In an isolated ward for Covid-19 cases, at the University Hospital of Brasília (HUB), patients are identified with information that goes beyond their full name, age and bed number. An initiative devised by the rheumatologist Isadora Jochims shows a little about who, in fact, is in that specific bed. It’s what she calls “affective medical record”.
“He likes: noise of water and birds; Raul Seixas; country music”, appears written in one of the notes.
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According to Isadora, 35, the initiative is part of actions to “humanize care”, in the midst of a pandemic scenario.
“I am tired of hearing that we are in a war. We are not in a war, we are in a pandemic, taking care of lives”, says the doctor.
Artistic intervention at the University Hospital of Brasilia (HUB) is part of a project to humanize care – Photo: Personal archive
Even before graduating, Isadora was already interested in artistic interventions. Today, she serves on the HUB Humanization Commission, and says that the affective medical record is one of the many expressions of art possible.
“This idea of artistic interventions in the health environment was a matter of survival. To make the environment lighter, provoking the professionals who are there, acting,” he says.
One of the daily activities of the rheumatologist is to call the patients’ family members to inform them about their health status, since those infected with the new coronavirus do not receive visits. It was during the calls that the doctor discovered the passions of the sick.
“I would pass on all the medical information, then I asked: ‘Look, if by chance he wakes up from sedation, what would he like to hear? What does he like?”, He remembers.
“On the other end of the line, I heard a smile, a laugh. And people said: ‘He’s a Palmeiras fan’, ‘he likes Raul Seixas’, and we took notes,” says Isadora.
In the bed of an intubated palmeirense, and in an induced coma, he has the warning: “Palmeiras won”. The message is for the patient to have good news when he wakes up.
Ticket identifies patient with her passions at the University Hospital of Brasilia (HUB) – Photo: Personal archive
Touching the feelings of patients, family and professionals, according to the doctor, is essential. “We call it relational art,” she explains.
“Art does not exist if there is no other. For it to happen, I need the response from the family, the professionals who are there and cause changes in the relationship”, he says.
Nurse in DF tells how the ‘affective record’ works at the HUB
The initiative began on Sunday at the end of March, the month in which the Federal District recorded the highest number of hospitalized and deaths from Covid-19. The effective medical record is being put into practice in the ward.
“The doctors thought it was funny. They asked, ‘Hey, who put this here?’, Says doctor Isadora Jochims.
“Afterwards, many started to sing some songs that the patients liked”, she says
One of the nurses who works on the team, Dayani Adami, also collaborates with the medical records and defends this type of contact with the patient. Dayani says that patients, even sedated, can react to some songs (see video above).
“This one is not just the patient in bed 1. This one is the patient who likes music, who likes to eat such a thing, who has children. When we know that the patient is someone’s love, we have to take care of him as if he were someone from our family “, sums up Dayani.
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