Abstract Objective: This study sought to identify the differences between the oral changes presented by patients with solid and hematologic tumors during chemotherapeutic treatment. Methodology: This is an observational, prospective and quantitative study using direct documentation by follow-up of 105 patients from 0 to 18 years using the modified Oral Assessment Guide (OAG). Of the 105 patients analyzed, 57 (54.3%) were boys with 7.3 years (±5.2) mean age. Hematologic neoplasms accounted for 51.4% of all cases. Results: Voice, lips, tongue, and saliva changes were not significantly different (p>0.05) between patients with solid or hematologic tumors and during the follow-up. From the 6th until the 10th week of chemotherapeutic treatment alterations in swallowing function, in the mucous membrane (buccal mucosa and palate), in the labial mucosa, and in the gingiva occurred and were distributed differently between the two tumors groups (p<0.05). The main alterations were observed in patients with hematologic tumors. Conclusion: It was concluded that the oral changes during the chemotherapeutic treatment occurred especially in swallowing function, in the mucous membrane, in the labial mucosa and in the gingiva, and these alterations were found mainly in patients with hematologic tumors.

RESUMO Objetivou-se analisar o processo de trabalho dos profissionais médicos e enfermeiros que desenvolvem alguma estratégia alternativa nas Unidades de Saúde da Família do município de João Pessoa (PB). Utilizou se de entrevistas e a técnica da Análise do Discurso para construção das categorias empíricas. Evidenciou-se a ocorrência de três categorias pouco consideradas pelos modelos assistenciais tradicionais: autonomia, integralidade e empoderamento. Foi possível, também, apreender uma preocupação dos profissionais entrevistados com o rompimento de práticas tradicionais anteriores, na perspectiva de mudanças no processo de trabalho e busca de novos caminhos para a promoção da saúde.

ABSTRACT The objective of this work was to analyze the work processes of doctors and nurses that develop some alternative strategy in the Family Health Units of the city of João Pessoa, Paraíba. We used interviews and discourse analysis technique for the construction of empirical categories. It was revealed the occurrence of three categories considered by some traditional models of care: autonomy, in tegrity and empowerment. It was also possible to grasp a concern ofthe professionals interviewed with the disruption of traditional practices earlier in anticipation of changes in the process of work and seeking new ways to promote health.

ABSTRACT The objective of this work was to analyze the work processes of doctors and nurses that develop some alternative strategy in the Family Health Units of the city of João Pessoa, Paraíba. We used interviews and discourse analysis technique for the construction of empirical categories. It was revealed the occurrence of three categories considered by some traditional models of care: autonomy, in tegrity and empowerment. It was also possible to grasp a concern ofthe professionals interviewed with the disruption of traditional practices earlier in anticipation of changes in the process of work and seeking new ways to promote health.

RESUMO Objetivou-se analisar o processo de trabalho dos profissionais médicos e enfermeiros que desenvolvem alguma estratégia alternativa nas Unidades de Saúde da Família do município de João Pessoa (PB). Utilizou se de entrevistas e a técnica da Análise do Discurso para construção das categorias empíricas. Evidenciou-se a ocorrência de três categorias pouco consideradas pelos modelos assistenciais tradicionais: autonomia, integralidade e empoderamento. Foi possível, também, apreender uma preocupação dos profissionais entrevistados com o rompimento de práticas tradicionais anteriores, na perspectiva de mudanças no processo de trabalho e busca de novos caminhos para a promoção da saúde.