Transition to exclusive palliative care for women with breast cancer

Telles, Audrei Castro; Bento, Paulo Alexandre de Souza São; Chagas, Marléa Crescêncio; Queiroz, Ana Beatriz Azevedo; Bittencourt, Nair Caroline Cavalcanti de Mendonça; Silva, Marcelle Miranda da

doi:10.1590/0034-7167-2020-1325

Cited by 7 publications

(2 citation statements)

References 23 publications

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“…Cancer, which is another comorbidity, was associated with the factor "important preferences." It is known that cancer TC (Transition Care) is crossed by numerous obstacles, namely: the possibility of controlling the disease in the face of diferent systemic treatments for cancer; barriers arising from cultural, linguistic, religious diferences, among others [19]. In this study, the results indicate that communication was essential for efective TC; thus, it is expected that individuals and their families are responsible for their health, taking greater responsibility for it, and being partners in transition care decisions [20].…”

Section: Discussionmentioning

confidence: 99%

Transition of Care for Post-COVID-19 Patients: Sociodemographic and Clinical Profile and Associated Factors

et al. 2023

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This study aimed to identify sociodemographic and clinical characteristics and factors associated with care transition in patients recovered from COVID-19. Cross-sectional study of quantitative approach with 49 patients and/or caregivers who were discharged from hospital to home in a university hospital. Three instruments were used to evaluate the transition of care: the sociodemographic questionnaire, the clinical questionnaire, and the Care Transition Measure. The analysis was performed using SPSS software, and the Mann–Whitney test was applied, with a significance level of p ≤ 0.005 . Of the 49 participants, with a mean age of 50 years, the majority were males (59.2%), with more than 10 years of education. The main symptoms of COVID-19 were dyspnea (79.6%), followed by fatigue (75.5%) and fever (69.4%). The most prevalent comorbidity was hypertension (32.7%). There was an association between care transition and comorbidities (diabetes mellitus, obesity, and cancer) ( p < 0.005 ). The study found that the transition of care for patients recovered with COVID-19 from hospital discharge to home was successful. However, the need for public policy implementation after hospital discharge in a pandemic setting is emphasized.

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Section: Discussionmentioning

confidence: 99%

Transition of Care for Post-COVID-19 Patients: Sociodemographic and Clinical Profile and Associated Factors

et al. 2023

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“…Apesar do reconhecimento de fatores desencadeantes e estratégias aplicadas para o rastreamento e diagnóstico precoce do câncer de mama, não foi possível promover efetiva redução do seu impacto social, mesmo em países desenvolvidos com economia estável e disponibilidade de recursos, vistos em países asiáticos de alta renda como o Japão e República da Coréia impactando na taxa de sobrevivência 7 . Estudos revelam que mudanças drásticas no estilo de vida, tais como, o aumento das mulheres no mercado de trabalho, o adiamento da gravidez, o excesso de peso corporal e a inatividade física, tiveram impactos no aumento da prevalência do câncer de mama 7,8 .…”

