Living with tuberculosis in prison: the challenge to achieve cure

Abstract

ABSTRACT:The objective of this study was to better understand the meaning, for the person deprived of freedom, of living in prison with tuberculosis and its treatment. The research was conducted using the phenomenological method of Martin Heidegger, applied to 22 interviews realized in five prisons located in the state of Pará, Brazil. The results and its hermeneutics made possible to understand that the person deprived of freedom understands their condition and transcends their facticity and difficulties to achieve the cure of the disease, living as beings of possibilities, revealing their authentic way of facing tuberculosis and its treatment in prison. DESCRIPTORS:Tuberculosis. Therapeutics. Prisons. Nursing. Philosophy. VIVER COM TUBERCULOSE EM PRISÕES: O DESAFIO DE CURAR-SERESUMO: Objetivou-se compreender os sentidos, para a pessoa privada de liberdade, de viver com a tuberculose e seu tratamento em prisões. A pesquisa foi desenvolvida por meio do método fenomenológico hermenêutico de Martin Heidegger, com realização de 22 entrevistas em cinco prisões localizadas no Estado do Pará. Por meio dos resultados e sua hermenêutica compreendeu-se que a pessoa privada de liberdade entende sua condição e transcende suas facticidades e dificuldades para o alcance da cura da doença, movendo-se como ser de possibilidades e desvelando o seu modo autêntico de viver diante da tuberculose e de seu tratamento em prisões. DESCRITORES:Tuberculose. Terapêutica. Prisões. Enfermagem. Filosofia. VIVIR CON TUBERCULOSIS EN LAS PRISIONES: EL DESAFÍO DEALCANZAR LA CURA RESUMEN: Este estudio tuvo como objetivo comprender el significado de vivir con la tuberculosis y su tratamiento en las prisiones. La investigación fue realizada mediante el método fenomenológico hermenéutico de Martin Heidegger. Fueron testigos 22 presos en cinco prisiones ubicadas en el Estado de Para, Brasil. Mediante la hermenéutica se entiende que la persona privada de libertad comprende su condición y trasciende sus facticidades y las dificultades para lograr la cura de la enfermedad, moviéndose como un ser de posibilidades y revelando su auténtica forma de vivir diante de la tuberculosis y su tratamiento en las prisiones.

A vivência do tratamento de tuberculose em unidades de Saúde da Família

“…Similar results pointed to the precariousness of care and access difficulties as possible causes of non-adherence to treatment, including the long waiting time as a factor of dissatisfaction with the health service, and it does not favor the team to put itself at the same horizon as the other; that is, the patient who has as objective the healing. [6][7][8][9][10][11]20,21 In Heidegger, one sees that impersonality usually dominates the relations between men and that, although it is one of their ways of being, it is not the proper way of dealing between them. Although dispersed in a family environment, as are the health units with routines and care procedures presented to patients as soon as they begin their treatments, the Dasein, by delivering themselves to these routines, allows the obscuring of their most-self-being.…”

“…Although dispersed in a family environment, as are the health units with routines and care procedures presented to patients as soon as they begin their treatments, the Dasein, by delivering themselves to these routines, allows the obscuring of their most-self-being. 10,11,[15][16][17]20,21 Thus, the Dasein, dispersed in the mode of impersonality, is characterized by being absorbed in the world that comes to him The experience of tuberculosis treatment Linhares SRS, Paz EPA and presents himself with the character of familiarity. In view of this, every immediate interpretation of the world phenomenon and its own being-in-the-world ends up being determined by this impersonal interpretation.…”

“…6,[9][10][11] Thus, strategies for adherence to treatment must be agreed upon so that the being affected by tuberculosis can assume treatment and, by admitting it, decide on the possibility of healing and reintegration into their daily life. 10,11,20,21 Unit III shows that, despite the impersonal mode that reigns in health services, the opposite also occurs; that is, the opportunity of authentic care, which provides the understanding of the patient's experience by professionals. In this meeting, there is the possibility of them striving in order for the person to understand the disease and assisting them in the decision to follow the treatment.…”

“…By sharing with the patient the coping with the disease and the difficulties inherent to drug treatment, the professional approaches the being-there of his patient, living with him a special situation, and may, in this relationship, show more and more interest and consideration for the other; that is, worrying and caring in the broad sense of the word. 14,[16][17][18]21,22 Even when the person with tuberculosis expresses a desire to interrupt treatment, this situation may not materialize due to the support and link created between the user and the health professional. This openness to the other enables the more proper performing of the humanity of men -who dialogues and does not dominate -and can transcend the technical care based on normative aspects.…”

“…7,8,16,17 According to Heidegger, men is not alone in the world, being-in-the-world is always being-with others.15 Thus, the being diagnosed with tuberculosis recognizes the co-presence of professionals and values it as essential to their treatment and believes that by overcoming occasional difficulties, will regain the solidity of the essential structure of their existence, the being-with. 10,11,20,21…”