Abstract
A qualitative, descriptive and exploratory study was conducted through semi-structured interviews with 18 people undergoing amputation in the period 2008-2010, in public hospitals in Florianópolis. The objectives were to analyze the care provided by health professionals throughout the amputation process in the perspective of the amputee patient; and discuss the process of health care to the person with amputation in the bioethical analysis perspective. Data were analyzed according to content analysis. Three thematic categories emerged: the process of amputation; team performance and rehabilitation. Bioethics permits reflection on the care provided to amputees and problematizes the relationship of the health care process with support available through public health policies. The professional involved in this process has to take responsibility for putting the process in practice and interdisciplinary is essential for the recovery of the amputated patient.
Highlights
Amputation is classified as a physical disability, as physical disability refers to an alteration that makes the expected and appropriate performance of the physical function of a given part of the affected body impossible.[1]
The records of the surgeries performed were provided by the statistics sector of each research hospital: Hospitais Governador Celso Ramos/Florianópolis (HGCR); Hospital Universitário da Universidade Federal de Santa Catarina– Florianópolis (HU/UFSC); Hospital Regional Homero de Miranda Gomes/São José (HRSJ) and Instituto de Cardiologia de Santa Catarina/São José (ICSC)
The main causes were related to vascular disease, gangrene, diabetic complications and infectious processes; Diabetes Mellitus (DM) was the baseline disease for all participants and only one person did not suffer from systemic arterial hypertension
Summary
Amputation is classified as a physical disability, as physical disability refers to an alteration that makes the expected and appropriate performance of the physical function of a given part of the affected body impossible.[1] According to the 2010 Census undertaken in Brazil by the Brazilian Institute for Geography and Statistics (IBGE), approximately 24% of the Brazilian population has some disability. The Federal Constitution and the Principles and Guidelines of the Unified Health System (SUS) led to the emergence of decrees and laws to support disabled people, their social integration, care priorities and criteria to promote accessibility. The reflections originating in the bioethics of protection and intervention are (or should be) present in the effectiveness of public policies.[4]
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