Palliative care: definition and strategies used in medical practive

Detalhes bibliográficos
Autor(a) principal: Silva, Alexandre Ernesto
Data de Publicação: 2021
Outros Autores: Guimarães, Maria Angélica Martins, Carvalho, Rafael Cotta, Carvalho, Thayane Vieira, Ribeiro, Stefãne Amorim, Martins, Matheus Rodrigues
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/11585
Resumo: The term care encompasses different practices and meanings, varying according to the culture to which it belongs. Palliative care presents itself as a sphere of care, which emerged with the objective of meeting a growing demand from patients outside the possibilities of therapeutic cure and who were being marginalized and poorly assisted by the technical model of Medicine, focusing on the disease in to the detriment of the patient. The purpose of this article is to define palliative care from the perspective of doctors who work in an oncology unit in a large hospital and the strategies used to operationalize this type of health care. This is a qualitative, descriptive study, carried out with 14 doctors working in an oncology unit of a hospital in the Midwest region of Minas Gerais, following inclusion and exclusion criteria, and later divided into three categories of analysis: definition of palliative care; the weakness of medical training in palliative care; multidisciplinarity and the operationalization of care. This study points out that knowledge in palliative care is still weak and superficial, demonstrating a gap in medical teaching when we take this theme as a reference. Thus, professional training strategies are necessary for this type of care to provide assistance to the individual following the principle of integrality. In order to be effective, the operationalization of this biopsychosocial and spiritual care requires dialogue through interdisciplinary work, constituting the Singular Therapeutic Plan (PTS) as a promising tool.
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spelling Palliative care: definition and strategies used in medical practiveCuidados paliativos: definición y estratégias utilizadas en la práctica médicaCuidados paliativos: definição e estratégias utilizadas na prática médicaPalliative CareMedical EducationPalliative medicine.Cuidados PaliativosEducación MédicaMedicina paliativa.Cuidados PaliativosEducação MédicaMedicina paliativa.The term care encompasses different practices and meanings, varying according to the culture to which it belongs. Palliative care presents itself as a sphere of care, which emerged with the objective of meeting a growing demand from patients outside the possibilities of therapeutic cure and who were being marginalized and poorly assisted by the technical model of Medicine, focusing on the disease in to the detriment of the patient. The purpose of this article is to define palliative care from the perspective of doctors who work in an oncology unit in a large hospital and the strategies used to operationalize this type of health care. This is a qualitative, descriptive study, carried out with 14 doctors working in an oncology unit of a hospital in the Midwest region of Minas Gerais, following inclusion and exclusion criteria, and later divided into three categories of analysis: definition of palliative care; the weakness of medical training in palliative care; multidisciplinarity and the operationalization of care. This study points out that knowledge in palliative care is still weak and superficial, demonstrating a gap in medical teaching when we take this theme as a reference. Thus, professional training strategies are necessary for this type of care to provide assistance to the individual following the principle of integrality. In order to be effective, the operationalization of this biopsychosocial and spiritual care requires dialogue through interdisciplinary work, constituting the Singular Therapeutic Plan (PTS) as a promising tool.El término cuidado engloba diferentes prácticas y significados, que varían según la cultura a la que pertenece. Los cuidados paliativos se presentan como un ámbito asistencial, que surgió con el objetivo de atender una demanda creciente de pacientes ajenos a las posibilidades de curación terapéutica y que habían sido marginados y mal atendidos por el modelo técnico de la Medicina, con foco en la enfermedad en en detrimento del paciente. El propósito de este artículo es definir los cuidados paliativos desde la perspectiva de los médicos que trabajan en una unidad de oncología de un gran hospital y las estrategias utilizadas para operacionalizar este tipo de atención de salud. Se trata de un estudio cualitativo, descriptivo, realizado con 14 médicos que laboran en una unidad de oncología de un hospital de la región Medio Oeste de Minas Gerais, siguiendo criterios de inclusión y exclusión, y posteriormente dividido en tres categorías de análisis: definición de cuidados paliativos; la debilidad de la formación médica en cuidados paliativos; multidisciplinariedad y operacionalización de la atención. Este estudio señala que el conocimiento en cuidados paliativos aún es débil y superficial, evidenciando un vacío en la enseñanza médica cuando tomamos este tema como referencia. Así, las estrategias de formación profesional son necesarias para que este tipo de atención brinde asistencia al individuo siguiendo el principio de integralidad. Para ser eficaz, la operacionalización de este cuidado biopsicosocial y espiritual requiere el diálogo a través del trabajo interdisciplinario, constituyendo el Plan Terapéutico Singular (PTS) como una herramienta prometedora.O termo cuidado abrange práticas e significados diversos, variando de acordo com a cultura a qual se insere. O cuidado paliativo apresenta-se como uma esfera do cuidado, que surgiu com o objetivo de suprir a uma demanda crescente de pacientes fora das possibilidades de cura terapêutica e que vinham sendo marginalizados e mal assistidos pelo modelo tecnicista da Medicina, com foco na doença em detrimento do doente. O objetivo desse artigo é definir o cuidado paliativo na perspectiva de médicos que atuam em uma unidade oncológica de um hospital