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ORIGINAL ARTICLE
Perceptions of pharmaceutical services among elderly people on polymedication
Revista Brasileira de Enfermagem. 2020;73(5):e20190305
07-01-2020
Resumo
ORIGINAL ARTICLEPerceptions of pharmaceutical services among elderly people on polymedication
Revista Brasileira de Enfermagem. 2020;73(5):e20190305
07-01-2020DOI 10.1590/0034-7167-2019-0305
Visualizações0ABSTRACT
Objectives:
Describe the importance of guidelines provided during pharmaceutical consultation about compliance with medication therapy based on interviews with polymedicated elderly patients.
Methods:
A qualitative methodological study carried out during consultations with 40 elderly patients of both genders at the Health Care Center for Elderly Patients and Caregivers. The study used the technique of content analysis, applying a questionnaire with two open questions.
Results:
Two categories and eight subcategories emerged after the transcription of interviews and exhaustive reading of the data. The category “Pharmaceutical consultation as an education instrument for the self-care of polymedicated elderly patients” presented the highest frequency. The subcategory with the highest frequency was “Concern of elderly patients about self-care”.
Final Considerations:
In the case of polymedicated elderly patients, pharmaceutical consultation is an important education instrument which, through the provision of pharmaceutical guidelines, allows the minimization of concerns about pharmacotherapy, contributing to compliance and self-care.
Palavras-chave: AgedMedication AdherencePharmaceutical ServicesPolypharmacyReferral and ConsultationVer mais -
ORIGINAL ARTICLE
Counter-referral in Emergency Care Units: discourse of the collective speech
Revista Brasileira de Enfermagem. 2019;72(suppl 1):143-150
02-01-2019
Resumo
ORIGINAL ARTICLECounter-referral in Emergency Care Units: discourse of the collective speech
Revista Brasileira de Enfermagem. 2019;72(suppl 1):143-150
02-01-2019DOI 10.1590/0034-7167-2018-0023
Visualizações0ABSTRACT
Objective:
To describe the facilities and difficulties of the counter-referral of an Emergency Care Unit in Santa Catarina State.
Method:
Descriptive, qualitative study, with the participation of three nurses and 17 physicians. The data were collected through a semi-structured interview and analyzed using the Discourse of the Collective Subject technique. For the theoretical basis, the Política Nacional de Atenção às Urgências (National Policy of Emergency Care) and the Rede de Atenção às Urgências (Network of Care to the Emergencies) was used.
Results:
The facilities of the counter-referral correspond to the strategies of communication with the Primary Care: embracement; good interpersonal relationships; and electronic medical record network. The difficulties are related to the deficiencies of Primary Care and specialized services, such as the insufficient number of physicians and the delay in scheduling consultations and more complex exams.
Final considerations:
The difficulties highlighted indicate significant challenges of the local health system in the search for integration between emergency care points.
Palavras-chave: Emergency Medical ServicesEmergency NursingHealth Services ResearchNursingReferral and ConsultationVer mais -
RESEARCH
Referral and counter-referral: repercussions of coronary artery bypass graft in the perspective of Primary Care
Revista Brasileira de Enfermagem. 2018;71(5):2359-2366
01-01-2018
Resumo
RESEARCHReferral and counter-referral: repercussions of coronary artery bypass graft in the perspective of Primary Care
Revista Brasileira de Enfermagem. 2018;71(5):2359-2366
01-01-2018DOI 10.1590/0034-7167-2016-0598
Visualizações0ABSTRACT
Objective:
to understand how repercussions of the referral and counter-referral of patients with indication/submitted to Coronary Artery Bypass Graft Surgery in the context of Primary Health Care.
Method:
qualitative research with a theoretical-methodological contribution anchored in the Grounded Theory. Theoretical sampling was performed with 41 participants, divided into three sample groups (patients, health professionals and managers) in the Metropolitan Region and Western Region of Santa Catarina State.
Results:
the need for improvement in the process of recording clinical data in the regulation system emerged to strengthen patient referral; and the absence of a formal process of counter-referral and adaptation of lifestyle with repercussion in the counter-referral.
Final considerations:
the repercussions of the referral and counter-referral of patients with indication/submitted to the CABGS in the context of Primary Care are experienced through professional guidance and, in particular, by family support.
Palavras-chave: Bypass GraftIntegrality in HealthPrimary Health CarePublic Health NursingReferral and ConsultationVer mais