Health care for people with amputation: analysis from the perspective of bioethics

Abstract

A qualitative, descriptive and exploratory study was conducted through semi-structured interviews with 18 people undergoing amputation in the period 2008-2010, in public hospitals in Florianópolis. The objectives were to analyze the care provided by health professionals throughout the amputation process in the perspective of the amputee patient; and discuss the process of health care to the person with amputation in the bioethical analysis perspective. Data were analyzed according to content analysis. Three thematic categories emerged: the process of amputation; team performance and rehabilitation. Bioethics permits reflection on the care provided to amputees and problematizes the relationship of the health care process with support available through public health policies. The professional involved in this process has to take responsibility for putting the process in practice and interdisciplinary is essential for the recovery of the amputated patient.

Emotional aspects present in the lives of amputees: a literature review

“…Rodrigues (2011) also stresses the need for physicians to establish a dialogue with patients, considering that physicians are the protagonists in hospital settings and should be the first to embrace the distress of patients. The patients addressed by Marques et al (2014) also reported that there was no relationship with their physicians during hospitalization because they did not receive the information they need in regard to what was happening to their bodies. The need for such a relationship is highlighted by Batista and Luz (2012), who concluded that some patients tend to transfer their responsibilities to the physician and depend on their consent to perform certain tasks, therefore, it is necessary that a relationship be established between the physician and patient to answer all the questions patients might have.…”

“…The instrument most frequently used in the qualitative studies (5) was the semistructured interview with content analysis (Gabarra and Crepaldi, 2009;Marques et al, 2014;Sales et al, 2012;Seren & Tilio, 2014;Vargas et al, 2013). Two studies report reflections on psychoanalytic theories (Carvalho, Serra, & Guimarães, 2011;Galván & Amiralian, 2009).…”

“…Of the three studies that do mention such a relationship, two present the reports of patients. Marques et al (2014) report that patients complained of neglect and lack of information on the part of physicians in regard to the amputation surgery; the study by Batista and Luz (2012) reports that patients started to depend on their physicians' consent to make certain decisions. In another paper, Gabarra and Crepaldi, (2009) suggest the behaviors physicians could adopt to facilitate the rehabilitation process, such as individualized attention, active listening, giving opportunities for patients to ask questions, use of accessible language, encouraging the active participation of the patient in the decision-making regarding the surgery process, and embracing patients' distress.…”

“…Six papers do not mention the influence of the family. Three papers, Marques et al (2014), Seren and De Tilio, (2014) and Vargas et al (2013) report the presence of the family as being essential for the patient to resume life and during the recovery process.…”

Atenção Em Rede Às Pessoas Com Amputação: A Ação Da Enfermagem Sob O Olhar Da Bioética

“…From the moment that the problem occurs, we are in a condition of being violated, one that has a condition that requires more attention and readaptation in order to have wellbeing. 11 It is up to the professionals, who are links between public policy and those assisted by it, to minimize disparities that may arise amid present vulnerability, 14 independent from the one in need.…”