Construction of a Standard Operating Procedure (SOP) for the management of hypodermoclysis in home palliative care:

un relato de experiencia

Abstract

Introduction: Currently, it is essential to develop techniques and skills that can meet the specific needs of patients in palliative care. Therefore, one of the most recommended alternatives is the use of subcutaneous infusion access, as it is a procedure that allows for early hospital discharge, as it can be performed at home and has a low risk of complications. Objective: To report the experience in the development of a Standard Operating Procedure for the management of subcutaneous infusion access in a clinic specialized in providing palliative care to patients at home. Methodology: A descriptive study, of the experience report type, on the development of a Standard Operating Procedure for the management of hypodermoclysis access, conducted in December 2024 at a clinic specialized in providing home palliative care, located in a capital city in the northeast of Brazil. Results: A Standard Operating Procedure was developed for the management of subcutaneous infusion in home care, considering the following aspects: definition; objective; target audience; indications and contraindications; advantages and disadvantages; necessary materials and equipment; procedure description; recommendations; post-puncture care and catheter maintenance; related adverse events; illustrations; references. Conclusions: The Standard Operating Procedure developed for the management of hypodermoclysis in the context of home palliative care represents an important contribution to the standardization and improvement of care, enhancing the safety and comfort of patients with severe or terminal illnesses, as well as promoting the ongoing training of nurses and encouraging the integration of the multidisciplinary team.