A comunicação é uma ferramenta facilitadora nos cuidados paliativos, possibilitando o desenvolvimento de um processo terapêutico baseado em valores humanísticos universais, com benefícios para equipe, paciente oncológico e família. Essa temática é de grande importância e evidencia as contribuições significativas para a prática clínica no contexto dos cuidados paliativos em oncologia com ênfase na comunicação.
PALAVRAS-CHAVE:
Cuidados Paliativos; Oncologia; Comunicação; Revisão
| Title | Objectives | Conclusion |
|---|---|---|
| Communicating bad news: an Integrative Review of the nursing literature | Describe the process of communicating bad news and identify how nurses communicate bad news. | Nurses' approach and ability to transmit messages influence the reaction of patients to information. |
| Comunicação interpessoal com pacientes oncológicos em cuidados paliativos | Understand the process of interpersonal communication in patients' course of palliative care based on Peplau. | The needs felt by patients were met through effective communication. |
| A comunicação na transição para os cuidados paliativos: artigo de Revisão | Present a brief Review of the national and international literature on communication during the transition from curative care to palliative care in oncology | The main focus of the published studies was to prepare professionals for better communication and interpersonal relationships, promote greater safety and perception of their self-efficacy regarding patients, family members, and members of multidisciplinary teams. |
| Comunicação terapêutica na Enfermagem: dificuldades para o cuidar de idosos com câncer | Assess the difficulties and their causes, from the nurses' perspective, in providing assistance to the elderly with oncologic pathologies. | Nurses showed positive feelings, acknowledging the importance of developing skills, such as therapeutic communication, that can help patients to have quality in palliative care. |
| Compassionate Honesty | Report on communication in palliative care | Honest communication of the clinical reality allows patients to make better-informed decisions about treatment options. |
| Comunicação de Más Notícias | Present suggestions for action on the verbal and non-verbal dimensions of interpersonal communication that allow reducing patient, family, and professional stress and anxiety. | People need to know the truth throughout their lives, not only in the end, out of respect, so they can develop autonomy and free-will. |
| Morte: o difícil desfecho a ser comunicado pelos médicos | Understand, from a physicians' perspective, the process of communicating bad news. | Considering the massive denial around death and its interdiction, it is easy to understand how difficult it is to demand a dying patient to look at death and to communicate it to their loved ones. |
| Comunicação de más notícias pelos médicos no primeiro ano de internato: um estudo exploratório | Explore the perspective of new interns regarding their preparation to communicate bad news and regarding the characteristics of medical programs curricula considered desirable for an adequate formation | To improve the preparation of new interns in communicating bad news the emotional aspects of the process must be approached. |
| Title | Objectives | Conclusion |
|---|---|---|
| Assessment of cancer pain in a patient with communication difficulties: a case report | Use the Abbey Pain Scale to assess cancer pain in patients with communication difficulties | The use of the Abbey Pain Scale assists in the approach to relieve the pain of non-communicative patients with cancer. |
| Does communication skills training make a difference in patients' experiences of consultations in oncology and palliative care services? | Assess whether advanced training in communication skills enhances the experience of patient consultations. | Training in communication skills reflects greater professional empathy as assessed by patients and enhances the experience during consultations |
| Association between patient-reported symptoms and nurses' clinical impressions in cancer patients admitted to an acute palliative care unit | Prospectively compare symptoms reported by patients using the Edmonton Symptom Assessment System instrument. | The clinical perspective of nurses highly trained in palliative care showed a weak association with the intensity of symptoms reported by the patient. |
| Specific training program improves oncologists' palliative care communication skills in a randomized controlled trial. | Demonstrate that concise and individual training in communication skills improves the communication skills of oncologists in consultations focused on the transition to palliative care. | Concise and individual training in communication skills improved specific and general communication skills of quite inexperienced physicians. |
| Pediatric Palliative Care in the Age of eHealth: Opportunities for Advances in HIT to Improve Patient-Centered Communication | Seeks to identify the effective use of existing and under-development information technology in healthcare to improve communication and care in a clinical setting. | Provides a model for more optimized use of technologies, effectively using technology solutions based on standards to improve communication and the quality of care. |
| Discussing the transition to palliative care: evaluation of a brief communication skills training program for oncology clinicians. | Develop a brief communication skills workshop to assist oncologist during the transition from active anti-cancer treatment to palliative care | The workshop provided relevant practical information to participants and increased confidence in the communication about the transition to palliative care. |
| Addressing the transition from curative to palliative care: concept and acceptance of specific communication skills training for physicians in oncology COM-ON- | Evaluate a concise and individual training session on communication skills | The specific, individual, and concise training session on communication skills presented is well accepted, and physicians found there were a high practical relevance and strong personal benefits. |
| Caracterização dos recursos de comunicação utilizados por pacientes em cuidados paliativos – Revisão integrativa | Complete an integrative review of publications regarding the role of speech therapists on communication strategies in palliative care | Different forms of non-verbal communication are the most frequently used resource, and communication is an important factor for maintaining dignity and comfort in this scenario. |
| The P-A-C-I-E-N-T-E Protocol: An instrument for breaking bad news adapted to the Brazilian medical reality | Proposes a genuinely Brazilian communication tool and assesses its acceptance among physicians and nurses | The PACIENTE Protocol was proposed as a tool to guide and facilitate communication and proved to be practical and useful for most participants of this study. |
| Title | Objectives | Conclusion |
|---|---|---|
| De um lado ao outro: o que é essencial? Percepção dos pacientes oncológicos e de seus cuidadores ao iniciar o tratamento oncológico e em cuidados paliativos | Assess the perception of oncology patients and their caregivers at the beginning of the diagnostic and therapeutic approach, and during palliative care. | Trust mediated by good communication and constancy of care are seen as fundamental for the satisfaction of caregivers and cancer patients throughout the course of the disease. |
| Importância da comunicação nos cuidados paliativos em oncologia pediátrica: enfoque na Teoria Humanística de Enfermagem | Investigate and analyze communication in palliative care in pediatric oncology, from the perspective of nurses, based on the Humanistic Theory of Nursing. | Communication is considered an effective element in the care of children with cancer and is of the utmost importance to promote palliative care when grounded in the Humanistic Theory of Nursing. |
| Cuidados paliativos à criança com câncer | Understand the existential experience of nurses when caring for children with cancer without therapeutic possibilities. | Nurses acknowledge the importance of communication with children with cancer undergoing palliative care. There was an emphasis on attention to the non-verbal behavior of children, through eye contact and touch. |
| Cuidados paliativos sob a ótica de familiares de pacientes com neoplasia de pulmão | Learn what family members of patients with lung cancer understand of this therapy | The research indicates the need for training on and diffusion of palliative care practices, particularly regarding communication as a tool for improving care. |
| Crianças e adolescentes com câncer em cuidados paliativos: experiência de familiares | Investigate the experience of family members when caring for children and adolescents with cancer, undergoing palliative care, particularly in end-of-life care. | Family knowledge and participation in end-of-life care are driven by the communication of difficult updates between health teams, patients, and their families. However, this communication, when present, proved to be ineffective, with confusing and ambiguous information. |
