Cuidados paliativos: o significado para uma equipe de enfermagem de uma unidade oncológica

Abstract

The study sought to understand the meanings that one attaches to the nursing staff working process directed to persons under palliative care cancer. For this, we used the theoretical frameworks of comprehensive care and interpretive anthropology. The approach used was ethnographic ethnography is here understood as the search for a thick description, as implied by Geertz. The fieldwork was carried out during the year 2012 in a palliative care unit of a cancer health institution in southern Minas Gerais. Analysis emerged two core meanings: doing and feeling. What do the paperwork and marked by a fragmented care focused on tasks. And the feeling associated with the finiteness of life and spirituality. The completeness is today an ideal that will have many obstacles to overcome in nursing. It is necessary institution in a survey that is resilient professional palliative care oncology and identifies with them, in order to conduct a training that improves their skills directed to the principles of palliative care. The psychological and spiritual support with individual care under the guidance and supervision of cases the nursing professional who experiences death daily should be inserted in that institution, as well as promoting discussions and approaches in groups about the feelings of these professionals on death and die. A palliative care team with various professionals in interdisciplinarity is required to control chronic pain and a humanized the person in palliative care. Another construction is to deploy a committee to assist grieving family members to prepare for the process of death and mourning. However nursing needs to reflect on the teaching methods at the academy that emphasize both scientific knowledge and the quality of care, a connection between the different disciplinary knowledge. This focus is consistent with the principle of completeness recommended by the National Health System, ensuring nursing as a major player in the social health policies and rescuing the origins of their profession, directed primarily to human and not a cure. Therein lies the significance permanent watch in oncologynursing.