Estágio em Cuidados Paliativos Oncológicos: Papel do Enfermeiro na Comunicação - Barreiras e Fatores Facilitadores

• Autor(a) principal: Marta Andreia Alves Guimarães
• Data de Publicação: 2023
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://hdl.handle.net/10216/157165
• topic: Ciências médicas e da saúde; Medical and Health sciences

Communication - one of palliative care's cornerstones - is an essential therapeutic tool that provides to the patient dignity and autonomy to take decisions concerning its own life and its treatment, preserving its self-esteem and contributing to the creation of a therapeutic relationship with healthcare professionals. Communicating the progress of the disease and the impossibility of healing it has been one of the most difficult tasks to healthcare professionals, as a result, several barriers stand between them and the patients, thanks to the challenging emotional aspects faced by everyone involved. There are many facilitating factors to minimize the nefarious effects of the transmission of bad news, but the reaction of each person will always be unique. Although there is no concrete formulas, there are bad news conveying protocols that can serve as a guiding manual. This technical-scientific internship, in the context of the second year of a masters degree in palliative care, happened on the palliative care's services at the portuguese institute of oncology in porto. Its objective was to comprehend what is the role of the nurse in communicating at palliative care, which factors influence communication in palliative care and understanding if the form of conveying bad news has an effect on the course of the disease in the patient. It focuses mainly on communication, namely in the moment of transmiting bad news in palliative care context. The collection of data was made through participated observation methodology at moments where the conveying of bad news was done. Furthermore, the fulfillment of this internship allowed for the acquisition of experience in providing nursing care on palliative care context. As well as enabling the development of specific competences in caring for a person with a severe or incurable disease, at an advanced stage, progressive and terminal, as well as attending the person's caregivers/family in all clinical practical contexts. In order to relieve their suffering, maximizing their well-being, confort and quality of life. Key-words: Palliative Care; Communication; Nurse