RESUMEN
Spirituality is the human dimension that helps human beings to reflect about their own existence, to try to answer to questions like: what are we living for? This search of meaning is still more pronounced in those who suffer an advanced and incurable disease. This clear need is nevertheless not always acknowledge by the patient, making it difficult to detect and manage it in the daily care by healthcare professionals. In an effort to establish an effective therapeutic relationship, they have to keep in mind also this spiritual dimension, already integrated in the concept of comprehensive care and usually offered to all patients, especially in those who are at the end of life. With this work we have tried, on the one hand, to know the opinion of nurses and TCAE about spirituality through a self-design survey. On the other hand, we wanted to know how this suffering experience may impact on the professionals, as well as if the development of their own spirituality, differently expressed, may have positive effects on the patients. To this end, healthcare professionals have been selected from an oncology unit, those who day by day are facing the impact of suffering and death of their patients.
Asunto(s)
Actitud del Personal de Salud , Espiritualidad , Humanos , Pacientes , Encuestas y Cuestionarios , MuerteRESUMEN
La espiritualidad es la dimensión humana que guía al hombre en la reflexión de su propia existencia,para intentar descubrir el por qué y para qué vive. Esta búsqueda de sentido es todavía más frecuente enaquellos que sufren una enfermedad avanzada e incurable. Habitualmente, sin embargo, esta necesidadno es reconocida por el enfermo, lo cual dificulta su detección y manejo en la atención y cuidado diario porparte de los profesionales sanitarios. Éstos, para poder establecer una relación de ayuda efectiva, debencontemplar también esta dimensión espiritual dentro del concepto de atención integral que se ofrece atodos los pacientes, sobre todo a los que se encuentran en una fase avanzada de la enfermedad. Con estetrabajo hemos intentado, por un lado, conocer la opinión de Enfermeras y TCAE sobre la espiritualidad através de una encuesta de diseño propio. Por otro, hemos querido descubrir cuál es la repercusión espiri-tual que esta experiencia de sufrimiento del paciente tiene sobre los profesionales, así como si el cultivode la espiritualidad de estos, expresada de diferente manera, puede tener efectos positivos también enaquellos. Para ello se han seleccionado profesionales sanitarios de una unidad de oncología que viven dia-riamente el impacto del sufrimiento y la muerte de sus pacientes.(AU)
Spirituality is the human dimension that helps human beings to reflect about their own existence, totry to answer to questions like: what are we living for? This search of meaning is still more pronounced inthose who suffer an advanced and incurable disease. This clear need is nevertheless not always acknowl-edge by the patient, making it difficult to detect and manage it in the daily care by healthcare profes-sionals. In an effort to establish an effective therapeutic relationship, they have to keep in mind also thisspiritual dimension, already integrated in the concept of comprehensive care and usually offered to allpatients, especially in those who are at the end of life. With this work we have tried, on the one hand, toknow the opinion of nurses and TCAE about spirituality through a self-design survey. On the other hand,we wanted to know how this suffering experience may impact on the professionals, as well as if the devel-opment of their own spirituality, differently expressed, may have positive effects on the patients. To thisend, healthcare professionals have been selected from an oncology unit, those who day by day are facingthe impact of suffering and death of their patients.(AU)
Asunto(s)
Humanos , Espiritualidad , Actitud Frente a la Muerte , Atención de Enfermería , Enfermeros , Bioética , EnfermeríaRESUMEN
Age is the biggest risk factor for colorectal cancer, with 70% of the cases in patients over 70 years old. For this reason, a review is presented on the surgical treatment and chemotherapy of cancer of colon and rectum in the elderly. A search was performed in PubMed, including words such as elderly, surgery, colorectal cancer, chemotherapy, radiotherapy, and oncogeriatrics, and review articles and originals on treatment of colorectal cancer in the elderly were selected. A narrative form was developed from the latest evidence with the results obtained on the treatment of this pathology. Although the treatment of colorectal cancer is standardised, a prior comprehensive geriatric assessment is required in the case of the elderly, before deciding the type of treatment in order to offer these robust elderly-standardised guidelines for the robust elderly and adapt them for use in fragile patients.
Asunto(s)
Neoplasias Colorrectales/tratamiento farmacológico , Neoplasias Colorrectales/cirugía , Anciano , Anciano de 80 o más Años , Evaluación Geriátrica , HumanosRESUMEN
La edad es el mayor factor de riesgo para el cáncer colorrectal, encontrándose un 70% de los casos en mayores de 70 años. Por este motivo nos propusimos realizar una revisión del tratamiento quirúrgico y quimioterápico del cáncer de colon y recto en el anciano. Para ello se realizó una búsqueda en PubMed incluyendo palabras como elderly, surgery, colorectal cancer, chemotherapy, radiotherapy y oncogeriatrics, y se seleccionaron los artículos de revisión y originales sobre tratamiento del cáncer colorrectal en el anciano. Con los resultados obtenidos se desarrolla de forma narrativa la evidencia más actualizada en el tratamiento de esta patología. Aunque el tratamiento del cáncer colorrectal está estandarizado, en el caso del anciano es necesario realizar una valoración geriátrica integral previa antes de decidir el tipo de tratamiento, con el objetivo de ofrecer estas pautas estandarizadas a ancianos robustos y adaptarlas en los pacientes frágiles (AU)
Age is the biggest risk factor for colorectal cancer, with 70% of the cases in patients over 70 years old. For this reason, a review is presented on the surgical treatment and chemotherapy of cancer of colon and rectum in the elderly. A search was performed in PubMed, including words such as elderly, surgery, colorectal cancer, chemotherapy, radiotherapy, and oncogeriatrics, and review articles and originals on treatment of colorectal cancer in the elderly were selected. A narrative form was developed from the latest evidence with the results obtained on the treatment of this pathology. Although the treatment of colorectal cancer is standardised, a prior comprehensive geriatric assessment is required in the case of the elderly, before deciding the type of treatment in order to offer these robust elderly-standardised guidelines for the robust elderly and adapt them for use in fragile patients (AU)