Existential and bioethical aspects of palliative care in cancer

Detalhes bibliográficos
Autor(a) principal: Langaro, Fabíola
Data de Publicação: 2023
Outros Autores: Schneider, Daniela Ribeiro
Tipo de documento: Artigo
Idioma: por
spa
eng
Título da fonte: Revista Bioética (online)
Texto Completo: https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953
Resumo: Severe illness places individuals in direct confrontation with death, an element of the experience of living. A total of 12 interviews were conducted with adults undergoing palliative care in cancer, and investigated by phenomenological analysis, describing the axes of meaning produced in the narratives. Analysis of the ways individuals (re)organize their life projects based on illness and finitude identified three dimensions: spirituality/religiosity; life in the family; relationship with death. The meaning patients attribute to existential trajectories and the relationship established with their life project are essential for treatment adherence and coping with death. Resignifying life, illness and death can relieve suffering and help patients give meaning to the time left. Such questions help us reflect on the bioethical dimension of palliative care and enable planning in this modality of care.
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spelling Existential and bioethical aspects of palliative care in cancerAspectos existenciales y bioéticos en cuidados paliativos oncológicosAspectos existenciais e bioéticos nos cuidados paliativos oncológicosAttitude to death. Palliative care. Existentialism.Actitud frente a la muerte. Cuidados paliativos. Existencialismo.Atitude frente a morte. Cuidados paliativos. Existencialismo.Severe illness places individuals in direct confrontation with death, an element of the experience of living. A total of 12 interviews were conducted with adults undergoing palliative care in cancer, and investigated by phenomenological analysis, describing the axes of meaning produced in the narratives. Analysis of the ways individuals (re)organize their life projects based on illness and finitude identified three dimensions: spirituality/religiosity; life in the family; relationship with death. The meaning patients attribute to existential trajectories and the relationship established with their life project are essential for treatment adherence and coping with death. Resignifying life, illness and death can relieve suffering and help patients give meaning to the time left. Such questions help us reflect on the bioethical dimension of palliative care and enable planning in this modality of care.La enfermedad grave lleva al sujeto a la factibilidad de la muerte, una experiencia del vivir. Se realizaron doce entrevistas con adultos en cuidados paliativos oncológicos; y para el análisis se aplicó la perspectiva fenomenológica, con una descripción de los ejes de sentido producidos en los relatos. Se encontraron tres dimensiones de cómo las personas (re)organizan sus proyectos de ser a partir de la enfermedad y la finitud: Espiritualidad/religiosidad; ser en familia; relación con la muerte. El sentido de las trayectorias existenciales y la relación con el proyecto de ser son fundamentales para la adherencia al tratamiento y el enfrentamiento de la muerte. Resignificar la vida, la enfermedad y la muerte alivia el sufrimiento del paciente y le ayuda a dar sentido al tiempo que aún le queda. Estos interrogantes permiten reflexionar sobre la dimensión bioética en los cuidados paliativos y auxilian en la planificación de ese tipo de asistencia.O adoecimento grave lança o sujeito à facticidade da morte, que faz parte da experiência do viver. Realizaram-se 12 entrevistas com adultos em cuidados paliativos oncológicos, as quais foram analisadas sob a perspectiva fenomenológica, com descrição dos eixos de significado produzidos nas narrativas. Verificaram-se três dimensões do modo como as pessoas (re)organizam seus projetos de ser a partir do adoecimento e da finitude: espiritualidade/religiosidade; ser em família; relação com a morte. O significado atribuído às trajetórias existenciais e à relação estabelecida com projeto de ser são fundamentais para o paciente aderir ao tratamento e enfrentamento da morte. Além disso, ressignificar vida, doença e morte oferece alívio ao sofrimento e auxilia o paciente a dar sentido ao tempo que ainda lhe resta. Tais questões são importantes para refletir sobre a dimensão bioética nos cuidados paliativos e auxiliam no planejamento desta modalidade de atenção. CFM2023-01-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado por ParesPesquisa qualitativa em saúdeapplication/pdfapplication/pdfapplication/pdfhttps://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953Revista Bioética; Vol. 30 No. 4 (2022): Revista Bioética 30 (4)Revista Bioética; Vol. 30 Núm. 4 (2022): Revista Bioética 30 (4)Revista Bioética; v. 30 n. 4 (2022): Revista Bioética 30 (4)1983-80341983-8042reponame:Revista Bioética (online)instname:Conselho Federal de Medicina (CFM)instacron:CFMporspaenghttps://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953/3018https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953/3041https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953/3063Copyright (c) 2023 Revista Bioéticainfo:eu-repo/semantics/openAccessLangaro, FabíolaSchneider, Daniela Ribeiro2023-01-19T18:28:35Zoai:ojs.emnuvens.com.br:article/2953Revistahttps://revistabioetica.cfm.org.br/revista_bioeticaPUBhttps://revistabioetica.cfm.org.br/revista_bioetica/oaibioetica@portalmedico.org.br||revistabioetica@gmail.com1983-80421983-8034opendoar:2023-01-19T18:28:35Revista Bioética (online) - Conselho Federal de Medicina (CFM)false
dc.title.none.fl_str_mv Existential and bioethical aspects of palliative care in cancer
Aspectos existenciales y bioéticos en cuidados paliativos oncológicos
Aspectos existenciais e bioéticos nos cuidados paliativos oncológicos
title Existential and bioethical aspects of palliative care in cancer
spellingShingle Existential and bioethical aspects of palliative care in cancer
Langaro, Fabíola
Attitude to death. Palliative care. Existentialism.
