Análisis caso CONAMED de Odontología. SpSonSsoSredS. · April 28, ·. Análisis caso CONAMED de Odontología. K Views. 5 Likes50 Shares · Share . shepardrimjvvjhtd. Caso conamed apenidictis vs salmonelosis. DrMandingo WEB. resumejune Laurie Brooks. WordCamp Kansai Title: Importancia de los artículos de Casos CONAMED para el estudiante de medicina. (Spanish); Alternate Title: Significance of articles about CONAMED.
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Humanized care; the case of patients subjected to chemotherapy. El caso de los pacientes sometidos a quimioterapia.
O caso dos pacientes submetidos a quimioterapia. Article linked to research: How to cite this article: Herein, we seek to know the necessities of humanized care of patients subjected to chemotherapy.
A qualitative approach was used with tools from grounded theory; 23 interviews were conducted and a field diary was kept. During the analysis, codes were extracted that were subsequently grouped into categories that best represented the phenomenon studied.
Cancer patients subjected to chemotherapy have needs for humanized care. The emotional, spiritual, social, and affective necessities were highlighted as a consequence of the impact of the news of the conamer and the notorious physical changes confronted by these patients. The category of dehumanization of care emerged related to the information of the diagnosis and in the communication the personnel maintained with these patients.
The cancer patient receiving chemotherapy is a seriously ill person, with necessities, who requires humanized care by the healthcare provider personnel.
Conocer las necesidades de cuidado humanizado de los pacientes sometidos cso quimioterapia. Conhecer as necessidades de cuidado humanizado dos pacientes submetidos a quimioterapia. Care constitutes a very important part of comprehensive care. Humanized care permits recognizing the human beings as comprehensive beings, with dimensions that constitute them as persons, which are impossible to fraction.
Likewise, it must be recognized that man is a free-thinking being and autonomous in decision making upon transcendental situations in life like disease and death.
Trabajo de parto, sufrimiento fetal: Caso CONAMED – ScienceOpen
To speak of humanized nursing care, it is important to define humanism, which in general terms is defined, according to Arroyo 1 as: They focus their theory on the nurse’s capacity to transcend the purely biological sphere to the spiritual sphere; this seeks a harmonic relation between the person’s mind and body, without ignoring that the human being is not only an organic body, but that it is founded by its spiritual part, immersed in its inner world, in the nature and interaction with others in its outer world.
Within the conceptual base, we adhere to the guidelines by Leininger and McFarland 3 who differentiate care ”caring” from caring ”care” with its terms in English: According to the same authors, although ”human care is universal”, care could vary from one culture to another; in this case, we refer to caring for patients in a region of South America where values like affect and spirituality are important, as we will see throughout this work.
Oncology patients endure their disease as a rupture process with daily life, undergoing a depersonalization process, which includes the appearance of the ”I cancer” and the recurrent idea of death. This loss of identity constitutes the start of a struggle-hope-resignation cycle that seems determined by the type of cancer, patient’s age, and the seriousness of the disease; with those who conserve their social network having better confrontation capacity.
As it is known, the fact of enduring cancer leads individuals to developing feelings of loss, failure, and futility. Studies on the topic conducted from testimonies of cancer patients and from healthcare personnel, manifest dehumanization in nursing care, given that problems were found related to the alteration of spiritual and psychological necessities.
Also, it has been described that one of every three patients has received little or no help when feeling sad, when losing control – of their emotions – or when feeling the need to talk with someone because of not knowing the purpose of chemotherapy. This study was developed to learn the care needs of patients receiving chemotherapy, given that they require professional help that is more aware of the transcendence of care and of the implications when it is not provided in a ”humanizing and humane” manner.
Also, the study dealt with the necessities of human beings during said treatment phase, with a holistic approach. To know the meaning of people’s life experiences, it was considered pertinent to conduct a qualitative research because of their attributes of permitting our approach to knowledge of biological, emotional, social, and spiritual necessities, in this case of the cancer patient; additionally, arriving at action guidelines to intervene said necessities that help improve coping with the disease course.
The qualitative approach was selected based on the grounded theory. With prior verbal and written informed consent, semi-structured interviews were carried out lasting between 60 and 90 minutes, which followed a script of open questions.
César Rodrigo Rivera Sánchez | Universidad Nacional Autónoma de México –
From analyzing the interview material and some observations live and substantive codes emerged; thereafter, leading to the casso and subcategories of the study.
The ethical aspects considered were the informed consent with voluntary and conscious commitment by the participants, confidentiality of the information, and its use for the exclusive purposes of the project. The results were returned to the individuals interviewed and to the participating healthcare institution. Hereinafter, the results of the research work will be exposed, which will be described according to the ordinances of qualitative research, according to the urgency of the categories.
