Diane Sousa Sales

Hodgkin’s Lymphoma: Impacts And Changes In Life Of Carriers Undergoing Treatment

Diagnosis and treatment of Hodgkin’s lymphoma introduce a new routine, and the habitual life of the young adult is interrupted because the treatment imposes on patients withdrawing from their environment, their productive activities, their relatives and their daily life. The aim of the present is study is to understand the reality of the young adult carrier of Hodgkin’s lymphoma in the face of treatment. This is a qualitative study; subjects were patients diagnosed with Hodgkin’s lymphoma at a reference hospital in northeastern Brazil. Inclusion criteria were being undergoing treatment or follow-up of Hodgkin’s lymphoma, and aged 18 to 35 years. The information was collected through an interview at the home of each subject in the period from August and September 2015. The interviews were recorded, transcribed in full and analyzed through thematic analysis. The study was approved by the Research Ethics Committee. The subjects went through a rather individual pathway to discover the disease. After reading the interviews, the following category emerged: Impact and changes in life with cancer. They feel the impact of cancer and of the process of illness and treatment that promote physical and social changes. They reveal the coping of the disease with liveliness, and present strategies for this process, such as the support of family and friends. They recognize the existence of difficult moments and face situations of death, but they show intention to return to their daily activities and have perspectives for cure.

Pain in onco-hematologic patients and its association with analgesia

JUSTIFICATIVA E OBJETIVOS: Entende-se que diante da crescente incidencia no diagnostico de câncer, deve-se intensificar a qualidade da assistencia oferecida a esses pacientes, com o intuito de melhorar a qualidade de vida e amenizar o sofrimento dos pacientes e dos familiares. A assistencia de enfermagem deve ser aprimorada e focada na avaliacao da dor do paciente oncologico, para facilitar a caracterizacao da dor e, consequentemente, melhorar o tratamento multiprofissional. O objetivo deste estudo foi caracterizar a dor dos pacientes onco-hematologicos e associar com a analgesia ofertada. METODOS: Estudo descritivo, prospectivo, longitudinal, desenvolvido com 20 pacientes que apresentaram diagnostico de doenca onco-hematologica e que estivesse internado na unidade de hematologia do Hospital Universitario Walter Cantideo. Foram aplicadas as escalas analogicas visual e numerica da dor, multidimensional de avaliacao de dor e o questionario de McGill. RESULTADOS: A principal causa de dor foi por infeccao intestinal. Prevaleceu a dor aguda e que durava o dia todo. Pela escala multidimensional de avaliacao de dor o descritor agudo mais relatado foi profundo e do cronico persistente. A palavra mais citada no McGill foi insuportavel, com a categoria avaliativa sendo a mais utilizada. Na avaliacao da analgesia, percebeu-se que 13 das 20 prescricoes medicas estavam incompativeis com as recomendacoes da Organizacao Mundial da Saude. CONCLUSAO: As escalas sao de extrema importância na mensuracao e caracterizacao da dor. A enfermagem deve estar a frente na sua implantacao e utilizacao nas unidades hospitalares, de maneira especial nas oncologicas pela alta incidencia desse sintoma.