Utilization of the International Classification of Functioning, Disability and Health in Patients with Advanced Cancer Under Palliative Care

Authors

DOI:

https://doi.org/10.32635/2176-9745.RBC.2023v69n3.4016

Keywords:

palliative care, International Classification of Functioning, Disability and Health, neoplasms

Abstract

Introduction: The principles and guidelines that govern palliative care state that a comprehensive assessment of the patient is essential and that, in addition, it is important to perceive the individual in all its dimensions. Corroborating the principles of palliative care, the International Classification of Functioning, Disability and Health (ICF) is an instrument that enables a biopsychosocial approach. Objective: To evaluate the functionality, symptoms and social and environmental aspects of cancer patients under palliative care utilizing an ICF-based checklist. Method: Quantitative, observational and cross-sectional study. The 14 categories ICF-based checklist was previously developed by the investigators having as reference the main assessment instruments commonly adopted in palliative care. Patients admitted to a palliative care ward, diagnosed with cancer and with PPS (Palliative Performance Scale) scores greater than or equal to 30% were submitted to an assessment based on the aforementioned checklist. Results: There were 21 patients with different cancer diagnoses that participated in the study. More than 50% of the patients reported mild, moderate, severe, or total disability in seven categories of the components activity and participation. For two categories of the body function component, more than 50% of the patients reported mild, moderate, severe or complete disability. Conclusion: The ICF-based checklist can provide an assessment that considers the different dimensions of health, from a physical, biological and psychosocial perspective.

Downloads

Download data is not yet available.

References

World Health Organization [Internet]. Geneva: WHO; c2023. Palliative care; 2020 Aug 5 [cited 2021 May 10]. Available from: https://www.who.int/news-room/fact-sheets/detail/palliative-care

Finn L, Green AR, Malhotra S. Oncology and palliative medicine: providing comprehensive care for patients with cancer. Ochsner J [Internet]. 2017 [cited 2021 May 11];17(4):393-7. Available from: https://www.ochsnerjournal.org/content/ochjnl/17/4/393.full.pdf

National Consensus Project for Quality Palliative Care. Clinical practice guidelines for quality palliative care [Internet]. 4th ed. Richmond (VA): National Coalition for Hospice and Palliative Care; 2018 [cited 2022 May 29]. Available from: https://www.nationalcoalitionhpc.org/wp-content/uploads/2020/07/NCHPC-NCPGuidelines_4thED_web_FINAL.pdf

D’Alessandro MPS, Pires CT, Forte DN, coordenadores. Manual de cuidados paliativos [Internet]. São Paulo (SP): Hospital Sírio Libanês; 2020 [acesso 2022 maio 29]. Disponível em: https://cuidadospaliativos.org/uploads/2020/12/Manual-Cuidados-Paliativos.pdf

Sanvezzo VMS, Montandon DM, Esteves LSF. Instrumentos de avaliação de funcionalidade de idosos em cuidados paliativos: uma revisão integrativa. Rev Bras Geriatr Gerontol. 2018;21(5):627-38. doi: https://doi.org/10.1590/1981-22562018021.180033 DOI: https://doi.org/10.1590/1981-22562018021.180033

Marcucci FCI, Martins VM, Barros EML, et al. Capacidade funcional de pacientes com indicação de cuidados paliativos na atenção primária. Geriatr Gerontol Aging. 2018;12(3):159-63. doi: https://doi.org/10.5327/Z2447-211520181800026 DOI: https://doi.org/10.5327/Z2447-211520181800026

Bernardes JM, Pereira Júnior AA. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) e suas contribuições para a fisioterapia. Fisioter Bras. 2010;11(6):58-64. doi: https://doi.org/10.33233/fb.v12i1.602 DOI: https://doi.org/10.33233/fb.v12i1.602

Andrade LEL, Oliveira NPD, Ruaro JA, et al. Avaliação do nível de conhecimento e aplicabilidade da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Saúde Debate. 2017;41(114):812-23. doi: https://doi.org/10.1590/0103-1104201711411 DOI: https://doi.org/10.1590/0103-1104201711411

