A condição humana do paciente laringectomizado total: perspectivas para a clínica
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UNICAP |
Texto Completo: | http://tede2.unicap.br:8080/handle/tede/102 |
Resumo: | The treatment of patients with larynx cancer who carry through the surgery of Total Laringectomy (TL), frequently implies the necessity of aggressive procedures that they can cause irretrievable esthetic and functional injuries, such as the use of nasogastric feeding, stoma, loss of speaks and the olfactive sense, difficulty to swallow certain foods and the impossibility of immersion in liquids, causing a series of repercussions a psychosocial dimension. Through a qualitative methodology based in the narrative of the patients and its caregivers, we objectify to investigate the possible psychosocial repercussions in the subjective construction of patients submitted to the TL. We search, also, to characterize the occured changes in the daily one of the patients, its familiar and social relations, with intention to understand as these changes affect its emotional balance and to understand its strategies of psychological confrontation. All the passage around the illness is lived by the patient and its family as a moment of crisis, crossed for a deep feeling of precariousness, demanding a series of readjustments that affect its routine expressivelly and of its family ones. Ahead of the diverse physical sequels decurrent of the TL and its treatment, the loss of speaks assumes with priority role taking the patient to isolate itself of its social conviviality, to move away from its professional functions, what it generates, consequently, improper feelings, low auto-esteem, shame and, even though, guilt for the belief of that its bad habits had contributed to become sick. The family, for its turn, suffers doubly: of a side for the perception of fragility and fear of loss and, of another one for attempts, nor always successful, to give support and to offer ambience for the new necessities that if present. One perceives, still, that on aspects to the religiosity, to the support of the family and trustworthiness in the team are faced as source of motivation for the treatment. The experience of become sick is extremely rich of is felt: dis-arming, easying to occupy with what it interests and reallyis present in here and now, asking for support spaces where abdicating of itself it implies in confiding for another one. Beyond going deep thematic relative to Clinical and Hospital Psychology, we believe that this research could assisting in them in the identification of clinical devices for the action of the Psychologist who works in this context. Other studies and reflections are necessary so that let us can more good understand these as much faces that involved the human being, without imprisoning it, considering it in its multiple singularity, however, can affirm that the contact with these patients and the search of understanding of its sufferings take us, each time more, to take the ethics of the care as the main referencial in our Clinical activity |
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Francisco, Ana LúciaCPF:34482989720http://lattes.cnpq.br/5002638100198759Amazonas, Maria Cristina Lopes de AlmeidaCPF:12643327420http://lattes.cnpq.br/6789160662822616Ismael, Silvia Maria CuryCPF:00000000437http://lattes.cnpq.br/0715956652398451CPF:02511524481http://lattes.cnpq.br/6178202238228481Barbosa, Leopoldo Nelson Fernandes2017-06-01T18:08:25Z2010-03-102008-03-01BARBOSA, Leopoldo Nelson Fernandes. The human condition of patients after total laryngectomy: prospects for clinical. 2008. 122 f. Dissertação (Mestrado em Psicologia Clínica) - Universidade Católica de Pernambuco, Recife, 2008.http://tede2.unicap.br:8080/handle/tede/102The treatment of patients with larynx cancer who carry through the surgery of Total Laringectomy (TL), frequently implies the necessity of aggressive procedures that they can cause irretrievable esthetic and functional injuries, such as the use of nasogastric feeding, stoma, loss of speaks and the olfactive sense, difficulty to swallow certain foods and the impossibility of immersion in liquids, causing a series of repercussions a psychosocial dimension. Through a qualitative methodology based in the narrative of the patients and its caregivers, we objectify to investigate the possible psychosocial repercussions in the subjective construction of patients submitted to the TL. We