Organization of care practices in the health network

Desvelando os cuidados aos pacientes em processo de morte/morrer e às suas famílias

“…Therefore, in conceiving human life as complex, dealing with its terminality is also complex, which is why it needs an expanded look at death as a dynamic and complex process involving different fields of meanings and actions that may influence the quality in which this phenomenon occurs. In addition, each society has its own culture, habits, beliefs and values, which offers people different meanings for death, as well as resources for their coping (4)(5)(6) . That way, health professionals, including nursing professionals, need to understand the values underlying the different representations of caregivers, as well as to apprehend the professionals' own representations about death in order to give meaning to the care performed (2)(3)(4)(5) .…”

“…In addition, each society has its own culture, habits, beliefs and values, which offers people different meanings for death, as well as resources for their coping (4)(5)(6) . That way, health professionals, including nursing professionals, need to understand the values underlying the different representations of caregivers, as well as to apprehend the professionals' own representations about death in order to give meaning to the care performed (2)(3)(4)(5) . Therefore, it is necessary to understand the systems of meanings that influence the actions of health professionals in the face of terminality and death, while they may impact the care at the end of life (6)(7) .…”

“…At this juncture, it is necessary to recognize its biological dimension, unique to the individual who experiences it, but also the subjective dimension imbued with social dynamics, from the family sphere to more expressive collectivities, which, together, can clarify the social dynamics involved in the different ways humanity has, over the years, dealt with this phenomenon. In addition, death can also be considered as a dialogical phenomenon, whereas, naturally, it is part of the cycle of life and, therefore, of the development of humanity (3)(4) . Therefore, in conceiving human life as complex, dealing with its terminality is also complex, which is why it needs an expanded look at death as a dynamic and complex process involving different fields of meanings and actions that may influence the quality in which this phenomenon occurs.…”

The construction of assistance protocols in nursing work

“…Todavia, esse movimento busca alcançar a melhor prática e pode promover a transformação do modo de cuidar em direção, também, de melhores condições de vida e saúde das pessoas. 9 Nesse aspecto, o diálogo estabelecido entre os profissionais é um fator disparador das mudanças que podem ocorrer no contexto do trabalho.…”

“…A ausência de protocolos que padronizem as atividades e os serviços de saúde dificulta a organização das práticas de cuidado. 9 Na enfermagem, gerenciar e administrar em tal complexidade, além de ser uma atividade privativa do enfermeiro, requer conhecimentos, habilidades e atitudes cujo desenvolvimento é possível quando se percebe que essas dimensões são indissociáveis e estão imbricadas na formação regular, no modelo da estrutura institucional, nas tecnologias disponíveis e nas características e envolvimento dos profissionais com a organização do serviço.…”