Orthotanasia and dignified death in cancer patients: The perception of health professionals.

Objective: to analyze the perception about dignified death and orthothanasia in the view of health professionals who provide curative and palliative care in oncology. Method: this is a research with exploratory, qualitative approach. Saturation criteria included the participation of eight health pro...

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Publicado en:Psicooncologia Vol. 16; no. 1; pp. 143 - 161
Autores principales: Alves de Almeida, Hélen Rimet, Freitas de Melo, Cynthia
Formato: Artículo
Publicado: Universidad Complutense de Madrid 2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Universidad Complutense de Madrid
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        10.5209/PSIC.61442
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        atl: Orthotanasia and dignified death in cancer patients: The perception of health professionals.
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        au:
          Alves de Almeida, Hélen Rimet
          Freitas de Melo, Cynthia
        affil: University of Fortaleza, Ceará, Brazil
      su:
        DEATH & psychology
        ATTITUDE (Psychology)
        CANCER patient psychology
        CANCER treatment
        FAMILY medicine
        HEALTH care teams
        HOSPICE care
        INTERVIEWING
        RESEARCH methodology
        MEDICAL personnel
        ONCOLOGY
        PALLIATIVE treatment
        PROFESSIONAL ethics
        RESEARCH
        QUALITATIVE research
        ATTITUDES toward death
        SPECIALTY hospitals
        PASSIVE euthanasia
        DATA analysis software
        FAMILY attitudes
        BRAZIL
      sug:
        subj:
          BRAZIL
          DEATH & psychology
          ATTITUDE (Psychology)
          CANCER patient psychology
          CANCER treatment
          FAMILY medicine
          HEALTH care teams
          HOSPICE care
          INTERVIEWING
          RESEARCH methodology
          MEDICAL personnel
          ONCOLOGY
          PALLIATIVE treatment
          PROFESSIONAL ethics
          RESEARCH
          QUALITATIVE research
          ATTITUDES toward death
          SPECIALTY hospitals
          PASSIVE euthanasia
          DATA analysis software
          FAMILY attitudes
      keyword:
        dignified death
        Health professionals
        orthothanasia
        muerte digna
        ortotanasia
        profesionales de la salud
      ab:
        Objective: to analyze the perception about dignified death and orthothanasia in the view of health professionals who provide curative and palliative care in oncology. Method: this is a research with exploratory, qualitative approach. Saturation criteria included the participation of eight health professionals from the Cancer Institute of Ceará, Brazil: a physician, a nurse, a social worker and a psychologist of the palliative care team, and an oncologist, a nurse, a social worker and a psychologist of the curative care team. Three instruments were used: semi-structured interview; Free Word Association Test (WAT) with "cancer" and "orthothanasia" as inductive stimulus; and a Photo Projection Test (PPT) using five images. A textual analysis was carried out using the Iramuteq software to analyze the interviews. For the analysis of the WAT, the frequencies of the words of each stimulus were counted; then they were submitted to the word reduction technique and understood through simple frequency analysis. For the analysis of the PPT, the frequencies were counted, followed by analysis of meanings. Results: cancer is perceived by professionals as synonymous with death, pain and suffering, and orthothanasia as a practice of care and affection. The importance of the transition from curative care to exclusive palliative care is evident when there is no prognosis of cure, so as to offer quality of death and pain relief. This process can be facilitated by the acceptance of death and participation on the part of the family. The family must also receive care. Conclusion: health professionals recognize the importance and challenges of orthothanasia.
        Objetivo: el presente artículo objetivó analizar la percepción sobre la muerte digna y la ortotanasia para los profesionales de salud de cuidado curativo y paliativo en oncología. Método: se realizó una investigación descriptiva y exploratoria de abordaje cualitativo. Se contó con la participación de ocho profesionales de salud del Instituto del Cáncer de Ceará, en Brasil: médico, enfermera, asistente social y psicóloga del equipo de cuidados paliativos, y médico oncólogo, enfermera, asistente social y psicóloga del equipo de cuidados curativos. Se utilizaron tres instrumentos: entrevista semiestructurada, Prueba de Asociación Libre de Palabras (TALP) y Prueba de Proyección sobre Fotos (TPF). Las entrevistas fueron analizadas a través del software Iramuteq. Para el análisis del TALP, las palabras de cada estímulo fueron analizadas y contabilizadas las frecuencias; a continuación, fueron sometidas a la técnica de reducción de palabras y comprendidas por medio de análisis simple de frecuencia. Para el análisis del TPF, se contabilizaron las frecuencias, seguidas de sus análisis de significados. Resultados: los resultados muestran que el cáncer se percibe como sinónimo de muerte, dolor y sufrimiento; y ortotanasia como cuidado y afecto. Se evidencia la necesidad de la aceptación de la muerte y del cambio de enfoque de cuidado de pacientes en proceso de finitud, y que por medio de los cuidados paliativos es posible ofrecer calidad de muerte y alivio del dolor. Conclusión: se concluye que los profesionales de la salud reconocen la importancia y los desafíos de la ortotanasia.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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