Análise do registro da funcionalidade de idosos com câncer de próstata pós prostatectomia radical: um estudo retrospectivo

Abstract

The increase in the elderly population is evident in the face of the transformations permeating our society, and in this context, understanding the challenges related to old age is fundamental, especially considering that this group has proven to be more vulnerable to the onset of chronic diseases that impact functionality. Among these conditions, cancer stands out as one of the main public health problems, with prostate cancer being the most incident among the elderly male population. Individuals with prostate cancer undergoing treatments such as radical prostatectomy are exposed to risks that can compromise well-being and functionality, and thus, given the aging process and the incidence of chronic diseases, it is up to health professionals to pay attention to the impacts of illness on the functionality of this group. This study aimed to analyze how the functionality of elderly patients with prostate cancer after radical prostatectomy is assessed, identifying the aspects documented in medical records, and the occurrence of referrals to Occupational Therapy. This is a retrospective study based on the analysis of medical records of elderly men with prostate cancer who underwent radical prostatectomy surgery at the Professor Edgard Santos University Hospital. Based on the results obtained, it was observed that the main records focused on urinary incontinence, erectile dysfunction, and sexual intercourse, with no notes on the impact of these complications on the patients' functionality. There was also an absence of records regarding emotional aspects such as anxiety, depression, or low self-esteem, and difficulties in social participation or work, as well as the lack of use of assessment tools and referrals to Occupational Therapy. The inclusion of this profession could favor more comprehensive assessments and interventions, considering the impact of the illness on the functionality of these elderly men. Thus, this study reflects on the importance of broadening the professional perspective on the impacts of illness on functionality.