Actitud frente a la muerte. Cuidados paliativos. Existencialismo.
Atitude frente a morte. Cuidados paliativos. Existencialismo.
title_short Existential and bioethical aspects of palliative care in cancer
title_full Existential and bioethical aspects of palliative care in cancer
title_fullStr Existential and bioethical aspects of palliative care in cancer
title_full_unstemmed Existential and bioethical aspects of palliative care in cancer
title_sort Existential and bioethical aspects of palliative care in cancer
author Langaro, Fabíola
author_facet Langaro, Fabíola
Schneider, Daniela Ribeiro
author_role author
author2 Schneider, Daniela Ribeiro
author2_role author
dc.contributor.author.fl_str_mv Langaro, Fabíola
Schneider, Daniela Ribeiro
dc.subject.por.fl_str_mv Attitude to death. Palliative care. Existentialism.
Actitud frente a la muerte. Cuidados paliativos. Existencialismo.
Atitude frente a morte. Cuidados paliativos. Existencialismo.
topic Attitude to death. Palliative care. Existentialism.
Actitud frente a la muerte. Cuidados paliativos. Existencialismo.
Atitude frente a morte. Cuidados paliativos. Existencialismo.
description Severe illness places individuals in direct confrontation with death, an element of the experience of living. A total of 12 interviews were conducted with adults undergoing palliative care in cancer, and investigated by phenomenological analysis, describing the axes of meaning produced in the narratives. Analysis of the ways individuals (re)organize their life projects based on illness and finitude identified three dimensions: spirituality/religiosity; life in the family; relationship with death. The meaning patients attribute to existential trajectories and the relationship established with their life project are essential for treatment adherence and coping with death. Resignifying life, illness and death can relieve suffering and help patients give meaning to the time left. Such questions help us reflect on the bioethical dimension of palliative care and enable planning in this modality of care.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-03
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado por Pares
Pesquisa qualitativa em saúde
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953
url https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953
dc.language.iso.fl_str_mv por
spa
eng
language por
spa
eng
dc.relation.none.fl_str_mv https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953/3018
https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953/3041
https://revistabioetica.cfm.org.br/revista_bioetica/article/view/2953/3063
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Bioética
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Bioética
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
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dc.publisher.none.fl_str_mv CFM
publisher.none.fl_str_mv CFM
dc.source.none.fl_str_mv Revista Bioética; Vol. 30 No. 4 (2022): Revista Bioética 30 (4)
Revista Bioética; Vol. 30 Núm. 4 (2022): Revista Bioética 30 (4)
Revista Bioética; v. 30 n. 4 (2022): Revista Bioética 30 (4)
1983-8034
1983-8042
reponame:Revista Bioética (online)
instname:Conselho Federal de Medicina (CFM)
instacron:CFM
instname_str Conselho Federal de Medicina (CFM)
instacron_str CFM
institution CFM
reponame_str Revista Bioética (online)
collection Revista Bioética (online)
repository.name.fl_str_mv Revista Bioética (online) - Conselho Federal de Medicina (CFM)
repository.mail.fl_str_mv bioetica@portalmedico.org.br||revistabioetica@gmail.com
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