Indiara Carvalho dos Santos Platel

Percepção dos enfermeiros sobre o significado dos cuidados paliativos em pacientes com câncer terminal

This study sought to assess the perception of nurses with respect to cancer patients under palliative care. It is an exploratory study with a qualitative approach conducted with nurses from a hospital attending cancer patients under palliative care located in the city of Joao Pessoa, State of Paraiba. The study included nine nurses who worked in the hospital. The empirical material was collected using the technique of semi-structured interviews and analyzed using the content analysis technique. The interpretative analysis of the interviews led to the definition of three categories: Improving the quality of life through the alleviation of pain and suffering; Palliative Care: a multi-professional study of terminal patients and their families in the grieving process; Communication: a source of dignity in the terminal care process. The conclusion reached is that the study revealed that the nurses involved acknowledge the importance of the multidisciplinary team. It enables the nurses to reflect on the use of communication as an essential element of care for patient and family under palliative care. It is hoped that the data obtained may foster further research on the topic.

Palliative Care To The Elderly Patient With Cancer: Speech Of Nurses

Palliative care is aimed at people with diseases without perspective of cure or terminally, aiming to provide a better quality of life. This study aims to investigating the discourse of nurses about their understanding of palliative care to elderly patient with cancer and identify strategies used by nurses to promote palliative care to the elderly cancer patient. It is an exploratory research of a qualitative nature, carried out with thirteen nurses from a philanthropic institution in the city of Joao Pessoa, through a questionnaire. The empirical material was subjected to thematic content analysis, resulting in three categories: design of nurses to assist the elderly in Palliative Care: promoting comfort and minimizing the suffering, the importance of palliative care in humanized care to the elderly with cancer and strategies for the Promotion of Care of the Elderly with Cancer. Participants highlighted the palliative care as essential in the humanization of care, ensuring the dignity and quality of life among the elderly with cancer without possibilities of cure, adding such assistance, the family. Keywords: Palliative Care; Nurse; Elderly; Cancer.

Constipação em pacientes com doençaoncológica avançada em uso de opioides

A constipacao e um disturbio muito comum em pacientes oncologicos com doenca avancada, podendo causar dor, distensaoabdominal, nauseas e vomitos. O presente estudo teve como objetivo identificar evidencias disponiveis na literatura sobre asacoes de cuidados paliativos para o paciente oncologico, em uso de opioides com constipacao intestinal, considerando-seque sao as acoes decorrentes das necessidades de cuidado que podem contribuir para o controle desse sintoma. A presenteinvestigacao trata-se de uma revisao integrativa da literatura e, para selecionar as publicacoes cientificas, foram acessadas asbases de dados da Biblioteca Virtual de Saude, especificamente LILACS e SciELO. Os criterios de inclusao adotados foram:artigos que retratassem cuidados paliativos ao paciente com constipacao intestinal decorrente do uso de opioides; que estivessemindexados nas bases de dados supracitadas; que fossem publicados na lingua portuguesa, no periodo de 2002 a 2012e cujos resumos e textos estivessem disponiveis online, na integra. Foram excluidos os artigos com acesso restrito. Ao finalda busca, encontraram-se 20 referencias, contudo somente sete se enquadravam nos criterios de inclusao desse estudo. Osartigos inseridos nesta pesquisa ressaltaram que a constipacao e um sintoma bastante comum em pacientes oncologicos comdoenca avancada em uso de opioides. Essa revisao mostrou que a adequada avaliacao, o tratamento nutricional, o uso racionalde medicamentos laxativos e antagonistas de opioides, assim como novos recursos dietoterapicos, como o uso do fungoAgaricus sylvaticus, podem promover o adequado controle desse sintoma, evitando complicacoes e procedimentos invasivos. Constipation is a very common disorder in oncologic patients with advanced disease, and it may cause pain, abdominal distension,nausea and vomit. This study had as its aim to identify available evidences on the literature about actions of palliativecare for oncologic patients, considering these actions to be the result from the necessities of care that may contribute to thecontrol of this symptom. This investigation is a literature integrative review; and to select scientific publications, we accessedthe databases from Virtual Health Library (VHL), specifically LILACS and SciELO. Inclusion criteria were adapted: the articlesportraying palliative care to patients with constipation due to the use of opioids, with were indexed in the databases mentionedabove, which were published in Portuguese in the period from 2002 to 2012 and whose abstracts and texts were availableonline in its entirety. We excluded studies with restricted access. At the end of the research, we found 20 references but onlyseven met the criteria for inclusion. The articles included in this study pointed out that constipation is a very common symptomin cancer patients with advanced disease using opioids. This review showed that a proper evaluation, nutritional management,rational use of medicines and laxatives opioids antagonists, as well as new features such as the use of diet-therapeutic drugsbased on Agaricus sylvaticus can promote adequate control of symptoms, preventing complications and invasive procedures.