The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/1674 |
Resumo: | The perception and reaction of a child towards the disease are influenced by the attitude of parents which, in turn, is determined by the doctor's attitude towards the disease and treatment. The objective of this article is to describe the time of notification of the diagnosis of childhood cancer to the patient and family and the main difficulties faced by pediatric oncologists in the treatment of children with cancer. As a criterion for choosing individuals for the interviews, the oncologists had to have specialization or residency in Pediatric Oncology. 5 oncologists were interviewed. The interviews were semi-structured and recorded with the permission of the interviewees and the analysis of the material was made by examining issues. This analysis allowed the identification of three broad categories in relation to time to confirm the diagnosis of childhood cancer and the difficulties encountered in the treatment of the disease: 1) The truth must be said to both children and parents; 2) The difficulties encountered in the organization and structure of the department of oncology; 3) The issue of humanization. The communication of the diagnosis is a delicate instance for the patient, family and doctors. The oncologist, for his role as keeper of knowledge, must offer parents the necessary understanding about the disease so that they can handle the disease and treatment of the child without suffering they generate themselves. Regarding the difficulties encountered by doctors in the treatment of cancer, the SUS have to be an accomplice in the promotion of health, prevention and treatment of diseases. |
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The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo HorizonteO Momento do Diagnóstico e as Dificuldades Encontradas pelos Oncologistas Pediátricos no Tratamento do Câncer em Belo HorizonteOncologiaDiagnósticoPediatriaEfeitos psicossociais da doençaCuidado da criançaNeoplasiasMedical oncologyDiagnosisPediatricsCost of IllnessChild careNeoplasmThe perception and reaction of a child towards the disease are influenced by the attitude of parents which, in turn, is determined by the doctor's attitude towards the disease and treatment. The objective of this article is to describe the time of notification of the diagnosis of childhood cancer to the patient and family and the main difficulties faced by pediatric oncologists in the treatment of children with cancer. As a criterion for choosing individuals for the interviews, the oncologists had to have specialization or residency in Pediatric Oncology. 5 oncologists were interviewed. The interviews were semi-structured and recorded with the permission of the interviewees and the analysis of the material was made by examining issues. This analysis allowed the identification of three broad categories in relation to time to confirm the diagnosis of childhood cancer and the difficulties encountered in the treatment of the disease: 1) The truth must be said to both children and parents; 2) The difficulties encountered in the organization and structure of the department of oncology; 3) The issue of humanization. The communication of the diagnosis is a delicate instance for the patient, family and doctors. The oncologist, for his role as keeper of knowledge, must offer parents the necessary understanding about the disease so that they can handle the disease and treatment of the child without suffering they generate themselves. Regarding the difficulties encountered by doctors in the treatment of cancer, the SUS have to be an accomplice in the promotion of health, prevention and treatment of diseases.A percepção e reação da criança diante da doença são influenciadas pela atitude dos pais que, por sua vez, é determinada pela postura do médico frente à patologia e ao tratamento. O objetivo deste artigo foi descrever o momento da comunicação do diagnóstico do câncer infantil para o paciente e a família, e as principais dificuldades enfrentadas pelos oncologistas pediátricos no tratamento da criança com câncer. Como critério de escolha de sujeitos para as entrevistas, os oncologistas precisavam ter especialização e/ ou residência em oncologia pediátrica. Foram entrevistados cinco oncologistas pediátricos. As entrevistas semiestruturadas foram gravadas com a autorização dos entrevistados e o material foi analisado através da análise temática. Essa análise permitiu identificar três grandes categorias em relação ao momento de confirmar o diagnóstico de câncer infantil e as dificuldades encontradas no tratamento da doença: 1) A verdade deve ser dita para as crianças e cuidadores; 2) As dificuldades encontradas na organização e estrutura do serviço de oncologia; 3) A questão da humanização. A comunicação do diagnóstico é um momento delicado para o paciente, familiares e médicos. O oncologista, pelo seu papel de detentor de conhecimento, deve oferecer aos pais a compreensão