Navegando por Assunto "Hospital"

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A clínica psicanalítica no hospital: a elaboração do sofrimento psíquico a partir da angústia em pacientes oncológicos
(Universidade Federal do Pará, 2024-06-10) SOUZA, Elaine Antunes de; PENA, Breno Ferreira; http://lattes.cnpq.br/1587208433134328
This present work will address the dimension of the psychoanalytic clinic in the hospital, considering the psychic elaboration of suffering in subjects who are overcome by anguish when facing an oncological diagnosis. In the context of oncological treatment, we find the social representation of the disease associated with death, still considered a taboo topic. This social imaginary has very ancient roots in history, being marked by intense physical and psychological suffering, since the disease was often accompanied by death, regardless of the treatment carried out. When it comes to illness due to cancer, the exercise of psychoanalysis in the hospital takes place on an urgent basis, or better said, subjective urgency, in which we seek to understand the psychic repercussions, which are shaken at this moment of illness. The idea of subjective urgency refers to the breaking of the subject's speech when faced with something unbearable, without symbolic mediation. At this moment, lacking words to name this situation, the ill subject positions his psychic reality in action. Suffering manifested through human relationships and the finiteness of one's own body presents itself in an imperious way, as it links suffering to what is ineluctable and escapes the subject's full control. And the body, as it is part of nature, imposes limits in relation to its functioning and duration, which in this case, we can consider the experience of psychological suffering in cancer, being manifested in the body. To understand anguish, which from the beginning became central in psychoanalytic theory, Freud came across this concept in the clinic of neuroses, starting to investigate its forms of psychic manifestations, developing his theory addressing this important concept. In his Draft It is considered one of the most important writings addressed to Fliess, on the affect of anxiety, which associates it with another central concept in psychoanalytic theory, sexuality. We can observe that Freud writes about two theories, the first mentioned as being a transformation of libido and the second, the theory of repression. For Lacan, anguish is an affect, but he considers it not to be a symptom. To the extent that it configures anguish as an affect, it characterizes it aimlessly, completely adrift, because it is never repressed. It is this characteristic of it that makes it so unsettling, as it is not tied to the network of signifiers that is impossible to represent. In this way, the psychoanalytic clinic in the health institution considers the difference between illness inscribed in the body and illness as an experience. In this aspect, the psychoanalyst will seek to provide the transition from the event itself to an experience, enabling the construction of subjectivation, elevating such illness to the position of experience producing unique knowledge. Since we are part of the hospital institution, it is important to think about the time of each subject, since the temporality of the hospital ignores its own temporality. Lacan presents us with the problematic of logic regarding time, discussing the constitution of three instances, namely: the moment of seeing, the time of understanding, the moment of concluding. We can associate these three concepts with the experience of becoming ill with cancer. Being the moment of seeing, the oncological diagnosis and despair emerged in the face of the certainty of one's own death, confronting the patient with the reality of human finitude. When moving to the time of understanding, with the establishment of transference, the subject reaches the process of psychic elaboration. And finally, the psychic work ends with the moment of concluding what you asked about. And as the subject is faced with such subjective experiences, he is confronted with the transience of his own life. The research method used was the clinical case study, carried out in a hospital institution in Belém do Pará, a reference in oncological treatment. The general objective was to understand psychoanalytic clinical practice in the hospital context, specifically the psychic elaboration based on the experience of anguish in cancer patients. The specific objectives included the investigation of the conception of anguish by Freud, Lacan and their commentators, the exploration of the relationship between anguish and cancer, and the identification of the process of elaboration of psychological suffering in cancer patients.
Acesso aberto (Open Access)
Os escravos da misericórdia
(Universidade Federal do Pará, 2013) HENRIQUE, Márcio Couto
This article analyzes the relationship of the Holly House of Mercy of Pará with their own slaves, along the 19th century. Based on documents produced by the presidents of the Province of Pará and the Holly House providers' reports, the article presents a historical account of the treatment dispensed to the slaves, the tasks were asked to perform, the conditions provided for such tasks, the importance of the slave work force as a source of income for the institution, the slaves' role during times of epidemics diseases, the diseases they were subjected to and the treatment they received. The research shows that, if eventually they used the institution medical services, it wouldn't be in hospitals as Holly House of Mercy that the slaves would find support to express their distress under the pressures of servitude.
Acesso aberto (Open Access)
Segurança no uso de medicamentos: ações de melhoria em um hospital em Belém, Pará, Amazônia
(Universidade Federal do Pará, 2022-11-29) OLIVEIRA, Thais Castro; SANTOS, Valéria Regina Cavalcante dos; http://lattes.cnpq.br/0213999310674716; https://orcid.org/0000-0002-1264-8125
Introduction: Health services, especially hospital institutions, are complex systems that involve several risks, which can be exemplified by drug therapy. Investigation and knowledge of the factors that determine the occurrence of medication errors allow for actions that strengthen safety in the medication chain and the patient. Objective: Implement actions to improve safety, prescription, administration and quality use of medicines in a hospital in Belém, Pará, Amazon. Method: The study took place in a philanthropic hospital, located in the city of Belém, Pará. A quantitative study was carried out in the action-research modality, data collection took place from December to January 2022, a semi-structured form was applied to assess patient safety in dispensing, preparation and administration. Results and discussion: 43 collaborators participated in this study, the analysis of the responses to the workers' behavior allowed us to identify that the professionals reported unsatisfactory performance of 4 actions (event notification; multidose recording; recording of temperature and medication by verbal order). From the weaknesses found, strategies were presented to minimize these occurrences, they are: elaboration of the safety protocol, use and administration of medications, standard operating procedure for high-alert medication and protocol for the use of multi-dose medications. Conclusion: It was identified that despite the knowledge of the risks and the need to guarantee patient safety through protocols for health services, it was noticed the need to implement basic and fundamental actions through institutional standards and routines, in accordance with with the local reality. Actions, when systematized, become possible applications in the safety of medication use and contribute to reducing potential risks and promoting safety and quality in the health work process.