Section: Introductionunclassified

Suspensões de quimioterapia ambulatorial em mulheres com câncer de mama

Gomes¹,

Santos²,

Firmino³

et al. 2023

Revista Recien

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Identificar e analisar a ocorrência de suspensões de quimioterapia ambulatorial no tratamento do câncer de mama. Pesquisa qualitativa, descritiva, desenvolvida em um hospital oncológico no Rio de Janeiro, Brasil. Participaram 9 enfermeiros por meio de entrevista semiestruturada através da técnica de grupo focal nos dias 23 e 30 de agosto de 2021 submetida à análise temática. A análise dos dados centrou-se nas suspensões de quimioterapia ocorridas no período agendado e três temas emergiram das entrevistas: as condições clínicas das pacientes, as questões sociais e os problemas administrativos. A pesquisa promoveu investigação e discussão sobre os impactos gerados frente às suspensões de quimioterapia permitindo aos enfermeiros reflexões sobre estratégias assistenciais e administrativas que tragam resolutividade e qualidade no atendimento prestado com um olhar mais humanizado e menos mecanicista que venham de encontro aos anseios e expectativas dos pacientes com esclarecimento de dúvidas e orientações pertinentes ao tratamento. Descritores: Gerência de Enfermagem, Neoplasia da Mama, Antineoplásicos, Enfermagem Oncológica. Outpatient chemotherapy withdrawals in women with breast câncer Abstract: To identify and analyze the occurrence of outpatient chemotherapy suspensions in the treatment of breast cancer. Qualitative, descriptive research, developed in an oncology hospital in Rio de Janeiro, Brazil. Nine nurses participated through a semi-structured interview using the focus group technique on August 23 and 30, 2021, submitted to thematic analysis. Data analysis focused on chemotherapy suspensions that occurred during the scheduled period and three themes emerged from the interviews: the patients' clinical conditions, social issues and administrative problems. The research promoted investigation and discussion about the impacts generated in the face of chemotherapy suspensions, allowing nurses to reflect on care and administrative strategies that bring resolution and quality in the care provided with a more humanized and less mechanistic look that meet the desires and expectations of patients. with clarification of doubts and guidance relevant to the treatment. Descriptors: Nursing Management, Breast Neoplasms, Antineoplastics, Oncology Nursing. Retiros de quimioterapia ambulatorios en mujeres con cáncer de mama Resumen: Identificar y analizar la ocurrencia de suspensiones de quimioterapia ambulatoria en el tratamiento del cáncer de mama. Investigación cualitativa, descriptiva, desarrollada en un hospital oncológico de Rio de Janeiro, Brasil. Nueve enfermeros participaron por medio de entrevista semiestructurada utilizando la técnica de grupo focal los días 23 y 30 de agosto de 2021, sometidos a análisis temático. El análisis de los datos se centró en las suspensiones de quimioterapia que ocurrieron durante el período programado y surgieron tres temas de las entrevistas: las condiciones clínicas de los pacientes, los problemas sociales y los problemas administrativos. La pesquisa promovió la investigación y discusión sobre los impactos generados frente a las suspensiones de la quimioterapia, permitiendo a los enfermeros reflexionar sobre estrategias asistenciales y administrativas que aporten resolución y calidad en el cuidado prestado con una mirada más humanizada y menos mecanicista que atienda los deseos y expectativas de los pacientes con aclaración de dudas y orientaciones pertinentes al tratamiento. Descriptores: Gerencia de Enfermería, Neoplasias de Mama, Antineoplásicos, Enfermería Oncológica.

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Palliative care in the treatment of women with breast cancer: A scoping review

Velasco Yanez,

Carvalho Fernandes,

de Freitas Corpes

et al. 2023

Pall Supp Care

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Objectives Recent studies on the quality of life in women with breast cancer show a high prevalence of signs and symptoms that should be the focus of palliative care (PC), leading us to question the current role they play in addressing breast cancer. Therefore, the objective of this review is to map the scope of available literature on the role of PC in the treatment of women with breast cancer. Methods This is a methodologically guided scoping review by the Joanna Briggs Institute and adapted to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist for report writing. Systematic searches were conducted in 8 databases, an electronic repository, and gray literature. The searches were conducted with the support of a librarian. The study selection was managed through the RAYYAN software in a blind and independent manner by 2 reviewers. The extracted data were analyzed using the qualitative thematic analysis technique and discussed through textual categories. Results A total of 9,812 studies were identified, of which only 136 articles and 3 sources of gray literature are included in this review. In terms of general characteristics, the majority were published in the USA (35.7%), had a cross-sectional design (44.8%), and were abstracts presented at scientific events (19.6%). The majority of interventions focused on palliative radiotherapy (13.6%). Thematic analysis identified 14 themes and 12 subthemes. Significance of results Our findings offer a comprehensive view of the evidence on PC in the treatment of breast cancer. Although a methodological quality assessment was not conducted, these results could guide professionals interested in the topic to position themselves in the current context. Additionally, a quick synthesis of recommendations on different palliative therapies is provided, which should be critically observed. Finally, multiple knowledge gaps are highlighted, which could be used for the development of future studies in this field.

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Transition to exclusive palliative care for women with breast cancer

Cited by 7 publications

References 23 publications

Transition of Care for Post-COVID-19 Patients: Sociodemographic and Clinical Profile and Associated Factors

Transition of Care for Post-COVID-19 Patients: Sociodemographic and Clinical Profile and Associated Factors

Suspensões de quimioterapia ambulatorial em mulheres com câncer de mama

Palliative care in the treatment of women with breast cancer: A scoping review

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