search, also, to characterize the occured changes in the daily one of the patients, its familiar and social relations, with intention to understand as these changes affect its emotional balance and to understand its strategies of psychological confrontation. All the passage around the illness is lived by the patient and its family as a moment of crisis, crossed for a deep feeling of precariousness, demanding a series of readjustments that affect its routine expressivelly and of its family ones. Ahead of the diverse physical sequels decurrent of the TL and its treatment, the loss of speaks assumes with priority role taking the patient to isolate itself of its social conviviality, to move away from its professional functions, what it generates, consequently, improper feelings, low auto-esteem, shame and, even though, guilt for the belief of that its bad habits had contributed to become sick. The family, for its turn, suffers doubly: of a side for the perception of fragility and fear of loss and, of another one for attempts, nor always successful, to give support and to offer ambience for the new necessities that if present. One perceives, still, that on aspects to the religiosity, to the support of the family and trustworthiness in the team are faced as source of motivation for the treatment. The experience of become sick is extremely rich of is felt: dis-arming, easying to occupy with what it interests and reallyis present in here and now, asking for support spaces where abdicating of itself it implies in confiding for another one. Beyond going deep thematic relative to Clinical and Hospital Psychology, we believe that this research could assisting in them in the identification of clinical devices for the action of the Psychologist who works in this context. Other studies and reflections are necessary so that let us can more good understand these as much faces that involved the human being, without imprisoning it, considering it in its multiple singularity, however, can affirm that the contact with these patients and the search of understanding of its sufferings take us, each time more, to take the ethics of the care as the main referencial in our Clinical activityO tratamento de pacientes com câncer de laringe que realizam a cirurgia de Laringectomia Total (LT), freqüentemente implica a necessidade de procedimentos agressivos que podem causar lesões estéticas e funcionais irrecuperáveis, tais como o uso de sonda nasogástrica, traqueostoma, perda da fala e do sentido olfativo, dificuldade para engolir certos alimentos e a impossibilidade de imersão em líquidos, acarretando uma série de repercussões em uma dimensão psicossocial. Através de uma metodologia qualitativa, baseada na narrativa dos pacientes e seus cuidadores, objetivamos investigar as possíveis repercussões psicossociais na construção subjetiva de pacientes submetidos à LT. Caracterizamos mudanças ocorridas no cotidiano dos pacientes e em suas relações familiares e sociais, com o intuito de compreender como estas mudanças afetam o seu equilíbrio emocional e as suas estratégias de enfrentamento psicológico frente a elas. Todo o percurso em torno da doença é vivido pelo paciente e por sua família como um momento de crise, atravessado por um profundo sentimento de precariedade, que exige uma série de readaptações que afetam expressivamente a rotina e o contexto social em que vivem. Diante das diversas seqüelas físicas decorrentes da LT e do seu tratamento, a perda da fala assume papel prioritário levando o paciente a isolar-se do seu convívio social, afastar-se de suas funções profissionais, o que gera, conseqüentemente, sentimentos de inadequação, baixa auto-estima, vergonha e, até mesmo, culpa pela crença de que seus maus hábitos contribuíram para o adoecer. A família, por seu turno, sofre duplamente: de um lado pela percepção de fragilidade e medo de perda de um ente querido e, de outro, por tentativas, nem sempre bem sucedidas, de dar suporte e oferecer ambiência para as novas necessidades que se apresentam. Percebe-se, ainda, que os aspectos ligados à religiosidade, ao apoio da família e confiabilidade na equipe são encarados como fonte de motivação para o tratamento. A experiência do adoecimento é extremamente rica de sentidos: des-armando, des-pre-ocupando para ocupar-se com o que interessa e realmente está presente no aqui e agora, pedindo espaços de amparo onde o abdicar de si implica em abrir-se para outro. Além de aprofundar temáticas relativas à Psicologia