Programa de internação domiciliae interdisciplinar oncológico: metodologia de trabalho

Abstract

RESUMO Este estudo consiste em um relato de experiência vivenciada num programa de internação domiciliar interdisciplinar (PIDI) oncológico que presta cuidados paliativos. A internação domiciliar surge em nosso país como uma alternativa para assistência à saúde de forma individualizada e humanizada, indicada principalmente para usuários portadores de doenças crônicas. No município de Pelotas, Sul do Estado do Rio Grande do Sul, em 2005 foi implantado o

Relato de experiência da equipe odontológica em atenção domiciliar em um hospital-escola na cidade de Pelotas, RS, Brasil

“…O Pidi oncológico é formado por uma equipe interdisciplinar que oferece cuidados de internação domiciliar aos pacientes com câncer independentemente da fase de evolução da doença. São objetivos do programa: complementar o atendimento de oncologia da cidade de Pelotas; trabalhar na perspectiva da interdisciplinaridade; humanizar os cuidados aos pacientes e familiares; realizar cuidado global; incluir ensino, pesquisa e extensão no processo de cuidados domiciliares aos usuários portadores de câncer; e possibilitar a ampliação de leitos em ambiente domiciliar 7 .…”

Cuidado de enfermagem no domicílio ao paciente com insuficiência cardíaca: revisão integrativa Nursing care at home patient with heart failure: integrative review

“…23 The healthcare technologies used are classified as light technologies, light-hard technologies and hard technologies in homecare. 24 Most of the studies emphasized the diseased individual's role in homecare as educator. One of them mentioned that the nursing team works in the orientation of themes related to the treatment of heart failure with the purpose of teaching patients about the disease, self-care, treatment and quality of life.…”

“…23 The client attendance is a relationship process, produced through live work in act, which means, from the meeting between two individuals in which a play of expectations and productions is established, creating spaces for listening, speaking, sympathizing and interpreting. 24 One of most emphasized activities in a study was the active listening, conversation and giving attention. It is known that, to understand the problems that affect a user and search for the better solution, it is firstly necessary to listen to him/her, let him/her report the complaints.…”

“…24 It is important that the patient is a partner in care. 14 The healthcare team, as caregiver, perform the care actions based on their convictions, but needs to understand that the client has autonomy in favor of his/her principles, lifestyle and education.…”

“…16 A study showed that a meeting between the caregiving group and the cross-sectional team is a valuable opportunity because it provides with knowledge exchange between the team and the caregivers about the user's therapeutic project, the clarification of doubts and the affirmation of the difficulties in coping with the disease and the exchange of experiences between caregivers. 24 The goal is the family itself is able to solve its daily care needs, considering the resources available to them. This condition, therefore, must be a concern of the healthcare team, which shall include the family in its care plan, promote its instrumentalization so that it may gradually assume the performance of the care.…”