Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication

Detalhes bibliográficos
Autor(a) principal: Portela, Francine Rosa
Data de Publicação: 2018
Outros Autores: Modena, Celina Maria
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/78
Resumo: Introduction: Pain is the worst and most frequent symptom of cancer patients causing suffering and inabilities. Objective: To describe how family relatives of patients with advanced cancer perceive the difficulties of accessing opioids and other pain medication. Method: This research adopts a Qualitative “Approach”. Fourteen informal caretakers, family members of people diagnosed with advanced cancer, were interviewed through semi structured interviews. Results: All participants reported that they bought pain medication, including opioids and other drugs for cancer symptoms, for their relatives with advanced cancer, which had some impact on the family income. The relief of extreme suffering related to health must be a priority. It must be an ethical imperative that cuts across the assistance to patients with advanced cancer and other life threatening diseases. Conclusion: Public Health Programs for patients with advanced cancer must be enhanced in order to prioritize the easy access to opioids and other pain control drugs. Nonetheless, the guarantee of access must be held at medical discretion, with the accurate evaluation and prescription of pain control methods, considering the available resources. Only then it will be possible to ease suffering, ensuring equity and promoting human dignity for the ones who experience pain. 
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spelling Patients with Advanced Cancer: the Access to Opioids and other Pain Control MedicationPacientes con Cáncer Avanzado: el Acceso a los Opioides y otros Medicamentos para el Control del DolorPacientes com Câncer Avançado: o Acesso aos Opioides e demais Medicamentos para Controle da DorCuidados PaliativosNeoplasiasDorAnalgésicos OpioidesDireitos HumanosPalliative CareNeoplasmsPainAnalgesics, OpioidsHuman RightsCuidados PaliativosNeoplasiasDolorAnalgésicos OpioidesDerecho HumanoIntroduction: Pain is the worst and most frequent symptom of cancer patients causing suffering and inabilities. Objective: To describe how family relatives of patients with advanced cancer perceive the difficulties of accessing opioids and other pain medication. Method: This research adopts a Qualitative “Approach”. Fourteen informal caretakers, family members of people diagnosed with advanced cancer, were interviewed through semi structured interviews. Results: All participants reported that they bought pain medication, including opioids and other drugs for cancer symptoms, for their relatives with advanced cancer, which had some impact on the family income. The relief of extreme suffering related to health must be a priority. It must be an ethical imperative that cuts across the assistance to patients with advanced cancer and other life threatening diseases. Conclusion: Public Health Programs for patients with advanced cancer must be enhanced in order to prioritize the easy access to opioids and other pain control drugs. Nonetheless, the guarantee of access must be held at medical discretion, with the accurate evaluation and prescription of pain control methods, considering the available resources. Only then it will be possible to ease suffering, ensuring equity and promoting human dignity for the ones who experience pain. Introducción: El dolor es el síntoma más frecuente y grave vivido por los pacientes con cáncer, acarreando sufrimiento e incapacidades. Objetivo: Describir la percepción de los familiares de pacientes con cáncer avanzado en cuanto a las dificultades en el acceso a los opioides y otros medicamentos para el dolor. Método: La investigación se inserta en la perspectiva del Enfoque cualitativo. Se entrevistaron a 14 cuidadores informales, familiares de las personas con diagnóstico de cáncer en estadio avanzado con potencial definición, siendo utilizadas entrevistas semiestructuradas. Resultados: Todos los participantes relataron comprar los medicamentos para el dolor, entre ellos los opioides y otros medicamentos para los demás síntomas de sus familiares con cáncer avanzado, impactando la renta familiar. El alivio del sufrimiento severo relacionado a la salud debe ser prioritario, un imperativo ético que transversaliza la asistencia a los pacientes con cáncer y demás adoecimentos que amenazan o limitan la vida. Conclusión: Es necesario el avance en el Programa / Política Pública para los pacientes con cáncer donde sea prioritario  el eficaz control del dolor, pautado en la facilitación del acceso, la dispensa de los opioides y demás medicamentos para control del dolor. Sin embargo, la garantía del acceso debe ser establecida a la formación médica para una evaluación eficaz y adecuada prescripción en el control del dolor, de acuerdo con los recursos disponibles. Sólo de este modo se intervendrá en el sufrimiento, garantizando la equidad y promoción de la dignidad humana para los que experimentan el dolor. Introdução: A dor é o sintoma mais frequente e grave vivenciado pelos pacientes com câncer, acarretando sofrimento e incapacidades. Objetivo: Descrever a percepção dos familiares de pacientes com câncer avançado quanto às dificuldades no acesso aos opioides e a outros medicamentos para dor. Método: A pesquisa se insere na perspectiva da abordagem qualitativa. Foram entrevistados 14 cuidadores informais, familiares das pessoas com diagnóstico de câncer