Assistência integral à paciente com neoplasia mamária metastática

Abstract

Objective: to discuss comprehensive care for women with metastatic breast cancer, emphasizing multidisciplinary practice, symptom control, communication, continuity of care, and early integration of palliative care. Method: this is a narrative literature review based on institutional documents and scientific publications addressing metastatic breast cancer, person-centered care, supportive oncology care, quality of life, and palliative care. Recommendations from the Brazilian National Cancer Institute, World Health Organization, American Society of Clinical Oncology, and European Society for Medical Oncology were prioritized, together with recent studies on supportive needs and interventions for patients with metastatic disease. Results and discussion: metastatic breast cancer is a complex condition in which care should not be limited to tumor control. Patients may experience physical symptoms, emotional distress, changes in body image, social, family, financial and spiritual impacts, as well as needs related to decision-making and continuity of care. Nursing has a strategic role in systematic assessment, health education, symptom management, care coordination, identification of unmet needs, and articulation with other professionals. Evidence indicates that supportive interventions and early integration of palliative care may contribute to quality of life, symptom control, and care aligned with patient preferences. Conclusion: comprehensive care requires an individualized, longitudinal, and multidisciplinary approach, with active participation of women in therapeutic decisions and incorporation of palliative care from early stages of advanced disease according to clinical and psychosocial needs.