Approach to hypodermoclysis in geriatric palliative care

Abstract

This study consists of an integrative review on the use of hypodermoclysis in palliative care for elderly patients, focusing on the practice of geriatric nursing. Objective: Aspects such as puncture sites, device fixation techniques, catheter management and post-insertion care were discussed. Method: Methodological steps were used and we selected articles published between 2014 and 2024 in the MEDLINE, LILACS, and BDENF databases. Results: The results highlighted hypodermoclysis as a safe and effective technique for the administration of drugs and fluids, especially in patients with swallowing difficulties or compromised venous access. Final thoughts: Hypodermoclysis is a safe and effective technique for administering medications to older adults, especially in palliative care. It is practical, less invasive and offers greater comfort, promoting treatment adherence and patient satisfaction. The study reviewed its advantages and applications, highlighting it as a viable alternative to intravenous administration, especially in elderly patients. However, it identified gaps in knowledge that indicate the need for more research, especially to develop protocols that allow greater autonomy to nursing.

DOI:https://doi.org/10.56238/sevened2024.018-079