Loughran K, Rice S, Robinson L. Living with incurable cancer: what are the rehabilitation needs in a palliative setting? Disabil Rehabil. 2017;41(7):770-8. doi: https://doi.org/10.1080/09638288.2017.1408709 DOI: https://doi.org/10.1080/09638288.2017.1408709

Centro Colaborador da Organização Mundial da Saúde para a Família de Classificações Internacionais. CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde [Internet]. São Paulo (SP): Edusp; 2008 [acesso em 2022 nov 24]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/42407/9788531407840_por.pdf?sequence=111

Farias N, Buchalla CM. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde da Organização Mundial da Saúde: conceitos, usos e perspectivas. Rev Bras Epidemiol. 2005;8(2):93-187. doi: https://doi.org/10.1590/S1415-790X2005000200011 DOI: https://doi.org/10.1590/S1415-790X2005000200011

Riberto M. Core sets da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Rev Bras Enferm. 2011;64(5):938-46. doi: https://doi.org/10.1590/S0034-71672011000500021 DOI: https://doi.org/10.1590/S0034-71672011000500021

Biz MCP, Chun RYS. Operacionalização da Classificação Internacional de Funcionalidade, Incapacidade e Saúde, CIF, em um centro especializado em reabilitação. CoDAS. 2020;32(2):1-15. doi: https://doi.org/10.1590/2317-1782/20192019046 DOI: https://doi.org/10.1590/2317-1782/20192019046

Giardini A, Ferrari P, Negri EM, et al. The positive role of caregivers in terminal cancer patients’ abilities: usefulness of the ICF framework. Eur J Phys Rehabil Med [Internet]. 2016 [cited 2021 July 20];52(2):214-22. Available from: https://www.minervamedica.it/en/freedownload.php?cod=R33Y2016N02A0214

Gayoso MV, Avila MAG, Silva TA, et al. Avaliação do nível de conforto de cuidadores de pacientes com câncer em cuidados paliativos. Rev Latino-Am Enfermagem. 2018;26:e3029. doi: https://doi.org/10.1590/1518-8345.2521.3029 DOI: https://doi.org/10.1590/1518-8345.2521.3029

Mehta A, Chai E, Berglund K, et al. Using admission Karnofsky performance status as a guide for palliative care discharge needs. J Palliat Med. 2021;24(6):913-0. doi: https://doi.org/10.1089/jpm.2020.0543 DOI: https://doi.org/10.1089/jpm.2020.0543

Lima ABA, Souza EMS, Trezza MCSF, et al. Características da pessoa idosa com necessidade de cuidados paliativos da atenção básica. Rev Enferm Atual In Derme. 2020;92(30):69-3. doi: https://doi.org/10.31011/reaid-2020-v.92-n.30-art.604 DOI: https://doi.org/10.31011/reaid-2020-v.92-n.30-art.604

Rabow MW, Schanche K, Petersen J, et al. Patient perceptions of an outpatient palliative care intervention: “It had been on my mind before, but I did not know how to start talking about death…”. J Pain Symptom Manage. 2003;26(5):1010-5. doi: https://doi.org/10.1016/j.jpainsymman.2003.03.002 DOI: https://doi.org/10.1016/j.jpainsymman.2003.03.002

Kokkonen K, Saarto T, Mäkinen T, et al. The functional capacity and quality of life of women with advanced breast cancer. Breast Cancer. 2017;24(1):128-36. doi: https://doi.org/10.1007/s12282-016-0687-2 DOI: https://doi.org/10.1007/s12282-016-0687-2

Wong A, Tayjasanant S, Rodriguez-Nunez A, et al. Edmonton symptom assessment scale time duration of self-completion versus assisted completion in patients with advanced cancer: a randomized comparison. Oncologist. 2021;26(2):165-71. doi: https://doi.org/10.1002/onco.13619 DOI: https://doi.org/10.1002/onco.13619

Huyen BT, Van Anh PT, Duong LD, et al. Quality of life among advanced cancer patients in Vietnam: a multicenter cross-sectional study. Support Care Cancer. 2021;29(8):4791-8. doi: https://doi.org/10.1007/s00520-021-06012-3 DOI: https://doi.org/10.1007/s00520-021-06012-3

Conselho Nacional de Saúde (BR). Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção 1:59.

