa, Portugal.

MD, MSc, PhD

Especialista em Medicina Interna; Professor Auxiliar Convidado da Faculdade de Medicina da Universidade de Lisboa, Portugal.

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Published

2023-03-07

How to Cite

Gouveia, M., & Reis-Pina, P. (2023). The family physician and palliative care: the ‘ACERTAR’ method. Portuguese Journal of Family Medicine and General Practice, 39(1), 84–90. https://doi.org/10.32385/rpmgf.v39i1.13255