Abstract

Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute. Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme. Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain. These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.

Highlights

  • The first Palliative Care Service was officially opened, in Brazil, in 1991, at the National Cancer Institute (INCA)(1)

  • Records point to the country as the second in Latin America in which people with cancer report feeling the symptom of pain more, with cancer pain affecting 70% to 90% of patients who were in an advanced stage[2,3]

  • In view of the exposed historical situation, we present the following investigative question: What actions adopted for pain management contributed to the development of palliative cancer care in Hospital IV (HC IV) and what were the repercussions of these actions in HC IV?

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Summary

Introduction

Records point to the country as the second in Latin America in which people with cancer report feeling the symptom of pain more, with cancer pain affecting 70% to 90% of patients who were in an advanced stage[2,3]. This Service has developed over the years and, in 1998, gained exclusive space for specialized assistance. Excellence, based on a holistic and humanized vision This care was aimed at creating a safe and supportive environment, maintaining the dignity of the patient and family and limiting emotional and physical suffering, allowing individuals to choose[5]

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