Being afflicted with cancer involves a high degree of invasive and mutilating treatment, which has repercussions on the lives of individuals and harks back to the recollection of pain, limitations and fear of death, which requires the participation of the family or person responsible for the patient during treatment. Attention to the relatives or persons responsible for the patient is a very important evaluation issue of care in health institutions, as an integral aspect of the process of humanization of assistance, that requires the training of professionals to identify and meet their needs. Given the above, this study seeks to address some considerations regarding the interdisciplinary work of assisting the patients' families in the Adult Intensive Care Unit of Cancer Hospital I, as an efficient proposal with respect to attention to such clinical information requirements, as well as social, medical and/or psychological guidance.
Introdução: Com base na filosofia de Clínica Ampliada, os assistentes sociais e a equipe de Enfermagem do ambulatório da Seção de Cirurgia de Cabeça e Pescoço desenvolvem atividades conjuntas, sistematizando informações e ações que se complementam, visando à integralidade no atendimento aos pacientes com neoplasias de laringe. Objetivos: Demonstrar a importância da concepção de Clínica Ampliada no processo saúde-doença, a partir da experiência do assistente social e da Enfermagem com esses pacientes; analisar as ações que viabilizem acesso dos usuários à assistência de saúde e aos direitos sociais, previdenciários e trabalhistas; e descrever o resultado das intervenções realizadas. Método: Estudo seccional utilizando dados secundários de portadores de neoplasia laríngea, com análise estatística descritiva e inferencial. Resultados: Analisaram-se 153 casos, a maioria masculina, idade entre 46 e 65 anos, brancos, casados, educação fundamental, moradores fora do Rio, tabagistas, etilistas, estágio avançado, tratados com radioterapia exclusiva ou cirurgia com radioterapia, maioria de provedores da família, com vínculo previdenciário autônomo e renda familiar até dois salários mínimos. Ações de Enfermagem totalizaram 19.455. Idade e irradiação foram significativas para os cuidados. Conclusão: Demonstrou-se a importância da Clínica Ampliada para produção do cuidado integral centrada nos clientes, exercendo a interdisciplinaridade um papel fundamental no acionamento de estratégias para lidar com os efeitos causados pela doença.
Few studies have analyzed the SINASC (Live Birth Information System) and MIS (Mortality Information System) applying qualitative methodology seeking to understand data production processes and contexts. This article aims to study the social representation of health professionals about Live Birth Certificates (LBC) and perinatal Death Certificates (DC). A total of 24 interviews were conducted with nurses and other professionals of 16 Unified Health System (SUS) and non-SUS hospitals of the city of São Paulo in 2009. Qualitative methodology was adopted along with the Collective Subject Discourse technique. Professionals acknowledged that they are an integral part of the information production process of SINASC and their reports indicate that they incorporate it in their work routine. They also perceive that training activities are a tool to understand the information produced by them and are aware of the utility of LBC information. Although physicians are legally responsible for the DC, other professionals frequently provide some of the information to complete it. The professionals see themselves as participants of the SINASC. Despite providing information to complete the DC, they do not see themselves as participants of the MIS operation.
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