Manoela Fonseca Lüdtke

Internação domiciliar do paciente terminal: o olhar do cuidador familiar

This study was aimed at getting to know the relationships built among patients, family caregivers and the health care team, during home care,from the perspective of the family caregiver It is a qualitative study with 11 family caregivers of terminal patients, registered on a home care service of a university hospital in the South of Brazil. Data collection was carried out through narrative interviews that were recorded transcribed and analyzed through content analysis. Three categories were built from data analysis: relationships among the family caregiver, the patient and the health care team; awareness of the patients terminal condition. the caregivers perspective; and situation in which patients are unaware of their terminal condition. They approach how the home care relationships are established among the caregivers, such as health care professionals and family caregivers, and the people who are taken care of such as the patients, highlighting the importance of communication in such care related context.O presente estudo buscou conhecer as relacoes entre paciente, cuidadores familiares e equipe de saude, na internacao domiciliar, sob o olhar do cuidador familiar. Trata-se de um estudo qualitativo com 11 cuidadores familiares de doentes terminais, cadastrados em um servico de internacao domiciliar de um hospital universitario do sul do Brasil. A coleta de dados se realizou atraves de entrevistas narrativas, que foram gravadas e transcritas para serem tratadas por meio de analise de conteudo. A partir da analise dos dados, foram construidas tres categorias: Relacoes entre cuidador familiar, paciente e equipe de saude; Consciencia da terminalidade do paciente: o olhar do cuidador; e Situacao de terminalidade ocultada ao paciente. Elas abordam como ocorrem as relacoes na internacao domiciliar entre os seres que cuidam, como os profissionais de saude e cuidadores familiares, e os seres cuidados, como os pacientes, explicitando o quanto a comunicacao e importante nesse contexto de cuidado.

Significados de morte e morrer no curso de enfermagem: um relato de experiência

Objective: this article aims to relate the teaching experience of the discussion about the meanings of death expressed by undergraduate nursing students. Method: such discussion about the concepts of death took place in the discipline of Health Psychology of undergraduate nursing course of Federal University of Santa Maria. Twelve undergraduate students participated in the activity. The method used in the classes was action reflection. Results: from the reports about death, organized by the students, seven categories emerged, presenting the meanings attributed by them: “Relief for the soul”; “Inexorability of death”; “Fear from the unknown”; “Degradation of the body”; “Experience of another person’s death: memories”; “Naturalization of Death”; Designation of Death as something nefarious”. Final Considerations: the multiplicity of meanings of death, which concern several dimensions, such as the biological, social, psychological and cultural, allowed the students and the teacher to build and transform their knowledge regarding death

SIGNIFICADO E IMPACTO DA FUNÇÃO APOIO EM ATENÇÃO BÁSICA: UMA ANÁLISE EM SITUAÇÃO DE DESASTRE

The support function is one of the main devices of the National Humanization Policy. In disaster situations becomes even more relevant. Soon after the disaster occurred in a nightclub in the city of Santa Maria / RS, it was formed the Working Group and Primary Care Networks (GT ABR), which held support for primary care teams. This article aims to analyze the meaning and impact of support function while coping strategy in disaster situations. The Health professionals, who worked in primary care and received the support of the Working Group, were interviewed. The data were analyzed using content analysis, resulting in the production of five units of meaning. It was concluded that the Working Group has shown itself capable of generating reflections in the work process, transformations in the ways of professional practice and articulation of network services, producing significant impacts on the health system.

Terminal patient home care: the family caregiver's perspective

This study was aimed at getting to know the relationships built among patients, family caregivers and the health care team, during home care,from the perspective of the family caregiver It is a qualitative study with 11 family caregivers of terminal patients, registered on a home care service of a university hospital in the South of Brazil. Data collection was carried out through narrative interviews that were recorded transcribed and analyzed through content analysis. Three categories were built from data analysis: relationships among the family caregiver, the patient and the health care team; awareness of the patients terminal condition. the caregivers perspective; and situation in which patients are unaware of their terminal condition. They approach how the home care relationships are established among the caregivers, such as health care professionals and family caregivers, and the people who are taken care of such as the patients, highlighting the importance of communication in such care related context.O presente estudo buscou conhecer as relacoes entre paciente, cuidadores familiares e equipe de saude, na internacao domiciliar, sob o olhar do cuidador familiar. Trata-se de um estudo qualitativo com 11 cuidadores familiares de doentes terminais, cadastrados em um servico de internacao domiciliar de um hospital universitario do sul do Brasil. A coleta de dados se realizou atraves de entrevistas narrativas, que foram gravadas e transcritas para serem tratadas por meio de analise de conteudo. A partir da analise dos dados, foram construidas tres categorias: Relacoes entre cuidador familiar, paciente e equipe de saude; Consciencia da terminalidade do paciente: o olhar do cuidador; e Situacao de terminalidade ocultada ao paciente. Elas abordam como ocorrem as relacoes na internacao domiciliar entre os seres que cuidam, como os profissionais de saude e cuidadores familiares, e os seres cuidados, como os pacientes, explicitando o quanto a comunicacao e importante nesse contexto de cuidado.

Internación domiciliaria del paciente terminal: la visión del cuidador familiar

This study was aimed at getting to know the relationships built among patients, family caregivers and the health care team, during home care,from the perspective of the family caregiver It is a qualitative study with 11 family caregivers of terminal patients, registered on a home care service of a university hospital in the South of Brazil. Data collection was carried out through narrative interviews that were recorded transcribed and analyzed through content analysis. Three categories were built from data analysis: relationships among the family caregiver, the patient and the health care team; awareness of the patients terminal condition. the caregivers perspective; and situation in which patients are unaware of their terminal condition. They approach how the home care relationships are established among the caregivers, such as health care professionals and family caregivers, and the people who are taken care of such as the patients, highlighting the importance of communication in such care related context.O presente estudo buscou conhecer as relacoes entre paciente, cuidadores familiares e equipe de saude, na internacao domiciliar, sob o olhar do cuidador familiar. Trata-se de um estudo qualitativo com 11 cuidadores familiares de doentes terminais, cadastrados em um servico de internacao domiciliar de um hospital universitario do sul do Brasil. A coleta de dados se realizou atraves de entrevistas narrativas, que foram gravadas e transcritas para serem tratadas por meio de analise de conteudo. A partir da analise dos dados, foram construidas tres categorias: Relacoes entre cuidador familiar, paciente e equipe de saude; Consciencia da terminalidade do paciente: o olhar do cuidador; e Situacao de terminalidade ocultada ao paciente. Elas abordam como ocorrem as relacoes na internacao domiciliar entre os seres que cuidam, como os profissionais de saude e cuidadores familiares, e os seres cuidados, como os pacientes, explicitando o quanto a comunicacao e importante nesse contexto de cuidado.