em estágio avançado com potencial de finitude, sendo utilizadas entrevistas semiestruturadas. Resultados: Todos os participantes relataram comprar os medicamentos para dor; entre eles, os opioides e outros medicamentos para demais sintomas dos seus familiares com câncer avançado, impactando na renda familiar. O alívio do sofrimento severo relacionado à saúde deve ser prioritário, um imperativo ético que transversalize a assistência aos pacientes com câncer e demais adoecimentos que ameaçam ou limitam a vida. Conclusão: É necessário o avanço no Programa de Políticas Públicas para os pacientes com câncer, no qual seja prioritário o eficaz controle da dor, pautado na facilitação do acesso, na dispensação dos opioides e demais medicamentos para controle da dor. Contudo, a garantia do acesso deve ser alicerçada para a formação médica e avaliação eficaz, e adequada prescrição no controle da dor, de acordo com os recursos disponíveis. Somente desse modo, se intervirá no sofrimento, garantindo a equidade e a promoção da dignidade humana para os que vivenciam a dor.INCA2018-06-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/7810.32635/2176-9745.RBC.2018v64n2.78Revista Brasileira de Cancerologia; Vol. 64 No. 2 (2018): Apr./May/June; 195-201Revista Brasileira de Cancerologia; Vol. 64 Núm. 2 (2018): abr./mayo/jun.; 195-201Revista Brasileira de Cancerologia; v. 64 n. 2 (2018): abr./maio/jun.; 195-2012176-974510.32635/2176-9745.RBC.2018v64n2reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/78/38https://rbc.inca.gov.br/index.php/revista/article/view/78/154Portela, Francine RosaModena, Celina Mariainfo:eu-repo/semantics/openAccess2021-11-29T20:06:41Zoai:rbc.inca.gov.br:article/78Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:06:41Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
Pacientes con Cáncer Avanzado: el Acceso a los Opioides y otros Medicamentos para el Control del Dolor
Pacientes com Câncer Avançado: o Acesso aos Opioides e demais Medicamentos para Controle da Dor
title Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
spellingShingle Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
Portela, Francine Rosa
Cuidados Paliativos
Neoplasias
Dor
Analgésicos Opioides
Direitos Humanos
Palliative Care
Neoplasms
Pain
Analgesics, Opioids
Human Rights
Cuidados Paliativos
Neoplasias
Dolor
Analgésicos Opioides
Derecho Humano
title_short Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
title_full Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
title_fullStr Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
title_full_unstemmed Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
title_sort Patients with Advanced Cancer: the Access to Opioids and other Pain Control Medication
author Portela, Francine Rosa
author_facet Portela, Francine Rosa
Modena, Celina Maria
author_role author
author2 Modena, Celina Maria
author2_role author
dc.contributor.author.fl_str_mv Portela, Francine Rosa
Modena, Celina Maria
dc.subject.por.fl_str_mv Cuidados Paliativos
Neoplasias
Dor
Analgésicos Opioides
Direitos Humanos
Palliative Care
Neoplasms
Pain
Analgesics, Opioids
Human Rights
Cuidados Paliativos
Neoplasias
Dolor
Analgésicos Opioides
Derecho Humano
topic Cuidados Paliativos
Neoplasias
Dor
Analgésicos Opioides
Direitos Humanos
Palliative Care
Neoplasms
Pain
Analgesics, Opioids
Human Rights
Cuidados Paliativos
Neoplasias
Dolor
Analgésicos Opioides
Derecho Humano
description Introduction: Pain is the worst and most frequent symptom of cancer patients causing suffering and inabilities. Objective: To describe how family relatives of patients with advanced cancer perceive the difficulties of accessing opioids and other pain medication. Method: This research adopts a Qualitative “Approach”. Fourteen informal caretakers, family members of people diagnosed with advanced cancer, were interviewed through semi structured interviews. Results: All participants reported that they bought pain medication, including opioids and other drugs for cancer symptoms, for their relatives with advanced cancer, which had some impact on the family income. The relief of extreme suffering related to health must be a priority. It must be an ethical imperative that cuts across the assistance to patients with advanced cancer and other life threatening diseases. Conclusion: Public Health Programs for patients with advanced cancer must be enhanced in order to prioritize the easy access to opioids and other pain control drugs. Nonetheless, the guarantee of access must be held at medical discretion, with the accurate evaluation and prescription of pain control methods, considering the available resources. Only then it will be possible to ease suffering, ensuring equity and promoting human dignity for the ones who experience pain. 
publishDate 2018
dc.date.none.fl_str_mv 2018-06-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/78
10.32635/2176-9745.RBC.2018v64n2.78
url https://rbc.inca.gov.br/index.php/revista/article/view/78
identifier_str_mv 10.32635/2176-9745.RBC.2018v64n2.78
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/78/38
https://rbc.inca.gov.br/index.php/revista/article/view/78/154
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 64 No. 2 (2018): Apr./May/June; 195-201
Revista Brasileira de Cancerologia; Vol. 64 Núm. 2 (2018): abr./mayo/jun.; 195-201
Revista Brasileira de Cancerologia; v. 64 n. 2 (2018): abr./maio/jun.; 195-201
2176-9745
10.32635/2176-9745.RBC.2018v64n2
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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