Percepção do profissional sobre dor e analgesia em cuidados paliativos: um estudo fenomenológico

Abstract

Pain is the most frequent complaint and one of the main causes of care in emergencies, being one of the symptoms most experienced by hospitalized patients, in the oncological context. And considered as an emergency, however, its management is still a challenge. Since each professional perceives the pain of the other and his or her in a subjective way, and this perception has implications for the exercise of care. By glimpsing the provision of a humanized care, it is necessary for the professional to possess, beyond the technical and scientific competence, the sensitivity to understand the other as a unique being and possessor of a life history to whom one owes respect and value. For this purpose, the research had as a General Objective to understand the perception of nursing professionals about pain and analgesia in palliative care. And by Specific Objectives describe the perception of nursing professionals about pain and analgesia palliative care; and, interpret the light of Maurice Merleau-Ponty's theoretical reference, how professionals deal with pain in palliative care. It is a phenomenological, descriptive study with a qualitative approach. The field of research was the National Cancer Institute Jose de Alencar / Hospital do Câncer IV (INCA). Twenty-four professionals working to care for cancer patients in palliative care who agreed to participate in the study participated. Data collection took place through the instrument of research protocol; of the phenomenological interview. The approval opinion was presented to the Ethics and Research Committee of HUAP under number 22.240.560 and CAAE: 68434517.4.0000.5243. and the National Institute of Cancer Jose de Alencar Gomes da Silva- INCA / MS CAAE # 68434517.4.3001.5274 and approved on August 25, 2017. The data inherent to the interviews were analyzed, resulting in 5 categories: The corporeity that cedes medical hegemony: Following the medical prescription, The body that communicates, The Feeling of the professionals in the face of the poorly controlled pain, The feeling of who cares, Reflections on the process of taking care of the pain. One concludes that there is a set of words that give meaning to pain to mean personal pain and professional pain. Caring for the cancer patient with pain is a challenge for the team, considering a complex phenomenon that deserves differentiated attention