Dados do Trabalho

Título

MULTIDISCIPLINARY PATIENT CARE AT THE BEGINNING OF SYSTEMIC CANCER TREATMENT

Introdução

The diagnosis of cancer generates impacts for the patient and family during the treatment, causing suffering from the perspective of physical and emotional changes, given discomfort, pain, dependence, loss of self-esteem etc[1-4]. In turn, the use of chemotherapy is associated with adverse events and impairments in quality of life, requiring multidisciplinary support for greater adherence, functional coping and support[2,3].

Objetivo

Describe the plan to improve the care model for patients beginning systemic cancer treatment.

Método

From the qualitative analysis of the pilot project, a multidisciplinary initial consultation was developed based on several technical assessments (nursing, pharmacy and psychology).

Resultado

Considering the previous traditional care flow, with isolated nursing and pharmacy assessments on the first day of infusion, it was observed in addition to causing difficulties in understanding the information, it also caused an overload of work for the team, impairing quality of assistance. Thus, from the second half of 2020, with a coverage of 52% of patients, a pilot project was implemented where the nurse and pharmacist approached the patients together, even on the first day of treatment, with less repetition/excess of information, although maintenance of a high level of anxiety. With that, from the qualitative analysis of the data, the care model was reformulated, being implemented since January 2021 the proposal for the first consultation with the patient, now also in the presence of the psychologist, soon after the definition of the medical conduct and before the start date of treatment. In this format, are evaluated attitudes and beliefs towards the disease, health history, coping resources, habits, medications etc, a manual with general guidelines and care is sent in advance, suggested coming to the consultation accompanied by a family member in order to resolve possible doubts about adverse events and symptom management, promoting greater bond with the family and educating them, reducing fears and anxiety, in addition to presenting the service, reaching 90% of patients in the first half of 2021.

Conclusão

With the new format of care, gains were observed in coping with cancer treatment, notably a decrease in anxiety symptoms and understanding of the illness, strengthening of trust in the team, more assertive support also to the family and health education, as a result of favoring a multidisciplinary care personality planning, in addition to reducing care overload.

Palavras-chave

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chemotherapy; multidisciplinary care;
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Humanization