O processo de adoecer do portador de colostomia por câncer

Abstract

This study aimed to understand how patients with colostomy by cancer and their family members perceive the sickening process. The theoretical and methodological reference frameworks the study was based on were anthropology and ethnography. Data were collected through interviews, in a narrative form, and observations with twelve colostomy patients and five family members, in the period from June 2002 to May 2003. The analysis allowed us to understand that the experience of having a colostomy by cancer is a social-cultural construction.

Coping strategies of ostomized individuals

“…Also, a physicianpatient interaction that would allow for another choice was not clear. The way to talk about the diagnosis, the rituals used to inform the patient, the professional-patient context in which the diagnosis information is given are aspects that influence the responses to the disease and treatment (10)(11) .…”

The meaning of being a man with intestinal stoma due to colorectal cancer: an anthropological approach to masculinities

“…An interpretative (6) study describes these same beliefs and practices, and there are no differences between men and women. It is known that men delay their search for primary care services because, due to hegemonic stereotypes of masculinity, they neglect caring for their health (1)(2) as presented earlier.…”

“…Brazilian nurses have shown through interpretative studies that physical and psychosocial disorders caused by CC, surgery and stoma compromise the quality life of patients and their family members (5)(6) .…”

“…In people's imagination, regardless of gender and social class, the representations of cancer are of a fatal disease that causes much suffering and leads to severe limitations (5)(6) . From this perspective, men feel vulnerable, fragile, acknowledge they will not correspond to the socially established standards of masculinity, feel marginalized and subjected to the knowledge and practices of the medical model (8,13) .…”

“…It has been shown that there is generalization in the different western social groups, when associations are employed between the diverse elements of human life (5)(6)11) . Poor work conditions are highlighted by the informants, consistent with the working class' condition.…”