Típico ideal de profissionais da Estratégia Saúde da Família sobre cuidados paliativos: uma abordagem fenomenológica-compreensiva
Palliative Care is an approch for those who need a biopsychosocial-spiritual suffering relief resulting from life-threatening illnesses. The synergy between palliative philosophy and Primary Health Care, guided by the Family Health Strategy model, favors the promotion of the quality of life of pa...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/47124 |
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| Resumo: | Palliative Care is an approch for those who need a biopsychosocial-spiritual suffering
relief resulting from life-threatening illnesses. The synergy between palliative
philosophy and Primary Health Care, guided by the Family Health Strategy model,
favors the promotion of the quality of life of palliative patients through comprehensive
care actions centered on the subject and the family offered by the health teams, even
in a intuitive way. This study aims to understand the typical ideal of the Family Health
Strategy professional in the care of users in palliation. This research is based on the
guiding principles of Alfred Schütz's phenomenological-comprehensive approach,
sedimented by Zeferino, namely: the researcher's disinterested attitude; rules of
sociological relevance; logical coherence; subjective interpretation; adequacy; and
scientific logical rationality. It took place at three Family Health Units in the West, North
I, and North II Health Districts, in the city of Natal, State of Rio Grande do Norte.
Participated: 11 nurses, 9 doctors, and 7 dentists, a total of 26 from an intentional
sample. Data were collected from audio-recorded semi-structured interviews carried
out both online and in-person, guided by a script of questions regarding the
biographical situation of the participants and by the triggering topics of the interview,
later transcribed in Microsoft Word 2010 and added to the Atlas.ti software. Cloud® for
organization, aid in coding and categorization of material. The analysis of
sociodemographic data was performed using simple descriptive statistics in Microsoft
Excel version 2010, while for the qualitative analysis of the speeches, Zeferino's
principles were applied in the light of Schütz's theoretical-methodological framework.
The ethical and legal aspects that govern scientific research in human beings were
met following Resolution No. 466/2012 of the National Health Council, with an Opinion
approved and substantiated by the Research Ethics Committee of UFRN, under No.
5,268,271 and CAAE No. 48553621.9.0000.5537. The analysis of the statements
made it possible to identify the following categories: biographical situation of the
research participants, typifications of Palliative Care in Primary Health Care, and the
ideal type of health care providers from the Family Health Strategy regarding the care
of users in palliation. The typical actions revealed were: home visits; request social
assistance, issue SUS card, request social benefits, request supplies for health care,
provide care supplies to the user, issue reports for requesting supplies; listening to
users and family members, welcoming, talking, showing support, explaining prognosis,
true communication; guide family members and caregivers about changing dressings,
hygiene, hydration and changing positions; prescribing creams; monitor and evaluate
pressure injuries; provide dressing material; perform antibiotic therapy; assess the
cause of pain, assess pain intensity using scales, prescribe medication for pain relief;
multiprofessional care; issue a death certificate, talk and consult with the grieving
family; refer user to RAS for insertion of devices, request and provide supplies for
device care, perform indwelling urinary catheter exchange; guide and prescribe
medications, provide free access to routine and high-cost medications, administer
medications orally, intravenously or hypodermoclysis and deprescribe; differentiated
look at the caregiver, guide affection and patience with the caregiver, meet the needs
of family members and caregivers, identify dysfunctional families. It is noteworthy that
the actions referring to the typical-ideal category and their respective reasons-for and
because- were configured as the typical ideal. Thus, caring of people with the indication
of Palliative Care and their families are considered fundamental, so integrating them
into the service guarantees comfort and quality of life even when they still happen in
primary health care in a pre-reflective way. |
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