Clínica e Hospitalar, acreditamos que essa pesquisa pôde nos auxiliar na identificação de dispositivos clínicos para a ação do Psicólogo que trabalha nesse contexto. Outros estudos e reflexões são necessários para que possamos melhor compreender essas tantas facetas que envolvem o humano, sem aprisioná-lo, considerando-o em sua singularidade múltipla. No entanto, podemos afirmar que o contato com esses pacientes e a busca de compreensão de seus sofrimentos leva-nos, cada vez mais, a tomar a ética do cuidado como o principal referencial em nossa atividade ClínicaMade available in DSpace on 2017-06-01T18:08:25Z (GMT). No. of bitstreams: 1 dissertacao_leopoldo_barbosa.pdf: 1570543 bytes, checksum: 90721e57a703b52f01b2d043554bd68d (MD5) Previous issue date: 2008-03-01application/pdfporUniversidade Católica de PernambucoMestrado em Psicologia ClínicaUNICAPBRPsicologia Clínicapsicologia clínicalaringectomizados - aspectos psicológicoscâncer - aspectos psicológicosdissertaçõesclinical psychologylaryngectomy - psychological aspectscancer - psychological aspectsdissertationsCNPQ::CIENCIAS HUMANAS::PSICOLOGIAA condição humana do paciente laringectomizado total: perspectivas para a clínicaThe human condition of patients after total laryngectomy: prospects for clinicalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UNICAPinstname:Universidade Católica de Pernambuco (UNICAP)instacron:UNICAPORIGINALdissertacao_leopoldo_barbosa.pdfapplication/pdf1570543http://tede2.unicap.br:8080/tede/bitstream/tede/102/1/dissertacao_leopoldo_barbosa.pdf90721e57a703b52f01b2d043554bd68dMD51tede/1022018-09-24 15:29:07.995oai:tede2.unicap.br:tede/102Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.unicap.br:8080/http://tede2.unicap.br:8080/oai/requestbiblioteca@unicap.br||biblioteca@unicap.bropendoar:46462018-09-24T18:29:07Biblioteca Digital de Teses e Dissertações da UNICAP - Universidade Católica de Pernambuco (UNICAP)false |
dc.title.por.fl_str_mv |
A condição humana do paciente laringectomizado total: perspectivas para a clínica |
dc.title.alternative.eng.fl_str_mv |
The human condition of patients after total laryngectomy: prospects for clinical |
title |
A condição humana do paciente laringectomizado total: perspectivas para a clínica |
spellingShingle |
A condição humana do paciente laringectomizado total: perspectivas para a clínica Barbosa, Leopoldo Nelson Fernandes psicologia clínica laringectomizados - aspectos psicológicos câncer - aspectos psicológicos dissertações clinical psychology laryngectomy - psychological aspects cancer - psychological aspects dissertations CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
title_short |
A condição humana do paciente laringectomizado total: perspectivas para a clínica |
title_full |
A condição humana do paciente laringectomizado total: perspectivas para a clínica |
title_fullStr |
A condição humana do paciente laringectomizado total: perspectivas para a clínica |
title_full_unstemmed |
A condição humana do paciente laringectomizado total: perspectivas para a clínica |
title_sort |
A condição humana do paciente laringectomizado total: perspectivas para a clínica |
author |
Barbosa, Leopoldo Nelson Fernandes |
author_facet |
Barbosa, Leopoldo Nelson Fernandes |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Francisco, Ana Lúcia |
dc.contributor.advisor1ID.fl_str_mv |
CPF:34482989720 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5002638100198759 |
dc.contributor.referee1.fl_str_mv |
Amazonas, Maria Cristina Lopes de Almeida |
dc.contributor.referee1ID.fl_str_mv |
CPF:12643327420 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6789160662822616 |
dc.contributor.referee2.fl_str_mv |
Ismael, Silvia Maria Cury |
dc.contributor.referee2ID.fl_str_mv |
CPF:00000000437 |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0715956652398451 |
dc.contributor.authorID.fl_str_mv |
CPF:02511524481 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6178202238228481 |
dc.contributor.author.fl_str_mv |
Barbosa, Leopoldo Nelson Fernandes |
contributor_str_mv |
Francisco, Ana Lúcia Amazonas, Maria Cristina Lopes de Almeida Ismael, Silvia Maria Cury |
dc.subject.por.fl_str_mv |
psicologia clínica laringectomizados - aspectos psicológicos câncer - aspectos psicológicos dissertações |
topic |
psicologia clínica laringectomizados - aspectos psicológicos câncer - aspectos psicológicos dissertações clinical psychology laryngectomy - psychological aspects cancer - psychological aspects dissertations CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
