Intervención médico-psicológica con paciente y familiares en un caso de cáncer ginecólogico en cuidados paliativos oncológicos

Abstract

Objetives: To show the efforts made from medical and psychological point of view in a case of extraovarian serous papillary carcinoma. We looked for the control of physical and psychological symptoms, as well as the increase of skills and resources in the patient and her family. Psychological problems: The patient showed a process of adaptative denial and some psycho-functional limitations (asthenia, decrease of autonomy, fistula, and pain) which affect her quality of life, in addition of anxiety, low state of mood and repeated thoughts. All of them had a repercussion in her family such as some fears, anxiety and incertitude. Method of intervention: The actions carried out considered patient and her family like a unit of intervention. Teamwork was done, as well as everyday coordination among the professionals from the moment of admission the patient in the hospital to the death. Also some follow-up with relatives were borne with regard to grief working- out. It was applied Counselling and psychological interventions from a cognitive-behavioral model. Results: We achieved to minimize reactions of anxiety, cognitives and affectives, to appreciate the existent resources in the whole family unit, decrease of worries, improve the communication between patient and her family, progressive adaptation to the proximity of denouement.