Decidir,informado. Um estudo em hemodiálise

Abstract

Introduction The prolongation of the existence does not have to be decisive criterion to legitimize one definitive therapy. The conditions must be appreciated where the life if goes to draw out, seen before more, in the perspective of the sick person and the possible measure do for proper it. This attribution to the patient of the statute of true citizen, that not mere object, demands to the doctor a new paper: to authorize to the patient the essential elements so that this knows and understands, in the essential, the data of the problem and can thus exert conscientiously its power of decision. Objectives Having the sensation that nor always the sick people are informed duly, it wanted to perceive next to them, how much important attribute to the right to the information and of that it forms this contributed for the decision to initiate haemodialysis, as well as for the adaptation to the treatment. Material and Methods A qualitative study was carried through following the lines of orientation of Van Manen, where this question was boarded the sick people who if find in program of haemodialysis, through an interview not structuralized. Results and Conclusions After the analysis of the interviews, concludes that in context of haemodialysis, the necessity of treatment and the suffering, take the one that the sick people place at the moment of the decision, the information in second plain, therefore all had been unanimous that the malaise situation where if they found, and the lack of alternatives, took the one that did not have hesitations before the proposal of initiating treatment. In what it is mentioned has information lack, it appeared in the inserted study in the context of all a preparation that has that to exist not in such a way for the adaptation to the treatment and in what it respects to the decision taking. They in this way value the necessity of elaboration of all an informative process, pointing out that this must not only involve the understanding for the sick person but also for the family, of the meaning of the illness, and its consequences in the day by day. They point out the necessity to exist a orienting bond between them and the team of health, where they attribute a basic importance to the fact of the information to not only arrive through the support of some specialties and on the part of the doctor who attends them. Finally, one of the characteristics central offices of this experience is the determination that the participants present to mobilize its forces in the direction to continue the treatment. Here they had shown that they search aid in the information that had received from that haemodialysis could be a provisory treatment, and renews to each day its hopes of that at any time they can be submitted to the renal transplant.