Porta de entrada para diagnóstico da tuberculose em idosos em municípios brasileiros

Sá, Lenilde Duarte de; Scatena, Lúcia Marina; Rodrigues, Rosalina Aparecida Partezani; Nogueira, Jordana de Almeida; Silva, Antónia Oliveira; Villa, Tereza Cristina Scatena

doi:10.1590/0034-7167.2015680313i

Cited by 15 publications

(21 citation statements)

References 6 publications

(6 reference statements)

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“…Regarding the gateway, participants sought different levels of primary or secondary attention. These results highlight the reality found in other studies, 14,15 which signal as a gateway to PHC, the emergency units, the private health service and the specialized care service. The latter as the best in diagnostic performance for the elderly population.…”

Section: Discussionsupporting

confidence: 82%

“…The latter as the best in diagnostic performance for the elderly population. 15 Although, in the analysis of the program to improve access and quality of basic care, the number of confirmed cases of TB and symptomatic respiratory diseases, reached 81.1% in the FHS throughout Brazil. 16 In theory, they all serve as a gateway to both the diagnosis of the disease and to alleviate more serious symptoms, as well as direct access to medical consultation and/or other services.…”

Section: Discussionmentioning

confidence: 99%

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Therapeutic itinerary of people with tuberculosis in face with their health needs

et al. 2019

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Objective: To describe the therapeutic itinerary of people with tuberculosis in face of their health needs. Method: Descriptive, qualitative study. Semi-structured interviews were carried out with ten patients. Hermeneutic-dialectic method of analysis and concept of therapeutic itinerary as driver of the analysis. Results: Most had classic symptoms at the beginning, however there was a case with coughing for more than one year. Entrance door, access to diagnosis and treatment were predominant in Primary Care, through smear microscopy and X-ray; patients had to pay for exams. Decentralization of treatment for other services when necessary or by link with the professional. The patient followed the decisions of the professionals and the support of relatives; prejudice regarding the disease was noted. Conclusions and implications for practice: Fragility in disease management, importance of bonding and family. It should be considered the impact of the disease and the need to support patients to ensure continuity of care.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Therapeutic itinerary of people with tuberculosis in face with their health needs

et al. 2019

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“…3 Another important point is the nursing consultation (A5) when through it, nurses investigate the risk factors of breast cancer and guide women to perform self-examination of the breasts as a means of prevention for the early diagnosis of neoplasia mammary. 5 Regarding the human health, the role of the nurse practitioner in the development of guidelines on prostate cancer and its respective prevention is highlighted, with the task of directing these individuals to perform the preventive examination of prostate cancer (A6). 11 According to the HM, monitoring of cancer risk factors in order to plan actions that can prevent, reduce harm and protect life is a very important action.…”

Section: Resultsmentioning

confidence: 99%

“…3 As one of the components of the FHS in the PHC, the nurse usually is responsible for the leadership and coordination of the team, which plays a crucial role in the development of the actions proposed by the cancer policy. [4][5][6] However, there are few national productions which focus on the role and actions of nursing professionals in the face of cancer in PHC, highlighting the gap present in this axis and the need for current discussions on this topic, mainly due to the increase in the incidence of cancer in Brazil and in the world, and the growing demand in health services. These aspects reinforce the importance of conducting research on this subject, especially with a focus on the primary level, as it is a gateway to health services.…”

Section: Introductionmentioning

confidence: 99%

Nurse’s Attention in Primary Health Care Towards the Cancer Topic: From Real to Ideal / Atuação do Enfermeiro na Atenção Primária à Saúde na Temática do Câncer: Do Real ao Ideal

Nogueira

Previato

Baldissera

et al. 2020

R. pesq. cuid. fundam. online

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Objetivo: identificar na literatura brasileira a atuação do profissional enfermeiro na Atenção Primária à Saúde na temática do câncer. Métodos: revisão integrativa da literatura com busca nas bases de dados LILACS, BDENF e biblioteca SciELO, em outubro de 2016, respondendo a questão norteadora: Qual a atuação do profissional enfermeiro na Atenção Primária à Saúde na temática do câncer? As publicações foram analisadas à luz da Política Nacional para a Prevenção e Controle do Câncer na Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde. Resultados: oito estudos abordaram a realização de atividades assistenciais, como a realização de consultas de enfermagem com foco em exames preventivos do câncer de colo de útero e mama, atividades educativas e visitas domiciliares. Conclusão: verificou-se escassez de estudos sobre a atuação do enfermeiro na temática do câncer. Essa atuação quando existente volta-se ao modelo curativo de atenção.

