The ICU provider, Wallace-Barnhill
Wallace-Barnhill (cited Shoemaker, 1992) makes observations on the situation of medical aspects considering emotional, professional and historical characters involved, especially with regard to death and how it comes to be seen after the appearance of UTIs. Thus, said it reached a point where death is often seen as understandable by technology, and the failure of this is potentially preventable with developments in research. This turns out include, in part, the feel of a medical mistake. "Modern technology of omnipotence illusion tends to result in an ideal belief in out ability to solve a medical problem complex."
This context can then generate difficulties for the doctor dealing with death, with impotence before her, and with the personal problems of patients and their families. The technical skills and the challenge of critical diseases are the main focus of attention at the expense of concern for the comfort and care of patients and families. For this author, doctors seem to have become more insensitive not death itself, but the environment that surrounds it, and death shall be seen more intensively.
[...] Interventions are predominantly ego and conscious level (SEBASTIANI and Chiattone, 1991; Mello Filho, 1992; CORDIOLI, 1993). Thus, in the ICU many calls requires preparation and knowledge of pathological conditions and possible concomitant emotional manifestations. It is necessary, then, conducting a diagnostic assessment, albeit circumstantial, that the psychologist set its conduct in each particular case. In this review we will try to know the general emotional state of the patient, the posture illness, hospitalization and life, relevant psychosocial data, level of information about the disease and treatment, psychological and behavioral manifestations. [...]
[...] Freud S. (1913 {1912-1913}). Totem and Taboo. In: Standard Ed of the Complete Psychological Works, vol. XIII. [Translated by Jayme Solomon]. Rio de Janeiro: Imago; 1969. p. 13-192. MAURER LANE, ST, "Social psychology and a new conception of man for psychology," in social psychology: the man in motion, São Paulo, Brasiliense pp. [...]
[...] The service is also essential for the family. It is said that "the psychologist auscultation - know - the silence of suffering" in a friendly environment much more for organic aspects to emotional manifestations arising from the situation. It allows the person to be seen and fully staffed, that is, is not seen as a number of bed, but is seen in a particularized, individual basis. This allows to have her identity and especially their individual demand. The treatment consists of focal form, facing the current circumstances, seeking to facilitate adaptive behaviors for that phase of one's life. [...]
[...] It is assumed, however, that most of these considerations may apply to other team members. Bailey and Steffen (cited by Wallace-Barnhill, 1992) showed that the top three stressors were conflicts with other health professionals, dealing with unprepared staff, and lack of support in dealing with dying patients and death. Gentry (op.cit.) Noted that the ICU nursing staff tends to show more objective signs of anxiety, depression and hostility than those wards, and it seems to be the result of situational factors and not the personality traits between Two types of personal nursing. [...]
[...] The psychologist's action in the ICU extends almost always the family and clinical team, serving as a link and representing the patient uncompromising way. It also aims to facilitate links and establish a relationship of trust and authorization so that they can take care of it satisfactorily. With the family, plays a role of support and guidance to those who have significant affective representation for the patient, making it possible to organize in order to assist in the recovery process. [...]
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