dc.subject.eng.fl_str_mv |
clinical psychology laryngectomy - psychological aspects cancer - psychological aspects dissertations |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
description |
The treatment of patients with larynx cancer who carry through the surgery of Total Laringectomy (TL), frequently implies the necessity of aggressive procedures that they can cause irretrievable esthetic and functional injuries, such as the use of nasogastric feeding, stoma, loss of speaks and the olfactive sense, difficulty to swallow certain foods and the impossibility of immersion in liquids, causing a series of repercussions a psychosocial dimension. Through a qualitative methodology based in the narrative of the patients and its caregivers, we objectify to investigate the possible psychosocial repercussions in the subjective construction of patients submitted to the TL. We search, also, to characterize the occured changes in the daily one of the patients, its familiar and social relations, with intention to understand as these changes affect its emotional balance and to understand its strategies of psychological confrontation. All the passage around the illness is lived by the patient and its family as a moment of crisis, crossed for a deep feeling of precariousness, demanding a series of readjustments that affect its routine expressivelly and of its family ones. Ahead of the diverse physical sequels decurrent of the TL and its treatment, the loss of speaks assumes with priority role taking the patient to isolate itself of its social conviviality, to move away from its professional functions, what it generates, consequently, improper feelings, low auto-esteem, shame and, even though, guilt for the belief of that its bad habits had contributed to become sick. The family, for its turn, suffers doubly: of a side for the perception of fragility and fear of loss and, of another one for attempts, nor always successful, to give support and to offer ambience for the new necessities that if present. One perceives, still, that on aspects to the religiosity, to the support of the family and trustworthiness in the team are faced as source of motivation for the treatment. The experience of become sick is extremely rich of is felt: dis-arming, easying to occupy with what it interests and reallyis present in here and now, asking for support spaces where abdicating of itself it implies in confiding for another one. Beyond going deep thematic relative to Clinical and Hospital Psychology, we believe that this research could assisting in them in the identification of clinical devices for the action of the Psychologist who works in this context. Other studies and reflections are necessary so that let us can more good understand these as much faces that involved the human being, without imprisoning it, considering it in its multiple singularity, however, can affirm that the contact with these patients and the search of understanding of its sufferings take us, each time more, to take the ethics of the care as the main referencial in our Clinical activity |
publishDate |
2008 |
dc.date.issued.fl_str_mv |
2008-03-01 |
dc.date.available.fl_str_mv |
2010-03-10 |
dc.date.accessioned.fl_str_mv |
2017-06-01T18:08:25Z |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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BARBOSA, Leopoldo Nelson Fernandes. The human condition of patients after total laryngectomy: prospects for clinical. 2008. 122 f. Dissertação (Mestrado em Psicologia Clínica) - Universidade Católica de Pernambuco, Recife, 2008. |
dc.identifier.uri.fl_str_mv |
http://tede2.unicap.br:8080/handle/tede/102 |
identifier_str_mv |
BARBOSA, Leopoldo Nelson Fernandes. The human condition of patients after total laryngectomy: prospects for clinical. 2008. 122 f. Dissertação (Mestrado em Psicologia Clínica) - Universidade Católica de Pernambuco, Recife, 2008. |
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http://tede2.unicap.br:8080/handle/tede/102 |
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Universidade Católica de Pernambuco |
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UNICAP |
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BR |
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Psicologia Clínica |
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Universidade Católica de Pernambuco |
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