Historical aspects in pain management in palliative care in an oncological reference unit

Paiva, Carolina Fraga; Santos, Tânia Cristina Franco; Aperibense, Pacita Geovana Gama de Sousa; Martins, Gizele da Conceição Soares; Ennes, Lilian Dias; Filho, Antônio José de Almeida

doi:10.1590/0034-7167-2020-0761

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…A evidência cabal a respeito do fortalecimento da unidade como referência nacional se pauta nas providências, iniciadas em 2004, para o alcance das metas relativas ao planejamento do HCIV no movimento da acreditação hospitalar pela certificação internacional de excelência. Nesse mister, no ano de 2005, a chefe da Divisão de Enfermagem, Fátima Vinhas, em parceria com os enfermeiros e com o apoio da então diretora, a médica Cláudia, elaboraram um planejamento para a enfermagem cumprir tais metas 10,22 .…”

Section: Discussionunclassified

Enfermagem E Cuidado Paliativo Oncológico Em Uma Instituição De Referência (2005 - 2006)

Paiva,

Silva,

Santos

et al. 2023

Texto contexto - enferm.

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RESUMO Objetivo: analisar as estratégias empreendidas pelos enfermeiros do Hospital do Câncer IV para atuar em conformidade com as diretrizes da Organização Mundial de Saúde. Método: estudo histórico e qualitativo realizado no Hospital do Câncer IV, unidade de referência e exclusiva de cuidados paliativos do Instituto Nacional de Câncer. A coleta de dados incluiu documentos escritos e seis depoimentos orais e foi realizada no período de agosto de 2020 a agosto de 2022. Os achados do estudo foram organizados e analisados em conformidade com o método histórico, que comportou a triangulação das fontes escritas, orais e o contexto em que foram produzidas. Resultados: a partir das referências do St. Christopher’s hospice e com o apoio do Grupo de Humanização da Unidade, as estratégias empreendidas pelos enfermeiros e evidenciadas nesta pesquisa foram: ampliação do Projeto de Capelania hospitalar e da Sala do Silêncio; investimentos em cursos de pós-graduação; capacitação profissional e cursos de atualização técnico-científica, na unidade e em outras instituições; participação em eventos, como organizadores, palestrantes e ouvintes; e atuação na Residência de Enfermagem. Conclusão: os enfermeiros empreenderam eficazes estratégias no campo da enfermagem oncológica, por meio da consolidação e difusão do conhecimento especializado em enfermagem oncológica no Brasil.

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Section: Discussionunclassified

Enfermagem E Cuidado Paliativo Oncológico Em Uma Instituição De Referência (2005 - 2006)

Paiva,

Silva,

Santos

et al. 2023

Texto contexto - enferm.

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“…The full evidence regarding strengthening of the unit as a national reference is based on the measures, initiated in 2004, to reach the goals related to HCIV planning in the hospital accreditation movement through the international certification of excellence. In this regard, in 2005, the Nursing Division head, Fátima Vinhas, in partnership with the nurses and with the support of the then director, physician Cláudia, prepared a plan for Nursing to meet these goals 10,22 .…”

Section: /13mentioning

confidence: 99%

Oncology Nursing and Palliative Care in a Reference Institution (2005 - 2006)

Paiva,

Silva,

Santos

et al. 2023

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Objective: to analyze the strategies undertaken by nurses at Hospital do Câncer IV to act in accordance with the World Health Organization guidelines. Method: a historical and qualitative study carried out at Hospital do Câncer IV, a reference and exclusive Palliative Care unit belonging to the National Cancer Institute. Data collection included written documents and six oral statements and was carried out from August 2020 to August 2022. The study findings were organized and analyzed in accordance with the historical method, which included triangulation of the written and oral sources and the context in which they were produced. Results: based on the references of St. Christopher's Hospice and with the support of the Unit's Humanization Group, the strategies undertaken by the nurses and evidenced in this research were as follows: expansion of the Hospital Chaplaincy Project and the Silence Room; investments in graduate courses; professional training and technical-scientific update courses, both at the unit and at other institutions; participation in events as organizers, speakers and listeners; and performance in the Nursing Residency Program. Conclusion: nurses undertook effective strategies in the Oncology Nursing field through the consolidation and dissemination of specialized knowledge in Oncology Nursing in Brazil.

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“…18 , 19 The palliative care movement grew further in 2005 through the establishment of two key entities: the National Policy for Cancer Care, 20 which recognized that palliative care should be integrated into oncologic care, and the National Academy of Palliative Care (ANCP), 21 which supported the regularization of palliative care services. 22 - 24 However, much of these efforts have focused on the provision of palliative care in adults.…”

Section: Introductionmentioning

confidence: 99%

Physician Perceptions of and Barriers to Pediatric Palliative Care for Children With Cancer in Brazil

McNeil,

Godfrey,

Loggetto

et al. 2023

JCO Global Oncology

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PURPOSE Early integration of pediatric palliative care (PPC) for children with cancer is critical to improving the quality of life of both the patient and family. Understanding physician perceptions of palliative care and perceived barriers to early integration is necessary to develop PPC in Brazil. METHODS The Assessing Doctors' Attitudes on Palliative Treatment survey was modified for use in Brazil. The survey was open from January 2022 to June 2022 and distributed to physicians of all specialties from participating institutions who treat children with cancer. Statistical analysis was complemented by qualitative analysis of open-ended responses. RESULTS A total of 272 respondents participated. Most respondents reported access to PPC experts for consultation (77.2%) and 34.5% indicated previous palliative care training. Physician knowledge of PPC was generally aligned with WHO guidance (median alignment, 93.0%; range, 80.5%-98.2%). However, about half (53.3%) felt comfortable addressing physical needs of patients receiving PPC, 35.3% addressing emotional needs, 25.8% addressing spiritual needs, and 33.5% addressing grief and bereavement needs. Most respondents (65.4%) felt palliative care should be involved from diagnosis, but only 10.3% stated that this occurred in their setting. The most important barriers identified were physician discomfort (89.0%), limited physician knowledge (88.6%), and lack of home-based services (83.8%). CONCLUSION Despite a strong understanding of the role of palliative care, physicians in Brazil reported low confidence delivering PPC to children with cancer. Additionally, physicians generally believed that PPC should be integrated earlier in the disease trajectory of children with cancer. This work will direct educational and capacity building initiatives to ensure greater access to high-quality PPC for children with cancer in Brazil to address patient and family suffering.

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Historical aspects in pain management in palliative care in an oncological reference unit

Cited by 6 publications

References 17 publications

Enfermagem E Cuidado Paliativo Oncológico Em Uma Instituição De Referência (2005 - 2006)

Enfermagem E Cuidado Paliativo Oncológico Em Uma Instituição De Referência (2005 - 2006)

Oncology Nursing and Palliative Care in a Reference Institution (2005 - 2006)

Physician Perceptions of and Barriers to Pediatric Palliative Care for Children With Cancer in Brazil

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