RESUMO
BACKGROUND: Prostate cancer is the most common internal cancer in Australian men; more than 3000 men die annually from it. Public awareness of prostate cancer is an important factor in early detection and treatment. Women are known to act as 'health managers' for their families and may have a role to play in early detection. OBJECTIVE: To describe community perceptions of prostate cancer and identify information needs within the Australian context. METHOD: A qualitative study using focus group and individual interviews with 44 community volunteers, 18 men with recent diagnosis of prostate cancer and nine of their wives/partners (n=71). DISCUSSION: Men in the community are poorly informed about prostate cancer, prefer to ignore (male) health issues, and expect their general practitioners to provide authoritative advice on testing for prostate cancer. While women are also poorly informed, they are keen to change the prevailing situation of silence and lack of information in the community, and need to be included in public education campaigns.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Programas de Rastreamento/psicologia , Neoplasias da Próstata/diagnóstico , Neoplasias da Próstata/psicologia , Cônjuges , Adulto , Idoso , Austrália , Diagnóstico Precoce , Medicina de Família e Comunidade , Feminino , Grupos Focais , Educação em Saúde/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Medição de Risco , Fatores Sexuais , Apoio SocialRESUMO
There is currently very little research on how physicians respond to patients with cancer who decide to forgo or stop medically recommended "curative" therapy. The purpose of this article is to report on a qualitative study with 12 oncology specialists in Israel and Australia that addresses this question. The findings indicate that physicians tend to construct patients and their decisions in terms of mutually exclusive categories that focus on curability of the disease, rationality of the patient's decision, and patients' personal attributes. Physicians' constructions of their experience focus on uncertainty and concern. Although contextual factors play a role in how physicians act in this situation, Israeli and Australian oncologists are remarkably similar in how they describe their own and their patients' experiences.
Assuntos
Oncologia , Neoplasias/terapia , Relações Médico-Paciente , Recusa do Paciente ao Tratamento , Adulto , Anedotas como Assunto , Atitude do Pessoal de Saúde , Tomada de Decisões , Feminino , Humanos , Entrevistas como Assunto , Israel , Masculino , Pessoa de Meia-Idade , New South Wales , Pesquisa QualitativaRESUMO
En este artículo deseo comentar el fenómeno del dolor clínicamente infligido, es decir, el dolor que experimentan los pacientes y está directamente relacionado con los procedimientos o las tareas que realizan sobre ellos las enfermeras y otro personal de salud. En particular, deseo desafiar la presuposición, generalmente aceptada, de que el dolor infligido clínicamente es el mismo que cualquier otro tipo de dolores agudos, y quiero, además, delinear la naturaleza encarnada de este dolor. Los temas claves del daño y la dolorosidad del dolor infligido, la naturaleza lesionadora del dolor infligido, entregar el cuerpo a otros, y restringir el cuerpo y la voz serán discutidos, y se señalarán sus implicaciones para enfermería.