Cuidados paliativos para adolescentes com câncer: uma revisão da literatura

Abstract

Providing care to adolescents with cancer in the process of death and dying has been a great challenge for health professionals. This challenge is marked by a high emotional burden and specificities of this stage of human development. The purpose of the present study was to review the scientific literature regarding palliative care to adolescents with cancer. This study is a literature review, which data collection was performed using Lilacs, Medline, and PsycInfo, in addition to non-systematic databases. An analysis of the manuscripts revealed three themes: adolescence and its different definitions; the particularities of adolescents with cancer; and palliative care to adolescents with cancer. The study showed there is a scarcity of evidenced-based research defining the panorama of symptoms affecting the quality of life during palliative care and an absence of specific programs in the stage of fast changes that, alone, demand for adaptive efforts.

Cuidados paliativos na UTI: compreensão, limites e possibilidades por enfermeiros

“…Esse tipo de assistência é caracterizado não só pelos cuidados prestados ao paciente enfermo, cuja doença não responde mais ao tratamento curativo, mas também, aos seus familiares. [10][11][12] Os cuidados paliativos têm como objetivo proporcionar uma melhor qualidade de vida, oferecendo condições que viabilizem e incentivem o paciente a viver o final de sua vida de forma produtiva, útil e que seja gratificante para o mesmo. Tais cuidados estão voltados à reabilitação física, mental e ao apoio profissional diante das limitações psicológicas, sociais e espirituais do paciente.…”

“…Portanto, a assistência deve ser prestada por uma equipe multiprofissional de saúde, garantindo, desta forma, uma assistência integral e humanizada. [10][11][12] A UTI tem sido palco da terminalidade humana nos dias atuais, decorrente dos avanços técnico-científicos que permeiam esta assistência. No entanto, diante de sua característica de resgatar vidas, há um indiscutível conflito entre a obstinação terapêutica e a prática dos cuidados paliativos neste cenário, principalmente pela dificuldade da equipe de profissionais intensivistas e dos familiares do paciente de reconhecer que este não tem mais perspectivas de cura e que agora precisa de cuidados que o possibilite ter uma morte digna, respeitosa e confortável.…”

Feelings of nurses who work with cancer patients in terminal phase Sentimentos de enfermeiros que atuam junto a pacientes com câncer em fase terminal

“…It also establishes wide assistance, focused on the treatment of pain and other physical, psychosocial and spiritual problems. 5 Faced with a diagnosis of cancer, each individual responds singularly, but reactions such as fear, anxiety, denial, hopelessness and loss of control are common. In this scenario, the health team, especially the nursing team, is the one that is closest to the patient and for a longer period, which makes it apt to provide humanized care, understanding and supporting them in all their needs in the course of the illness process.…”

The Social Representations of Medical Clinic Nurses on Oncology Palliative Care: a Procedural Approach

“…However, even with the progress observed in the last decades, there is still the possibility of not being cured. 3 Palliative care comprises the assistance of a multidisciplinary team aimed at improving the quality of life of the patient and his/her family in the face of a life-threatening pathology through the prevention and relief of suffering, early identification, evaluation and treatment of pain and other physical, social, psychological and spiritual symptoms. 4 This mode of care should come into play when the pathology presents advanced stage, or evolution of this condition even during curative treatment, for the management of symptoms with difficult control and psychosocial aspects.…”