Proposta de uma ficha de avaliação fisioterapêutica para pacientes mastectomizadas

Abstract

Introduction: Breast cancer is the most common type of cancer among women in the world and in Brazil, after non-melanoma skin, accounting for about 28% of new cases each year. The treatment, besides involving breast surgery - conservative or not, covers chemotherapy, radiotherapy and hormone therapy, which are aggressive and invasive therapeutic measures, with serious bodily consequences that affect the woman's life. The aim of this study was to develop an evaluation tool that allows the establishment of the physiotherapeutic diagnosis, the short, medium and long term goals, to obtain quantified values that allow the verification of the effectiveness of the therapy during the rehabilitation process. Methods: The article was composed of a systematic review of the literature and the construction of the research was according to the PICO strategy that represents: Patient, Intervention, Comparison and Outcomes that are important components to the Evidence Based Practice. Results: The physical therapy evaluation protocol was elaborated from the development of seven stages of investigation, containing patient identification, anamnesis, lifestyle research, data regarding patient surgery, physical examination, anthropometric data collection, inspection edema perimetry, limb sensitivity, muscle strength, goniometry, associated complications, evaluation of upper limb function, quality of life, sexuality, self-esteem and home guidelines. Conclusion: We conclude that we need an evaluation tool that allows a detailed view of the patient's physical, functional, self-esteem, quality of life, sexuality and social conditions.