El enfermo de cáncer: una aproximación a su representación social O paciente de câncer: uma aproximação a suas representações sociais The cancer patient: an approach to social representation
profissional de saúde
Philosophy. Psychology. Religion
Social sciences (General)
Full recordShow full item record
AbstractEsta investigación tiene como objetivo el análisis de la representación social del cáncer y de los enfermos oncológicos en la población española. Para ello se entrevistaron a 200 sujetos elegidos mediante muestreo al azar. El método utilizado fue la realización de entrevistas estructuradas que contenían asociaciones libres de palabras ante términos estimulo y preguntas semicerradas. Las respuestas obtenidas son analizadas a partir de análisis descriptivos y análisis de contenido. Los resultados nos indican que existe una representación social del cáncer y del enfermo oncológico y que parte de ella sufre variaciones en función de la pertenencia a determinadas categorías o grupos sociales. Estos resultados son relevantes en el contexto sanitario ya que dicho conocimiento permite a los sanitarios analizar su comunicación con el paciente y poder llevar a cabo un trato diferenciado del enfermo de cáncer, no por su pertenencia social a un grupo de enfermos determinado sino por sus peculiaridades personales lo que incrementa la efectividad de la acción profesional.<br>Esta pesquisa visa analisar as representações sociais do câncer e de pacientes de câncer na população espanhola. Para isso, foram entrevistados 200 sujeitos selecionados por amostragem aleatória. O método utilizado foi de entrevistas estruturadas contendo associações livres de palavras frente a termos de estímulo e questões semi-fechadas. As respostas obtidas foram analisadas com base em análise descritiva e análise de conteúdo. Os resultados indicam que existe uma representação social do câncer e de pacientes com câncer e que parte dela sofre alterações dependendo do pertencimento a certas categorias ou grupos sociais. Estes resultados são relevantes no contexto da saúde porque tal conhecimento permite aos profissionais analisar sua comunicação com o paciente e realizar um tratamento diferenciado do paciente com câncer, não por seu pertencimento social a um determinado grupo de pacientes, mas por suas características pessoais, aumentando assim a eficácia da ação profissional.<br>The objective of this research is to analyze the social representation of cancer and cancer patients in Spanish society. In order to do this we interviewed 200 subjects chosen by random opinion-based. The method used was structured interviews containing free associations of words to terms stimulus and semi-closed questions. Responses were analyzed with descriptive analysis and content analysis. The results indicate that there is a social representation of cancer and cancer patients. The peripheral core of these social representations suffers variations depending if the subject belongs to different social groups or categories. These results are important for Health because such knowledge allows professionals to analyze their communication with the patient and perform a different treatment in relation to cancer patient, not by his social belonging to a particular group of patients, but by their personal characteristics, thus increasing the effectiveness of professional action.
Showing items related by title, author, creator and subject.
Palliative home care: A designer′s perspectiveTigmanshu Bhatnagar (Wolters Kluwer Medknow Publications, 2015-01-01)The purpose for this observational research was to understand how Can Support provides palliative care at home and analyze its strengths and weaknesses in various socioeconomic scenarios for future development. In the period of 2 weeks, patients and their caregivers were silently observed in their natural surroundings during home care visits in order to listen their problems, identify the pattern of questions for the home care team, their natural way of storytelling, organizational techniques for medicines and medical reports, care givers lives, patient journey, etc. Such observations have enabled the understanding of the phenomena of home palliative care and have led to the identification of certain influential variables of the practice.
Metronomic chemotherapy in anaplastic thyroid carcinoma: A potentially feasible alternative to therapeutic nihilismSwaroop Revannasiddaiah; Irappa Madabhavi; Anita Bodh; Priyanka Thakur; Mukesh Sharma (Wolters Kluwer Medknow Publications, 2015-01-01)Anaplastic thyroid carcinoma (ATC) is one of the most aggressive malignancies and prognostic outlook remains very dismal. Treatment most often is palliative in intent attempting to relieve the patients from local compressive symptoms in the neck. Radical surgery, radiotherapy (RT), and chemotherapy have not been tested in large prospective trials, and current evidence from retrospective series and small trials indicate only marginal survival benefits. Given the poor prognostic and therapeutic outlook, patients must be encouraged to be actively involved in the decision making process. We report the case of an elderly patient who had no response to palliative RT, and was treated with oral metronomic chemotherapy. The response to oral metronomic chemotherapy was dramatic, and the patient has enjoyed complete freedom from symptoms as well as radiologically exhibits a complete regression. Thus, we document the first ever use of a simple, cost-effective, and convenient oral metronomic chemotherapeutic regimen delivering a remarkable response in an elderly patient with ATC.
Metastatic adenocarcinoma of prostate in a 28-year-old male: The outcome is poor in young patients?Renu Madan; Lavleen Singh; Kunhi Parambath Haresh; Goura Kishore Rath (Wolters Kluwer Medknow Publications, 2015-01-01)Prostate cancer is common in older patients. Rarity in younger population limits the study of natural history and prognosis in this population. Most of the published data has reported poor outcome in younger patients with metastatic prostate cancer. Here, we report a case of prostate cancer in 28-year-old male who presented with bone metastasis. After bilateral inguinal orchidectomy, he was started on anti-androgen therapy and received palliative radiotherapy for bone metastasis. There was only a slight decrease in prostate-specific antigen (PSA) level and pelvic disease post treatment. Subsequently, he was started on opioid analgesics (by World Health Organization, WHO, step ladder) in view of persistent pain. The index case is being presented for its rarity and probable poor outcome in young patients and to stress on the fact that the possibility of primary prostatic adenocarcinoma should be investigated in a male presenting with bone metastasis irrespective of the age.