necessária sobre a doença para que estes possam suportar a doença e o tratamento do filho sem gerar sofrimento neles próprios. Em relação às dificuldades encontradas pelos médicos no tratamento do câncer, o Sistema Único de Saúde (SUS) precisa ser cúmplice na promoção da saúde, prevenção e tratamento de doenças.INCA2009-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/167410.32635/2176-9745.RBC.2009v55n1.1674Revista Brasileira de Cancerologia; Vol. 55 No. 1 (2009): Jan./Feb;/Mar.; 33-39Revista Brasileira de Cancerologia; Vol. 55 Núm. 1 (2009): ene./feb./mar.; 33-39Revista Brasileira de Cancerologia; v. 55 n. 1 (2009): jan./fev./mar.; 33-392176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1674/985Malta, Júlia Dias SantanaSchall, Virgínia Torre Modena, Celina Maria info:eu-repo/semantics/openAccess2021-11-29T20:21:45Zoai:rbc.inca.gov.br:article/1674Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:21:45Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte O Momento do Diagnóstico e as Dificuldades Encontradas pelos Oncologistas Pediátricos no Tratamento do Câncer em Belo Horizonte |
title |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte |
spellingShingle |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte Malta, Júlia Dias Santana Oncologia Diagnóstico Pediatria Efeitos psicossociais da doença Cuidado da criança Neoplasias Medical oncology Diagnosis Pediatrics Cost of Illness Child care Neoplasm |
title_short |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte |
title_full |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte |
title_fullStr |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte |
title_full_unstemmed |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte |
title_sort |
The Moment of Diagnosis and the Difficulties Encountered by Pediatric Oncologists in the Treatment of Cancer in Belo Horizonte |
author |
Malta, Júlia Dias Santana |
author_facet |
Malta, Júlia Dias Santana Schall, Virgínia Torre Modena, Celina Maria |
author_role |
author |
author2 |
Schall, Virgínia Torre Modena, Celina Maria |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Malta, Júlia Dias Santana Schall, Virgínia Torre Modena, Celina Maria |
dc.subject.por.fl_str_mv |
Oncologia Diagnóstico Pediatria Efeitos psicossociais da doença Cuidado da criança Neoplasias Medical oncology Diagnosis Pediatrics Cost of Illness Child care Neoplasm |
topic |
Oncologia Diagnóstico Pediatria Efeitos psicossociais da doença Cuidado da criança Neoplasias Medical oncology Diagnosis Pediatrics Cost of Illness Child care Neoplasm |
description |
The perception and reaction of a child towards the disease are influenced by the attitude of parents which, in turn, is determined by the doctor's attitude towards the disease and treatment. The objective of this article is to describe the time of notification of the diagnosis of childhood cancer to the patient and family and the main difficulties faced by pediatric oncologists in the treatment of children with cancer. As a criterion for choosing individuals for the interviews, the oncologists had to have specialization or residency in Pediatric Oncology. 5 oncologists were interviewed. The interviews were semi-structured and recorded with the permission of the interviewees and the analysis of the material was made by examining issues. This analysis allowed the identification of three broad categories in relation to time to confirm the diagnosis of childhood cancer and the difficulties encountered in the treatment of the disease: 1) The truth must be said to both children and parents; 2) The difficulties encountered in the organization and structure of the department of oncology; 3) The issue of humanization. The communication of the diagnosis is a delicate instance for the patient, family and doctors. The oncologist, for his role as keeper of knowledge, must offer parents the necessary understanding about the disease so that they can handle the disease and treatment of the child without suffering they generate themselves. Regarding the difficulties encountered by doctors in the treatment of cancer, the SUS have to be an accomplice in the promotion of health, prevention and treatment of diseases. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-03-31 |
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/1674 10.32635/2176-9745.RBC.2009v55n1.1674 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1674 |
identifier_str_mv |
10.32635/2176-9745.RBC.2009v55n1.1674 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1674/985 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
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. 55 No. 1 (2009): Jan./Feb;/Mar.; 33-39 Revista Brasileira de Cancerologia; Vol. 55 Núm. 1 (2009): ene./feb./mar.; 33-39 Revista Brasileira de Cancerologia; v. 55 n. 1 (2009): jan./fev./mar.; 33-39 2176-9745 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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1797042247551680512 |