Atenção à mulher mastectomizada: discutindo os aspectos ônticos e a dimensão ontológica da atuação da enfermeira no Hospital do Câncer III

Abstract

This reflection approaches aspects related to the ontic and ontological dimensions that constitute and, therefore, permeate nursing care delivered to the client with breast cancer submitted to mastectomy. This reflexive analysis was developed considering the author's professional experience as a clinical nurse at the Cancer Hospital III and at the National Cancer Institute (INCA) as well as using the theoretical frameworks studied during her master and doctoral courses. Through a comprehensive attitude and using phenomenological interpretation, this study aimed at reflecting about nurse's clinical actions in the routine of an institution, pointing out possibilities for a care based on the existential dimension of the involved persons. Therefore, the author emphasizes nurse's performance with the client that is not only translated in the application of scientific techniques, orientations and information but also considering the perception, understanding and care provided by a human being in his/her singularity.

Atenção centrada no paciente na prática interprofissional colaborativa

“…These studies focused on PCC in connection with the following aspects: 1) Enlarged healthcare perspective, 2) Patients' participation in care and 3) Humane care. In regard to the Enlargement of the healthcare perspective there is a cluster of contributions on holistic care 13,[19][20][21][22][23][24][25][26] , comprehensive care 13,20,[24][25][26][27][28] and health needs oriented care 13,19,21,22,24,25,28,29 .…”

“…In the Patients' participation perspective the contributions cluster around the concepts autonomy 21,[24][25][26]30 , self-care 12,19,21,22,29,31 , valuing experience 20,23 and patients' participation 13,21,28,32 .…”

“…Patients' participation in care is defined as an opportunity for the exercise of citizens' rights in the quest for autonomy (related to ideas of freedom, leading role, respect for subjectivity 33 as an important condition for self-care 19,20,33 . The concept of self-care is understood as a way of managing the healthcare process, implying the collaboration of the health team and the users and not a merely prescriptive activity 34,35 .…”

“…The need to improve the relationship patient-provider was cited as a basic condition to PCC 19,21,24,25,30 , both in the sense of valuing the human condition 19,24 , in the improvement of quality of care 22,24,25,28,30,31 or for therapeutic success 26 . Several values are underlined as crucial for PCC: empathy, respect, solidarity 30 , listening, psychosocial support 27 , sensitivity, affection, dialogue in healthcare 25 , receptivity and rapport 20,24 .…”

“…These studies focused on PCC in connection with the following aspects: 1) Enlarged healthcare perspective, 2) Patients' participation in care and 3) Humane care. In regard to the Enlargement of the healthcare perspective there is a cluster of contributions on holistic care 13,[19][20][21][22][23][24][25][26] , comprehensive care 13,20,[24][25][26][27][28] and health needs oriented care 13,19,21,22,24,25,28,29 .In the Patients' participation perspective the contributions cluster around the concepts autonomy 21,[24][25][26]30 , self-care 12,19,21,22,29,31 , valuing experience 20,23 and patients' participation 13,21,28,32 .Patients' participation in care is defined as an opportunity for the exercise of citizens' rights in the quest for autonomy (related to ideas of freedom, leading role, COMUNICAÇÃO SAÚDE EDUCAÇÃO 2016; 20(59):905-16 respect for subjectivity 33 as an important condition for self-care 19,20,33 . The concept of self-care is understood as a way of managing the healthcare process, implying the collaboration of the health te...…”