Conhecimento das equipes médicas e de enfermagem sobre o manejo de medicamentos orais no paciente adulto disfágico hospitalizado

Anderle, Paula; Rech, Rafaela Soares; Pasqualeto, Viviane Medeiros; Goulart, Bárbara Niegia Garcia de

doi:10.1590/2317-6431-2017-1933

Cited by 6 publications

(3 citation statements)

References 19 publications

(26 reference statements)

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“…Desta forma, construiu-se e validou a ferramenta preventiva, direcionada a todos os profissionais de saúde que desejam informações referente as incompatibilidades medicamentosas em via Y, visto que o compartilhamento de saberes é fundamental para melhorar a assistência ao paciente (ANDERLE et al, 2018).…”

Section: Discussionunclassified

Construção E Validação De Ferramenta Preventiva Sobre Incompatibilidade Medicamentosa Em via Y

Araújo¹,

Linhares²,

Fonteles³

et al. 2023

Arq. Ciênc. Saúde Unipar

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Introdução: A terapia com medicamentos endovenosos é muito utilizada nas unidades hospitalares, porém, possui uma elevada chance de incidentes, principalmente quando os medicamentos são administrados simultaneamente em via Y. Essa prática pode resultar em incompatibilidades medicamentosas classificadas em reações físicas e químicas. Objetivo: Construir e validar uma ferramenta preventiva de incompatibilidade medicamentosa em via Y. Método: Estudo metodológico com abordagem quantitativa. Foi desenvolvido em três etapas: Levantamento bibliográfico, construção e diagramação do material e por fim, a validação da ferramenta preventiva. Para validação, a ferramenta preventiva foi submetida ao processo de validação de face e conteúdo por juízes com expertise na temática. Resultados: Construiu-se e validou-se uma ferramenta preventiva através da busca de dados na literatura com a participação de sete juízes especialistas na temática. Os itens avaliativos referentes a tabela de incompatibilidade medicamentosa quanto aos objetivos, estrutura, apresentação e relevância da ferramenta preventiva foi considerada válida, pois foram julgados como adequado pelos especialistas. Conclusão: A validação de conteúdo, foi considerada válida pelos juízes, portanto, espera-se que o material alcance o seu objetivo ao ser aplicado durante a prática clínica. Dessa forma, será disponibilizado à instituição para que seja utilizado, favorecendo a prevenção de danos e contribuindo para a segurança dos pacientes, bem como melhorando a qualidade da assistência e educação em saúde.

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Section: Discussionunclassified

Construção E Validação De Ferramenta Preventiva Sobre Incompatibilidade Medicamentosa Em via Y

Araújo¹,

Linhares²,

Fonteles³

et al. 2023

Arq. Ciênc. Saúde Unipar

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“…Most studies named that, even when bedridden, the patient should be seated with the back supported below the shoulders for more stability (Bennett et al., 2013). This recommendation is important because, in addition to the difficulty in swallowing being potentiated in the supine position (Stegemann et al., 2012), positioning at 90° prevents aspiration (Anderle et al., 2018) and reduces the risk of oral mucosal/oesophageal lesions.…”

Section: Discussionmentioning

confidence: 99%

“…This recommendation is important because, in addition to the difficulty in swallowing being potentiated in the supine position (Stegemann et al, 2012), positioning at 90° prevents aspiration (Anderle et al, 2018) and reduces the risk of oral mucosal/oesophageal lesions.…”

Section: Ta B L E 3 (Continued)mentioning

confidence: 99%

Optimization of solid oral dosage form administration to patients with swallowing difficulties: An integrative review

Ferreira‐Neto,

de Lara,

Cominato

et al. 2023

Journal of Advanced Nursing

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AimTo appraise and synthesize research investigating optimizing the administration of solid oral dosage forms (SODFs) to adults with swallowing difficulties.DesignAn integrative review.MethodsAn electronic search was conducted on Medical Literature Analysis and Retrieval System Online (Public Medline interface), Elsevier SciVerse Scopus and Scientific Electronic Library Online (updated February 2023). Restriction regarding the publication date was not considered for the inclusion of records. Studies addressing risks, general aspects, recommendations about patient postural adjustments, swallowing techniques, swallowing aids and aspects of concealment of SODFs were included.ResultsFifty‐three records published between 2002 and 2021 were included. The main administration risks were aspiration, asphyxia and solid oral dosage form‐induced oral/oesophageal mucosal lesions. The most frequent general aspect reported was administering one oral dosage form at a time. The sitting position was the most patient postural adjustment mentioned. The most frequently reported solid oral dosage form swallowing technique was the lean‐forward method for capsules. Solid oral dosage form swallowing aids cited: tongue and throat lubricant and solid oral dosage form coating device, swallowing cup and swallowing straw.ConclusionThe literature data on administering SODFs for adults with swallowing difficulties were appraised and synthesized. Some aspects, for example, not administering SODFs simultaneously, can make swallowing safer. Postural adjustments and solid oral dosage form swallowing aids are important to avoid administration risks. Swallowing SODFs can be easier if learned by techniques. Liquid and food are helpful as vehicles, and several of these have been listed.Implications for the Profession and/or Patient CareBy optimizing the contributing factors of administering oral pharmacotherapy, the nurse can use appropriate practices to improve patient safety. Additionally, knowing and establishing the administration aspects are reasonable steps for standardizing care for patients with swallowing oral dosage form difficulties.Impact This study addressed administering SODFs to adult patients with swallowing difficulties. The administration of SODFs to adult patients with swallowing difficulties can be optimized if only one oral dosage form at a time is administrated and if patient postural adjustments, swallowing techniques and swallowing aids are used. This investigation will impact the care of patients with swallowing difficulties. Reporting MethodThe authors declare they adhered to the relevant EQUATOR guidelines and report following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) 2020 Statement.Patient or Public ContributionNo patient or public contribution.

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Solid Oral Dosage Forms Use in Adults with Neurological Disorders and Swallowing Difficulties: A Scoping Review

et al. 2021

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Conhecimento das equipes médicas e de enfermagem sobre o manejo de medicamentos orais no paciente adulto disfágico hospitalizado

Cited by 6 publications

References 19 publications

Construção E Validação De Ferramenta Preventiva Sobre Incompatibilidade Medicamentosa Em via Y

Construção E Validação De Ferramenta Preventiva Sobre Incompatibilidade Medicamentosa Em via Y

Optimization of solid oral dosage form administration to patients with swallowing difficulties: An integrative review

Solid Oral Dosage Forms Use in Adults with Neurological Disorders and Swallowing Difficulties: A Scoping Review

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