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“…Studies show that, often, the user needs to turn to the care units for up to more than three times in order to be consulted and then diagnosed [30]. The delay in diagnostics is a result of the lack of trained professionals to perform this function -above all, the suspicion of cases-such as the unavailability of diagnostic techniques, portrays significant failure in the health system, specifically in the PHC, as it is their responsibility to care for TB [31].…”

Section: Discussionmentioning

confidence: 99%

Profile Of Elderly Diagnosed With Tuberculosis In A Reference Hospital In Brazil

Lima

Araüjo²,

Trigueiro³

et al. 2016

Int Arch Med

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Introduction: The increase in life expectancy shall be related to the higher number of tuberculosis cases, which, in spite of its curableness, still stand as a major challenge for public healthcare in several countries. Objective:We sought to characterize the profile of elderly with the referred disease diagnosed in a reference hospital, residents of the city of João Pessoa-Paraíba-Brazil. Method:It was a documental, descriptive, retrospective study with a quantitative approach which utilized the Epiinfo software, version 3.3.1 so as to systematize the data. Results:The sample includes 169 diagnosis records of elderly with pulmonic tuberculosis, between the years of 2011 and 2013, of whom 6.5% are residents of the city of Bayeux, 12.4% Santa Rita, 3.6% Cabedelo, and 77.5% João Pessoa; The majority were male (65.1%), married (54.5%), with low education background (32.5%), non-institutionalized (79.9%), and actives (47.9%); of those, 32.5% were directed to reference service by another hospital unit. Among the associated comorbidities, we highlight alcoholism (25.5) and smoking (27.3%). Diabetes had higher rates in females (39.0%). The relevant symptom was coughing (66.1%); As for the closure, only 55.0% of the elderly IntroductionTuberculosis (TB) is undoubtedly a curable disease since the last century, as it has free and effective treatment. However, the grievance remains as one of the major challenges for public health in several countries, establishing a close relation between the social conditions of life, being considered one of the leading causes of death from infectious diseases [1].In the world, the 2013 epidemiological data report 9 million people with TB and 1 million deaths due to the disease [2]. Brazil´s data point outs the prevalence of 40.7 cases/100.000 thousand inhabitants. Among the locations in Brazil, Paraiba specifically expresses an incidence rate of 30.7/100.000 thousand inhabitants, being considered the 14 th Brazilian state with the highest number of notifications, especially for men, people in the range of 20 to 29 years and prevalence of pulmonary form [3][4][5].Parallel to the constancy of TB in society, the world goes through the process of demographic transition, characterized by the decrease of fertility and mortality rates, resulting in increased life expectancy. In Brazil, it is estimated that by 2025 the number of elderly will reach 32 million, being the increase of this population a conditioning factor for those elderly who acquire and spread diseases of infectious nature, such as the TB [6][7]. Magnification of life expectancy is another aspect that promotes the presence of TB in the elderly population. It is seen that the cases in people older than 60 in Brazil increased significantly, having late diagnosis due to the common comorbidities in this age range, which generates greater susceptibility of people who age with the illness and probability of death from TB [8][9].In addition to that, problems related to the aging process, like the changes in speech and memory, hi...

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Porta de entrada para diagnóstico da tuberculose em idosos em municípios brasileiros

Abstract: it is necessary to improve primary health care services to tackle delayed diagnosis of tuberculosis in older people.

Cited by 15 publications

References 6 publications

Therapeutic itinerary of people with tuberculosis in face with their health needs

Therapeutic itinerary of people with tuberculosis in face with their health needs

Nurse’s Attention in Primary Health Care Towards the Cancer Topic: From Real to Ideal / Atuação do Enfermeiro na Atenção Primária à Saúde na Temática do Câncer: Do Real ao Ideal

Profile Of Elderly Diagnosed With Tuberculosis In A Reference Hospital In Brazil

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