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Serviço social e cuidados paliativos : a intervenção do assistente social integrado na equipa de cuidados paliativos
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A presente investigação foca-se na intervenção do assistente social no âmbito dos cuidados paliativos, tencionando compreender como é reflectida a identidade da profissão de Serviço Social, integrado na equipa de Cuidados Paliativos.
A pergunta de investigação que direccionou esta dissertação é: Qual a intervenção do Assistente Social integrado na equipa de Cuidados Paliativos?
E teve por base os objectivos: identificar os princípios e a metodologia da intervenção do assistente social em cuidados paliativos; analisar a percepção que os profissionais integrados na equipa de cuidados paliativos têm sobre a intervenção do assistente social; e compreender a articulação interdisciplinar na intervenção da equipa de cuidados paliativos.
A presente investigação qualitativa enquadra-se no paradigma interpretativo. Foram realizadas 13 entrevistas semi-estruturadas aos profissionais multidisciplinares que integram as equipas da Unidade de Cuidados Continuados Integrados – Residência São Domingos e da Unidade de Medicina Paliativa, do Centro Hospitalar Lisboa Norte, EPE, Hospital de Santa Maria. Durante a recolha dos dados apresentados foi tida em conta a disponibilidade dos profissionais.
Quanto aos resultados obtidos com esta investigação verifica-se que os princípios de intervenção do assistente social em Cuidados Paliativos se baseiam na dignidade e no respeito, o que implica o princípio da confidencialidade. A intervenção do assistente social está presente em todos os aspectos da vida do doente, dado que não têm a sua intervenção apenas direccionada para a doença, mas também ao nível das suas necessidades, relações familiares e profissionais. Quanto à percepção dos profissionais integrados na equipa de cuidados paliativos têm sobre a intervenção do assistente social, pode-se verificar que os profissionais entrevistados consideram a sua intervenção fundamental para a acção decorrida com os doentes e suas famílias, em Cuidados Paliativos. Contudo também se verificou que o apoio no luto não deve ser reduzido a pequenas acções isoladas, bem como o acompanhamento deverá ser mais constante e com maior disponibilidade horária.
This research focuses on the intervention of the social worker in the context of palliative care, intending to understand how it reflects the identity of the profession at Social Work, integrated in the Palliative Care team. The research question that directed this thesis is: Which is the intervention of integrated social worker in the palliative care team? And it was based on the following goals: identify the principles and the methodology of intervention of the social worker in palliative care; analyze the perception that professionals integrated into the palliative care team have on the intervention of the social worker; and understand the interdisciplinary articulation in the intervention of the palliative care team. This qualitative research falls within inside the interpretative paradigm. Were conducted 13 semi-structured interviews with multidisciplinary professionals that make up the teams of the Unit for Integrated Continuous Care - Residência de São Domingos and the Medical Unit palliative, Centro Hospitalar Lisboa Norte, EPE, Hospital de Santa Maria. These interviews have been made according the availability of these professionals. As for the results of this investigation it appears that the principles of intervention of the social worker in Palliative Care are based on dignity and respect, which implies the principle of confidentiality. The intervention of the social worker is present in all aspects of patient's life, as they don't have their intervention only directed to illness, but also the level of your needs, family and professional relationships. As for the perception of integrated professionals in palliative care team have on the intervention of the social worker, it can be seen that professionals surveyed think their intervention essential with patients and their families in Palliative Care. However it was also found that support in grief should not be reduced to small isolated actions and the monitoring should be steadier and more time availability.
This research focuses on the intervention of the social worker in the context of palliative care, intending to understand how it reflects the identity of the profession at Social Work, integrated in the Palliative Care team. The research question that directed this thesis is: Which is the intervention of integrated social worker in the palliative care team? And it was based on the following goals: identify the principles and the methodology of intervention of the social worker in palliative care; analyze the perception that professionals integrated into the palliative care team have on the intervention of the social worker; and understand the interdisciplinary articulation in the intervention of the palliative care team. This qualitative research falls within inside the interpretative paradigm. Were conducted 13 semi-structured interviews with multidisciplinary professionals that make up the teams of the Unit for Integrated Continuous Care - Residência de São Domingos and the Medical Unit palliative, Centro Hospitalar Lisboa Norte, EPE, Hospital de Santa Maria. These interviews have been made according the availability of these professionals. As for the results of this investigation it appears that the principles of intervention of the social worker in Palliative Care are based on dignity and respect, which implies the principle of confidentiality. The intervention of the social worker is present in all aspects of patient's life, as they don't have their intervention only directed to illness, but also the level of your needs, family and professional relationships. As for the perception of integrated professionals in palliative care team have on the intervention of the social worker, it can be seen that professionals surveyed think their intervention essential with patients and their families in Palliative Care. However it was also found that support in grief should not be reduced to small isolated actions and the monitoring should be steadier and more time availability.
Descrição
Tese de mestrado, Cuidados Paliativos, Universidade de Lisboa, Faculdade de Medicina, 2017
Palavras-chave
Cuidados paliativos Serviço social Comunicação Técnicas e métodos de intervenção Teses de mestrado - 2017