Giardini A, Ferrari P, Majani P, et al. International Classification of Functioning, Disability and Health (ICF) and quality of life in cancer patients in a terminal condition. G Ital Med Lav Ergon. 2010;32(3 Suppl B):B29-36. Italy. Cited in: PubMed; PMID: 21302522.

Duarte ACF, Silva BA, Avelino PR, et al. Grip strength, functional capacity, and quality of life of individuals with cancer. Fisioter Pesqui. 2020;27(4):362-9. doi: https://doi.org/10.1590/1809-2950/19039127042020 DOI: https://doi.org/10.1590/1809-2950/19039127042020

Monaco ML, Bocchio RM, Natoli G, et al. Human relationships in patients' end-of-life: a qualitative study in a hospice ward. Intern Emerg Med. 2020;15(6):975-80. doi: https://doi.org/10.1007/s11739-019-02254-6 DOI: https://doi.org/10.1007/s11739-019-02254-6

Kelemen A, Cagle J, Chung J, et al. Assessing the impact of serious illness on patient intimacy and sexuality in palliative care. J Pain Symptom Manage. 2019;58(2):282-8. doi: https://doi.org/10.1016/j.jpainsymman.2019.04.015 DOI: https://doi.org/10.1016/j.jpainsymman.2019.04.015

Kelemen A, Van Gerven C, Mullins K, et al. Sexuality and intimacy needs within a hospitalized palliative care population: results from a qualitative study. Am J Hosp Palliat Care. 2022;39(4):433-7. doi: https://doi.org/10.1177/10499091211036928 DOI: https://doi.org/10.1177/10499091211036928

Gijsberts MHE, Liefbroer AI, Otten R, et al. Spiritual care in palliative care: a systematic review of the recent European literature. Med Sci (Basel). 2019;7(2):25. doi: https://doi.org/10.3390/medsci7020025 DOI: https://doi.org/10.3390/medsci7020025

Brooks JV, Poague C, Formagini T, et al. Palliative care's role managing cancer pain during the opioid crisis: a qualitative study of patients, caregivers, and clinicians. J Pain Symptom Manage. 2020;60(6):1127-35. doi: https://doi.org/10.1016/j.jpainsymman.2020.06.039 DOI: https://doi.org/10.1016/j.jpainsymman.2020.06.039

Henson LA, Maddocks M, Evans C, et al. Palliative care and the management of common distressing symptoms in advanced cancer: pain, breathlessness, nausea and vomiting, and fatigue. J Clin Oncol. 2020;38(9):905-14. doi: https://doi.org/10.1200/JCO.19.00470 DOI: https://doi.org/10.1200/JCO.19.00470

Li B, Mah K, Swami N, et al. Symptom assessment in patients with advanced cancer: are the most severe symptoms the most bothersome?. J Palliat Med. 2019;22(10):1252-9. doi: https:/doi.org/10.1089/jpm.2018.0622 DOI: https://doi.org/10.1089/jpm.2018.0622

Castro MCF, Fuly PSC, Santos MLSC, et al. Dor total e teoria do conforto: implicações no cuidado ao paciente em cuidados paliativos oncológicos. Rev Gaúcha Enferm. 2021;42:e20200311. doi: https://doi.org/10.1590/1983-1447.2021.20200311 DOI: https://doi.org/10.1590/1983-1447.2021.20200311

Chua GP, Pang GSY, Yee ACP, et al. Supporting the patients with advanced cancer and their family caregivers: what are their palliative care needs? BMC Cancer. 2020;20(1):768. doi: https://doi.org/10.1186/s12885-020-07239-9 DOI: https://doi.org/10.1186/s12885-020-07239-9

Published

2023-07-28

How to Cite

1.
Carvalho AM, Lucena NC de, Portela CM. Utilization of the International Classification of Functioning, Disability and Health in Patients with Advanced Cancer Under Palliative Care. Rev. Bras. Cancerol. [Internet]. 2023 Jul. 28 [cited 2024 Jul. 3];69(3):e-114016. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/4016

Issue

Section

ORIGINAL ARTICLE