Do encontro ao sentido: o cuidado aos sujeitos adoecidos de câncer / From the muting to the meaning: care to the subjects with cancer




This research aimed to understand how to give care practices directed at the subject ill with cancer in everyday health services. To this end we start from the understanding on how the process of disease acts changing the subjects ways of living. Especially regarding to cancer, a pathology that brings metaphors related to death, suffering and pain. By starting the search for health services, individuals are faced with a series of obstacles that can not provide relief, not supplying the needs that this new condition requires. We found many times practices that deny the subjective experience of illness, not valuing the narrative of the subjects. As methodology chosen to develop a qualitative study, using as a privileged instrument to semi open. We began the interviews with the slogan: "Tell how was the treatment of their disease from discovery to the time that is." Data collected from the encounter with the sick subjects were supplemented by information contained in medical records and the observations obtained at the time of interaction. The venue for the research was a large state hospital in the city of Fortaleza, Ceara state. The interviews were conducted in the oncology department of the hospital clinic. In all twelve subjects were interviewed who were in outpatient treatment service. Five subjects were women and seven were men. The ages ranged from 29 to 65 years. Data analysis was carried out after immersion in the empirical material, later embodied in the interview transcript. We tried to let the senses to flourish, struggling with the material we had available, there came the empirical categories. We divide the categories into two dimensions, the subject and the network of health services. After the analysis some important points were found to consider in order to make devices change. It was confirmed that the individuals know themselves, and perform a process of constructing meaning about their illness and medical treatment. The disease produces changes in the subjects that forced them to rethink their routine and lifestyle. It seems that the encounter with the health service has been given in a truncated form. The fight for the right to health is difficult: the delay in confirming the diagnosis, the delay in getting dial and receive their exam results, lack of specialists who know what they are doing. The subjects have discovered the disease when it is advanced. The importance of dialogue, listening, perception of what the other needs is important, so to give real value at the reports of sick subjects of cancer is urgent. .


saude coletiva câncer - pacientes câncer - aspectos psicológicos câncer - tratamento cuidados primários à saúde assistência à saude care practices cancer illness sufferin práticas de cuidado câncer adoecimento sofrimento

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