Percepção dos enfermeiros sobre o significado dos cuidados paliativos em pacientes com câncer terminal

Abstract

This study sought to assess the perception of nurses with respect to cancer patients under palliative care. It is an exploratory study with a qualitative approach conducted with nurses from a hospital attending cancer patients under palliative care located in the city of João Pessoa, State of Paraíba. The study included nine nurses who worked in the hospital. The empirical material was collected using the technique of semi-structured interviews and analyzed using the content analysis technique. The interpretative analysis of the interviews led to the definition of three categories: Improving the quality of life through the alleviation of pain and suffering; Palliative Care: a multi-professional study of terminal patients and their families in the grieving process; Communication: a source of dignity in the terminal care process. The conclusion reached is that the study revealed that the nurses involved acknowledge the importance of the multidisciplinary team. It enables the nurses to reflect on the use of communication as an essential element of care for patient and family under palliative care. It is hoped that the data obtained may foster further research on the topic.

Palliative Care in the Process of Human Terminality: Integrative review

“…In that perspective, palliative care is a therapeutic proposal that seeks to analyze the various symptoms responsible for physical, psychic, spiritual and social suffering, responsible for decreasing the patient's quality of life. Moreover, it is a mode of assistance that aims to see the human being in a holistic way, trying to alleviate pain and suffering, and providing relatives with emotional support [10].…”

“…Care focuses on alleviating biopsychosocial and spiritual needs, significantly aggregating values and cultural practices of the patient and his/her family [10]. Palliative care should take into account all dimensions of the patient without therapeutic possibilities of healing, in a holistic manner, prioritizing psychological, social and spiritual care, aiming to promote global wellbeing [13].…”

Therapeutic Actions Promoted To Terminal Patient: Professional Experience At Home Care Service

“…[22] In the specificity of the terminally ill, the applicability of these scales can be complex because it depends on clinical status, physical condition, age and communication condition. [23] To meet this biological need, the participants emphasize how interventions followed by evaluation of the intensity of the pain, the analgesia, having morphine as first-choice drug, in order to provide comfort and relieve symptoms arising from terminally stage, as highlight these reports: …”

“…Such relevance confirms the studies developed in the context of the terminally ill, who defend the communication as one of the foundations for the care dispensed to the patient without prospect of cure, since its essence conveys attention, compassion and emotional comfort, minimizing the fears and anxieties experienced by the patient in terminal illness. [16,23,32] Nonverbal communication is described as any manifestation of human behavior that is not expressed in words. Its systematization was proposed by Knapp and Hall in 1972, that defined in fields of study, announced by kinesics (body language, gestures, facial expressions); the proxemics (use and organization of personal and physical space); the paralanguage (the characteristic sound of the voice); the language of touch and the physical characteristics (shape and appearance of the body).…”

Palliative care and mourning: the understanding of medical residents

“…These attitudes and procedures of assistance at the end of life, consisting of active and comprehensive care offered to patients with advanced and terminal illness, and their families, giving it the right to die with dignity. [14][15] In human finitude, it is important to promote support condition that the person can rediscover the meaning of life in this harrowing moment experiences. In such proceedings, the professional conduct palliative care aimed at providing physical, mental, spiritual and social conditions, while preserving as much as possible, functional autonomy.…”