Objective: to propose essential competencies for the teaching of palliative care on undergraduate Medicine courses. Method: a documentary analysis of the literature on general competencies in palliative care was initially carried out, to construct a framework with suggestions of essential competencies for undergraduate education in Brazil. The elaborated material was then presented individually to eight professionals from a range of areas for analysis. All the professionals had specialized training in palliative care, and the material was accompanied by an interview with three open questions. The categorical thematic content analysis proposed by Bardin was used in the documentary analysis and the interviews with the professionals. Results: the initial documentary analysis resulted in five categories, eight subcategories and 96 units of analysis, based on which the researcher was able to construct the suggestions for competences, which were distributed with their respective contents in a framework with five modules. Six categories, 12 subcategories and 168 analysis units emerged from the interviews with the professionals following a reading of the material. From the discourse contained in the subcategories and units of analysis, suggestions emerged for a better distribution of the modules, resulting in the renaming of the same (Basic principles of palliative care, Symptom management, Teamwork, Ethical and legal issues, Care in the last moments of life). Conclusion: the discussion and improvement of the palliative care competencies suggested in this study will be essential at medical education forums, providing clarity about what is really required in general practitioner training.

Esta pesquisa tem por objetivo apresentar dados voltados à compreensão das mudanças e agenciamentos dos espaços ocupados pelos idosos nas obras cinematográficas brasileiras entre 1997 e 2020, tomando por base três filmes: Central do Brasil, Chega de Saudade e Greta. Nossas perguntas bases são: quais as transformações no personagem do idoso no cinema brasileiro contemporâneo em relação à tradição cinematográfica nacional? Como tais deslocamentos dialogam com as demandas recentes que reinventaram o idoso como sujeito no Brasil na passagem do século XX para o XXI? O idoso foi ressignificado, como um sujeito médico, via a Geriatria, e como sujeito da cultura, graças à expansão da qualidade de vida. Em Greta, por exemplo, há um longo processo de apinhamento da personagem principal que foi agravado pelo fato de Pedro não ser uma pessoa bem “resolvida” quanto a sua sexualidade. Essa realidade era refletida no apartamento em que morava, pois se tratava de um espaço escuro e desorganizado. Ou seja, quando identificamos as transformações nos espaços culturais dos idosos ao longo do tempo, vislumbramos representações identitárias marginalizadas nos filmes, mas, ao mesmo tempo, mudanças na sociedade como um todo no que diz respeito ao tratamento destinado ao idoso. Da mesma maneira, observa-se uma situação similar nas tramas de Central do Brasil e Chega de Saudade. Para realizar seu intento, a pesquisa parte do levantamento documental com a utilização de diversas fontes: os três filmes citados, revistas especializadas, livros do campo da História, Geriatria e Cinema. Utiliza-se ainda a análise fílmica para avaliarmos as transformações sociais dos espaços e papéis atribuídos aos idosos.

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Neuropsychiatric symptoms (NPS) cause distress, disabilitiy and reduced quality of life for both the patient and their familiesOBJECTIVETo evaluate the prevalence of NPS as a specific stage of dementia status.METHODSA cross-sectional study in patients attending an outpatient clinic for dementia was performed. We applied the Neuropsychiatric Inventory and Clinical Dementia Rating (CDR) scale. Statistical analysis was carried out with SPSS 17 software.RESULTSThe 124 subjects (mean age of 80.4±7.0 years), 88 women (70.9%) had average duration of dementia of 7.1±3.2 years, most common dementias of Alzheimer's disease (35.5%) and mixed (31.5%) and most prevalent NPS of apathy (75%) and irritability (66.9%). Correlation between apathy and a CDR 1 had a PR (prevalence ratio) = 0.289 and p<0.001while between apathy and CDR 4-5 (PR=8.333, p<0.005). A similar result was found between aberrant motor behavior (AMB) and CDR 1 (PR=0.352, p<0.003) and between AMB and CDR4-5 (PR=2.929, p<0.006).CONCLUSIONAlzheimer's disease and mixed dementia were predominant, while apathy and AMB were detected in association with the progressive stages of dementia.