Comamed any case, we sought to conames the research question and to the aim proposed. Within ideal humanized care, the following traits emerged: Sensitization, truthfulness, commitment, and responsibility were aspects that emerged upon the inquiry on the ideal characteristics or on the qualities of professionals providing care.
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Also, spiritual and religious dimensions emerged strongly. We started from several suppositions, namely, first that care is part of attention and, second that the ideal of care received is related to the qualities of the professionals who provide it. In the basis of the work we have the inquiry for the compliance of the ideals of care. The patients considered that human quality and affection constitute qualities and a way of caring perceived as personalized attention, which means being treated as people and not only as patients: Also, equity is highlighted upon providing care, according to phrases like: The following describe the characteristics and qualities the patients perceived as necessary in nursing personnel: According to the aforementioned, regarding the characteristics, psychological preparation and sensitization are important: Besides, nurses must be aware of the necessities in daily care, of that being in need of affection and company: I would like it if the nurse stayed talking to me a bit longer E Patients think that commitment is doing the work with love, but spontaneously, without pressures, whatever springs out; and responsibility is doing things well: These qualities highlight humanized care.
Spiritual and religious dimensions also emerged. For patients, closeness with God makes nurses more spiritualsome of them expect that people who are closer to God to be more humane and this includes nurses E According to patients, some specific conditions exist for humanized care to occur; in that sense, they allude to said conditions categorically: Here, you are not asked what you like For that, nurses must have professional suitability and human sensitivity, as expressed by a patient, that being must be different E Bewilderment, disinformation, and confusion also emerge.
Bewilderment was expressed by patients regarding their future with the disease, thus: I got very sad and bewildered because I didn’t know it was a lymphoma E I just know I have cancer E You don’t know when you are going to get the ultimatum, I am worried about everything the cancer can cause in me E These testimonies show the bewilderment and confusion from the participants, which is preventable with caring actions.
Patients show expressions of negation during different stages of the disease: I look just like other people, I don’t look sick E I don’t think about life or death False illusion is part of negation with respect to its prognosis, filled with positive thoughts or with hope; that is, some think they will be cured, although their current status shows the opposite: Patients seek refuge in a divinity God and place in His hands the future of their disease and its possible cure.
The patients express it thus: I become stronger with God. God is first, there is more time. I feel God’s support, I am spiritually at peace with my soul E Very relaxed and Conajed know everything will be well with God’s help Within the logic of this religiosity, negotiation with God is observed: I have faith, I believe God provided the medicine to cure this cancer E I experience cancer as a lesson, I do not question God, I take it as another opportunity to let me stay more time E Necessities for communication are part of humanized care; the study found this important subcategory as part of care, given that its quality and professionalism are fundamental to perceive that care is humanized.
The following are described from the ideal of communication to its absence. Patients expressed the great need to communicate and expose their hearts: The communication ideal for patients is the opportunity to openly express feelings: Also, it was found that explaining to the patient the sense of the treatment is one of the characteristics of good communication: The explanation is also accepted in conference form, as expressed: Characteristics of listening and understanding E Also, many references were made to the lack of communication; patients expressed that professionals do not tell, they only check; they do not explain, they only ask and there is no trust, as broadened by the expressions: The physician I had before did not tell me anything I don’t feel confident to tell them coonamed I feel E We observed how patients identify the lack of confidence irradiated by the professionals.
Consequently, deficient or ”poor” communication is recognized when it is blocked or it is in one direction, imposed or intimidating, conamex the following variations: Examples of one way information: As mentioned, explanations are inherent to good communication and when it is lacking it becomes a barrier; this means that patients refrain from making the corresponding petition for explanations of which they have a right: This evidences the need for dialogue with another being; however, it seems their conamex does not occur; casl very patients justify the nurse’s absence, alluding to the multiple activities that remove them from direct care, which is why they do not have time to talk with the patients: Greeting from outside means establishing a physical barrier in the communication: With this attitude, they do not realize that communication is an important interaction tool in nursing care: With respect to truthfulness, a component of communication, the participants request from the nurse: This is how truthfulness is a reciprocal condition of humanized care, given that when coonamed feel they are being told the truth, they trust what is expressed by the professionals and take it seriously.
In contrast, nurses fall into contradictions and incur in errors originated by medical behaviors of secrecy; a nurse expressed it thus: Frequently, the person delivering the cancer diagnosis does not have enough preparation to provide this type of information, clear doubts or provide support in that situation, as shown by the following testimony: Dehumanized behaviors refer to physicians and nurses.
Indifference and disillusionment were expressed in many ways: Also, some allude to bad care from the nursing personnel, a situation that has led some to extreme measures: Pablo was green with pain and they wouldn’t see him E Another dehumanizing behavior refers to treating adult patients like children, infant treatment which takes away the capacity to make decisions and ultimately csao a dehumanizing behavior and their diminished autonomy: