Interfaces entre cuidados paliativos, psicologia e percepções de uma equipe multiprofissional da hemato-oncologia infanto-juvenil

Abstract

Introduction: in Brazil, cancer occupies the second position of deaths of children and adolescents (0 to 19 years old), losing to deaths from external causes, configuring itself as the disease that kills the most in the country. Objective: to understand the feelings and behavior of the multiprofessional team in the care of children and adolescents in the face of psychic suffering in need of palliative care. Methodology: the study had a qualitative, exploratory approach. In addition, it was action research structured in four phases, which are: diagnosis, action, evaluation and reflection. The research was developed in an oncology unit, providing care for children and adolescents, in a university hospital, with the participation of 16 professionals from the multidisciplinary team. Data collection took place based on respect for ethical aspects and was carried out through online questionnaires. Results and discussion: the participants pointed to different feelings when they became aware that a certain child or adolescent has a disease for which there is no treatment that modifies the natural course of the disease, such as impotence, frustration, sadness, pain, suffering and anguish. And as a conduct, they revealed self-care attitudes. Final considerations: the work exercise in that scenario can be a generator of stress factors, as well as cause diseases in terms of the mental health of professionals. This highlights the importance of being aware of possible symptoms, and also highlights the indispensability of self-care and psychosocial projects on the part of the institution.