Programa de treinamento sobre a intervenção terapêutica "relaxamento, imagens mentais e espiritualidade" (RIME) para re-significar a dor espiritual de pacientes terminais

Abstract

Background: This article presents a training program for a therapeutic intervention involving relaxation, mental images and spirituality (RIME), which can be administered to help terminal patients to resignify their spiritual pain. Objective: Analysis of a training program based on the understanding of the experience of professionals in the use of RIME intervention and of patients in their resignification of spiritual pain, as revealed during the administration of RIME by trained professionals. Method: The participants were a nurse, a female doctor, three psychologists and a volunteer alternative therapist, all experienced in or studying palliative care; they were invited to participate in the training program and were later in charge of caring for eleven terminal inpatients in public hospitals of Campinas, Piracicaba and São Paulo. The theoretical and methodological basis of the study involves action-research and phenomenology. Qualitative results were analyzed by the content analysis utilizing the thematic analysis technique. Quantitative results were analyzed descriptively using the Wilcoxon Test. Results: In the analysis of the professionals, experiences, five categories and fifteen sub-categories were found. In the analysis of the constitution of spiritual pain, we found the idea of fear of death to be the most prevalent, either expressed by negation of the gravity of the clinical prognosis or by the perception of this gravity. After the administration of RIME, statistically significant differences in perceived level of well being (p < 0.0001) were expressed after sessions of RIME. Conclusion: The proposed training program proved to be effective in preparing health area professionals for the use of RIME intervention, qualifying them to provide spiritual assistance within an academic perspective. The results suggested that RIME promoted the resignification of spiritual pain in terminal patients..

The Interdisciplinary Spiritual Care Model – A holistic Approach to Patient Care

“…Among the four theoretical-conceptual studies (PESSINI & BERTACHINI, 2005;ELIAS et al, 2007;CALDEIRA, 2009;NASCIMENTO et al 2010), the first makes a comprehensive presentation of palliative care, placing it in an epistemological and historical perspective. Pessini and Bertachini (2005, p. 506) clarify that spiritual care is at the center of palliative care because such care seeks to "implement a holistic approach to caring for people with life threatening diseases and integrate the physical, social, psychosocial and spiritual dimensions, so that patients and caregivers can face the experience of dying the more mature as possible".…”

Eficácia da técnica de relaxamento com imagem guiada em pacientes oncológicos submetidos a tratamento quimioterápico

“…Várias são as técnicas de intervenção utilizadas no manejo da dor e do sofrimento físico e psíquico dos pacientes oncoló-gicos [4]. As técnicas de relaxamento são objeto de pesquisa há décadas, como instrumento importante no processo integrativo entre mente e corpo, compreendida como uma técnica complementar de intervenção junto a pacientes com doenças orgânicas [5].…”

A espiritualidade na teoria do cuidado transpessoal de Jean Watson: análise de conceito

“…Evidentemente que fora do contexto teórico do cuidar, a disponibilidade em acessar esta dimensão pode seguir por várias linhas de interpretação, tais como mediunidade [157][158][159][160] , meditação e práticas de concentração [152][153][154][155][156] , rituais religiosos com ou sem uso de plantas sagradas [161][162] , entre tantos outros métodos desenvolvidos pelas mais diversas culturas. Todavia, o acesso ao campo da espiritualidade no Processo de Cuidar na Enfermagem implica na possibilidade em sistematizar as informações obtidas a partir da experiência vivida.…”

“…A 12.Enfermeira apressadamente desligou a bomba de infusão do 13.quimioterápico, olhou rapidamente para a paciente e disse para ela , na Psicologia [152][153][154][155][156] , entre outros domínios. Na…”

“…Trata-se de um caso clássico, muito comum na literatura médica que tem se debruçado nas questões de Experiência Espiritual [151][152][153][154][155][156][157][158][159][160][167][168] . Enfermeiros e cuidadores profissionais ao redor do mundo tem relatado suas vivências neste campo, entretanto, os profissionais não ancoram a experiência vivida à pratica assistencial enquanto processo de trabalho.…”