de grande porte e as estratégias utilizadas para operacionalizar esta modalidade de assistência à saúde. Trata-se de um estudo qualitativo, de caráter descritivo, realizado com 14 médicos atuantes numa unidade de oncologia de um hospital da região Centro-Oeste de Minas Gerais, seguindo critérios de inclusão e exclusão e, posteriormente, dividido em três categorias de análise: definição dos cuidados paliativos; a fragilidade da formação médica em cuidados paliativos; multidisciplinaridade e a operacionalização do cuidado. Este estudo aponta que o conhecimento em cuidado paliativo ainda é fragilizado e superficial, demonstrando defazagem no ensino médico quando tomamos como referência esse tema. Assim, estratégias de capacitação profissional são necessárias para que esta modalidade de cuidado preste assistência ao indivíduo seguindo o princípio da integralidade. Para que seja eficaz, a operacionalização desse cuidado biopsicossocial e espiritual demanda diálogo por meio do trabalho interdisciplinar, constituindo como ferramenta promissora o Plano Terapêutico Singular (PTS).Research, Society and Development2021-01-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1158510.33448/rsd-v10i1.11585Research, Society and Development; Vol. 10 No. 1; e18810111585Research, Society and Development; Vol. 10 Núm. 1; e18810111585Research, Society and Development; v. 10 n. 1; e188101115852525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/11585/10411Copyright (c) 2021 Alexandre Ernesto Silva; Maria Angélica Martins Guimarães; Rafael Cotta Carvalho; Thayane Vieira Carvalho; Stefãne Amorim Ribeiro; Matheus Rodrigues Martinshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, Alexandre Ernesto Guimarães, Maria Angélica Martins Carvalho, Rafael Cotta Carvalho, Thayane Vieira Ribeiro, Stefãne Amorim Martins, Matheus Rodrigues 2021-02-20T21:19:23Zoai:ojs.pkp.sfu.ca:article/11585Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:33:22.335236Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Palliative care: definition and strategies used in medical practive
Cuidados paliativos: definición y estratégias utilizadas en la práctica médica
Cuidados paliativos: definição e estratégias utilizadas na prática médica
title Palliative care: definition and strategies used in medical practive
spellingShingle Palliative care: definition and strategies used in medical practive
Silva, Alexandre Ernesto
Palliative Care
Medical Education
Palliative medicine.
Cuidados Paliativos
Educación Médica
Medicina paliativa.
Cuidados Paliativos
Educação Médica
Medicina paliativa.
title_short Palliative care: definition and strategies used in medical practive
title_full Palliative care: definition and strategies used in medical practive
title_fullStr Palliative care: definition and strategies used in medical practive
title_full_unstemmed Palliative care: definition and strategies used in medical practive
title_sort Palliative care: definition and strategies used in medical practive
author Silva, Alexandre Ernesto
author_facet Silva, Alexandre Ernesto
Guimarães, Maria Angélica Martins
Carvalho, Rafael Cotta
Carvalho, Thayane Vieira
Ribeiro, Stefãne Amorim
Martins, Matheus Rodrigues
author_role author
author2 Guimarães, Maria Angélica Martins
Carvalho, Rafael Cotta
Carvalho, Thayane Vieira
Ribeiro, Stefãne Amorim
Martins, Matheus Rodrigues
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Alexandre Ernesto
Guimarães, Maria Angélica Martins
Carvalho, Rafael Cotta
Carvalho, Thayane Vieira
Ribeiro, Stefãne Amorim
Martins, Matheus Rodrigues
dc.subject.por.fl_str_mv Palliative Care
Medical Education
Palliative medicine.
Cuidados Paliativos
Educación Médica
Medicina paliativa.
Cuidados Paliativos
Educação Médica
Medicina paliativa.
topic Palliative Care
Medical Education
Palliative medicine.
Cuidados Paliativos
Educación Médica
Medicina paliativa.
Cuidados Paliativos
Educação Médica
Medicina paliativa.
description The term care encompasses different practices and meanings, varying according to the culture to which it belongs. Palliative care presents itself as a sphere of care, which emerged with the objective of meeting a growing demand from patients outside the possibilities of therapeutic cure and who were being marginalized and poorly assisted by the technical model of Medicine, focusing on the disease in to the detriment of the patient. The purpose of this article is to define palliative care from the perspective of doctors who work in an oncology unit in a large hospital and the strategies used to operationalize this type of health care. This is a qualitative, descriptive study, carried out with 14 doctors working in an oncology unit of a hospital in the Midwest region of Minas Gerais, following inclusion and exclusion criteria, and later divided into three categories of analysis: definition of palliative care; the weakness of medical training in palliative care; multidisciplinarity and the operationalization of care. This study points out that knowledge in palliative care is still weak and superficial, demonstrating a gap in medical teaching when we take this theme as a reference. Thus, professional training strategies are necessary for this type of care to provide assistance to the individual following the principle of integrality. In order to be effective, the operationalization of this biopsychosocial and spiritual care requires dialogue through interdisciplinary work, constituting the Singular Therapeutic Plan (PTS) as a promising tool.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-07
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11585
10.33448/rsd-v10i1.11585
url https://rsdjournal.org/index.php/rsd/article/view/11585
identifier_str_mv 10.33448/rsd-v10i1.11585
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11585/10411
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info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 1; e18810111585
Research, Society and Development; Vol. 10 Núm. 1; e18810111585
Research, Society and Development; v. 10 n. 1; e18810111585
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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