This study evaluates the implementation and development of the Psychological Attendance
Emergency Service within an Intensive Care Unit - ICU of an university hospital linked to the
public health system, in Belém city (Pará). The service has been offered to patients family
members as well as to professionals of the intensive care team within the ICU, working in the
lobby of the sector, twice a week for four months. The author aimed to understand the
theoretical and methodological assumptions that grounds this type of care, as well as the
setting characteristics in which they relate to the objectives, roles and functions of the
emergency psychology service, as well as emergencies revealed in this context, both founded
on the Person-Centered Approach (PCA) It has been chosen the phenomenological qualitative
research method to evaluate the trajectories of seeding and germination of the Psychological
Emergency Attendance Consultation. Besides that, six clinicals cases were analyzed, to
borrow better understanding of this kind of psychological care in the ICU. Related to profile of
the persons studied it was observed that was mostly comprised by family members, women
ages 20 to 75 years on average, with the Elementary school and income of a minimum wage
per month. The results indicate the necessity and feasibility of provision of Psychological
Emergency Attendance Service in the ICU; the urgent demands for psychological help, have
been unfolded within the meanings that clients attributed to their experiences, such as, fear of
the family deaths, feelings of family abandonment, guilt for not being able to stay by his side,
intense grief because of health or when they died, among other.s It also unveiled two types of
consultation: the individual and the group, considering the demands specificities . It has been
emphasized the availability of care emergencies, welcoming and encouraging communication.
Therefore, it is consider that provision of Psychological Emergency Attendance Service in ICU
was revealed as necessary as well as a space to psychological care which has been accepted,
used and legitimated by clients. It was also set at two different moments, before and after the
visits. Regarding the first , we can distinguish the interventions addressed to wellcoming and
strengthening the organization of the self, while after the visists, the interventions aimed at
helping clients in reframing their threatening experiences as well as helping them reorganize
the self.
|
