Introdução: Os cuidados paliativos promovem atenção integral aos pacientes com doenças graves ameaçadoras da vida, com foco na pessoa e não na doença. Essa modalidade de atenção à saúde tem como finalidade promover o cuidado em todas as dimensões, controle dos sintomas e promoção da qualidade de vida. A pandemia do COVID-19 teve como medida de precaução o islomaneto social, lançando um desafio aos profissionais de saúde a manutenção da assistência de forma remota. Metodologia: trata-se de um relato de experiência de uma enfermeira atuante no serviço no período entre março e dezembro de 2020. Para fundamentar o estudo, foi realizada busca nas bases de dados de produções científicas. Relato de experiência: A teleconsulta foi uma ferramenta adotada pela equipe de cuidados paliativos do ambulatório do Complexo Hospital de Clínicas da Universidade Federal do Paraná -CHC/UFPR para realização de consulta de enfermagem e médica. As consultas presenciais foram mantidas para os pacientes que apresentavam essa necessidade. Todos os atendimentos eram registrados no prontuário dos pacientes. Conclusão: apesar dos desafios dessa modalidade, foi possível manter a prestação da assistência aos pacientes em cuidados paliativos. A teleconsulta possibilitou fortalecimento do vínculo entre equipe, pacientes e familiares, além de diminuição da exposição dos pacientes ao vírus.

No abstract

INTRODUCTION:The pandemic brought a challenging moment to the entire global Health System and Health Professionals, with a high risk of affecting the mental and physical health of these workers. With this new world scenario, health professionals needed to have organizational conditions available so that they could perform their duties safely. the main function of the perfusionist is to perform the replacement of heart and lung functions during cardiac surgery with cardiopulmonary bypass, being responsible for conducting the patient's perfusion. OBJECTIVE: To report the experience on the construction of the protocol with the main recommendations and protection and safety measures related to the surgical routine with cardiopulmonary bypass in patients with suspected or confirmed COVID-19. METHODOLOGY: This is a descriptive study with qualitative characteristics, of the experience report type. DISCUSSION: Review on social distancing, use of personal protective equipment, hand hygiene routine, CPB assembly and preparation, and driving. CONCLUSION: Sharing experiences in the fields of health is an important strategy to add knowledge and increase awareness of the different possibilities for combating the epidemic in the context that is still present in our daily lives.

Introduction: Research shows a significant increase in the number of cancers in the world, about 18 million new cases, 2.1 million of which are breast cancer (MATTIAS et al., 2018). The illness of the physical body, especially the breast, causes negative feelings and thoughts in women, which permeate the fear of death, treatment, and reach a place connected to being a woman, which alters their femininity, self-image and self-esteem (PISONI et al., 2013). Chemotherapy is identified as the main cause of suffering due to its side effects, mainly alopecia. (OTANI; BARROS; MARIN, 2015). Young women are the ones who suffer the most, as they generally value their image and femininity more and have expectations about their fertility (GOMES; SILVA 2013). Methods: research anchored in the Convergent Care Research (PCA) with a qualitative approach (TRENTINI, PAIM; SILVA, 2014), carried out at the chemotherapy outpatient clinic in a Hospital in Paraná, with the participation of 16 women. A semi-structured interview was used to collect information, between January and March 2020. The data were coded and processed by the free software IRAMUTEC, which generated corpus text through descendent hierarchical classification (CHD) (CAMARGO; JUSTO, 2016). Results: six classes of words and a cloud of words were generated, from which the categories emerged: self-image impaired by hair loss and impact of negative self-esteem on quality of life. Conclusion: Of the effects caused by chemotherapy, alopecia is the greatest cause of suffering among women. This knowledge subsidizes the nurse in the development of individualized care, with acceptance and humanization.

Nurse specialist in Extracorporeal Circulation and Mechanical Circulatory Assistance (ECMO) by Instituto do Coração (INCOR) at Hospital das Clínicas, Faculty of Medicine, USP. She works as a Cardiology Perfusionist Nurse at the Professor Edgar Santos Hospital of the ''Universidade Federal da Bahia'' (UFBA) Sanele Cristina da Cruz Pereira Master in nursing from the ''Universidade Federal do Paraná'' , UFPR, specialist in oncology and palliative care from Facuminas. She works as a Nurse at the Professor Edgar Santos Hospital of the ''Universidade Federal da Bahia'' (UFBA)