Interdisciplinarity and Integrality: the Approach of Social Worker and Nurses in INCA

Abstract

Introduction: Based on the philosophy of expanded clinic, social workers and nursing staff of the outpatient care of the Section of Head and Neck Surgery develop joint activities, systematizing information and actions that complement each other, aiming at integral care for patients with cancer of the larynx. Objectives: To demonstrate the importance of designing expanded clinic in the health-disease process, from the experience of the social worker and nursing with these patients; analyze the actions that facilitate users' access to health care, social and labor, and social security rights; and to describe the outcome of interventions. Method: Cross-sectional study of secondary data of patients with laryngeal cancer with descriptive and inferential statistical analysis. Results: Analyzed 153 cases, mostly male, aged between 46 and 65, white, married, primary education, residents outside Rio, smokers, drinkers, advanced staged patients treated with radiotherapy or surgery with radiotherapy, mostly family providers with autonomous pension bond and family income up to two minimum wages. Nursing actions totaled 19,455. Age and irradiation were significant for care. Conclusion: It demonstrated the importance of extended clinic to produce comprehensive care focused on customers, exerting the interdisciplinarity a fundamental role in triggering strategies to deal with the effects caused by the disease.