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Previous issue date: 2011-03-31 / It is undeniable that all the extraordinary technological advances in contemporary
society have increased the severe patients expectation and quality of life, especially
cancer patients. On the other hand, it is easily verifiable by many researches that it was
not possible to advance in the same proportion in caring for the human experience of
death. Much is said about the anguish of a man facing death, of cancer patients in
terminal stage, about their families, and very little about the feelings, anxieties and ways
of coping with the medical professional who deals with this situation, specifically the
clinical oncologist. Little is known about the experience of the doctor who has learned
to take death as an enemy to be defeated, and increasingly is compelled to live at length
with his advertisement. However, we started to watch in recent years a growing interest
of researchers in this issue. This study seeks to add to this interest in order to understand
the experience of clinical oncologists that accompany dying patients, the meanings they
attach to death, ways of coping and the implications for providing care. This is a
qualitative study in which was used as a tool for data collection an in-depth interview
with the projective using script and scenes. Gadameriana Hermeneutics was used for
analysis and interpretation of narratives. The subjects were 10 clinical oncologists who
work at two institutions from cancer treatments in the state of Rio Grande do Norte,
chosen from a variation in the time working in the specialty (minimum of one year,
even old ones). However, you can bring some initial results for the dialogue. It was
found that the death is still a topic that causes many difficulties in the daily lives of
these professionals, the choice for oncology involves dealing with death without
preparation in medical education; being close to the patient in the final moment,
supporting the family, coping with own pain of loss and the inability to heal. These are
central elements of the narratives. We also have investment in medical training and
continuing education in setting up a demand that permeates the discourse of
participants. Being able to listen to the subjective world of clinical oncologists will
support the work not only for them as other professionals who deal with patients with
advanced cancer, providing evidence to understand to what extent the meanings
attributed to its know-how before patients on the verge of death interfere with the
production of care and allow identify coping strategies in everyday life of these
professionals that hinder or facilitate coping with death, promote or preclude the care
with others and with themselves. It is hoped that research can contribute to the field of
knowledge about the know-how in clinical oncology and their terminal-care-death
oncologist-patient relationships, bringing runways capable of promoting a better quality
of care in the production of all involved in this process: professionals, patients and
families / Na contemporaneidade muito se fala das ang?stias do homem frente ? morte, dos
pacientes com c?ncer em estado terminal, e, muito pouco dos sentimentos, e formas de
enfrentamento do profissional da medicina que lida com essa situa??o, especificamente
o oncologista cl?nico. Este estudo tem como objetivo compreender a viv?ncia de
oncologistas cl?nicos que acompanham pacientes terminais. Foi realizada uma pesquisa
qualitativa, utilizando como estrat?gia metodol?gica a entrevista em profundidade, com
roteiro e uso de cenas projetivas. Para an?lise e interpreta??o das narrativas recorremos
? Hermen?utica Gadameriana. Os sujeitos desta pesquisa foram 10 oncologistas cl?nicos
que trabalham em duas institui??es de refer?ncia em tratamentos oncol?gicos no estado
do Rio Grande do Norte, escolhidos a partir de uma varia??o quanto ao tempo de
atua??o na especialidade. A an?lise dos dados permitiu identificar as motiva??es dos
entrevistados quanto ? escolha profissional aos significados atribu?dos por eles ao ser
oncologista a busca pelo t?cnico/cient?fico e o humano. Suas concep??es sobre morte
real?am os aspectos existenciais e transcedentais, como sofrimento, descanso e religi?o.
Os pap?is desejados para o enfrentamento do processo de morte de um paciente
elencados foram: evitar ao m?ximo a chegada da morte; promover qualidade de
vida/morte e suporte emocional, estabelecendo uma comunica??o eficiente e cuidar do
paciente at? o fim. Por sua vez o cotidiano com a morte os desafiam a lidarem com as
dificuldades do n?o curar, do comunicar a noticia ruim, e com o desejo de cuidar at? o
fim de seus pacientes. Por fim, ressalta-se a necessidade do cuidado com a dor desses
profissionais, por entender que a maneira como eles lidam com a morte pode interferir
na produ??o de cuidado ao paciente. Espera-se que este estudo possibilite pistas capazes
de promover uma melhor qualidade na produ??o do cuidado de todos os envolvidos
nesse processo: profissionais, pacientes e familiares
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17476 |
| Date | 31 March 2011 |
| Creators | Campos, Christine de Medeiros Francilaide |
| Contributors | CPF:46652973472, http://lattes.cnpq.br/1062059652170019, Alves, Elaine Gomes dos Reis, CPF:95221115891, http://lattes.cnpq.br/8138503328035702, Pinto Junior, Francisco Edilson Leite, CPF:42381010491, http://lattes.cnpq.br/0678277592769805, Silva, Ge?rgia Sibele Nogueira da |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Psicologia, UFRN, BR, Psicologia, Sociedade e Qualidade de Vida |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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