Quando a proximidade da morte entra em casa: compreendendo os cuidados paliativos na atenção domiciliar
Technological advances in medicine capable of favoring the cure of various diseases are undeniable, but death remains a certainty and threatens the ideal of healing and preservation of life. Thus, palliative care emerges as a care approach that seeks to improve the quality of life of patients and...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/26669 |
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| Resumo: | Technological advances in medicine capable of favoring the cure of various diseases are
undeniable, but death remains a certainty and threatens the ideal of healing and
preservation of life. Thus, palliative care emerges as a care approach that seeks to improve
the quality of life of patients and families who present chronic diseases, advanced and
without possibilities of cure. But for the implementation of this type of care, it is necessary
to reorganize the health services, and thus, the Home Care Service (HCS) has been an
indispensable approach. The aim of this study is to understand the role of the Home Care
Service in Palliative Care in the context of Primary Health Care and its implication with
humanized care. We performed a qualitative research, with 12 professionals from the
Home Care Service of Natal/RN. The study was anchored in the Gadamerian
Hermeneutics and had as instruments the in-depth interview with use of "scenes" and
ethnographic observation. In the dialogues with the narratives we arrive at the following
chapters: 1) About palliative care, in which we dialogue with the health professionals'
views regarding PC and humanization. 2) The Home Care and Palliative Care service.
This makes a brief tour through HUS, PHC and HCS, understanding the relationship
between the care network. It is also related to the discovery of palliative care in HCS in
the face of the non-choice of health professionals and their desire to help and by the
possibility of HCS being the means for PCs at home through de-hospitalization. 3)
Palliative Care in HCS: between difficulties and potentialities. In this chapter, we have
identified that the lack of structure of the health network, the short time to care for and
the lack of preparation of the professionals generate difficulties. While the warmth of
home and family, spirituality and the existence of psychologist in the team are potential
factors. 4) The big challenge: how to take care of dying in Home Care? Here we talk
about the absence of death in health education, permeating the meanings attributed by
health professionals, understanding the process of suffering before the losses in palliative
care, but discovering the power of this care and realizing that it is possible to do so in a
humanized way in HCS. This study, when seeking to uncover, together with health
professionals, ways to perform a Humanized and integral Care in accordance with the
principles of palliative care. It highlights the importance of investing in the training
process, from undergraduate to continuing education, in regard to education for death, as
well as care spaces for the emotions that involve the loss of these caregivers. It is hoped
that this research will be a further interlocutor in the direction of strengthen the Home
Care Service in Primary Health Care, so that we can also have comprehensive and
humanized care at the end of life. |
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