Assistência de enfermagem a um paciente portador de Diabetes Mellitus

Abstract

Trata-se de um estudo de caso, desenvolvido num Centro de Saúde, do Distrito Federal, com o propósito de relatar a Assistência de Enfermagem a um paciente com Diabetes Mellitus. Para desenvolver este estudo foi aplicado o Processo de Enfermagem, nas etapas: Coleta de Dados; Diagnósticos de Enfermagem; Planejamento; Intervenções e Avaliação da Assistência proporcionada. Os Diagnósticos encontrados foram: Controle Ineficaz do Regime Terapêutico; Adaptação prejudicada; Imagem Corporal perturbada e Risco para Integridade da Pele Prejudicada. O Planejamento da Assistência de enfermagem visou principalmente contribuir para a adesão ao tratamento e diminuir riscos potenciais, fazendo uso da educação para saúde. Com a interação e o uso da comunicação terapêutica, observou-se uma pequena mudança nos hábitos de vida do paciente.

Qualidade de vida em pacientes com retinopatia diabética proliferativa

“…Vale salientar que as ações educativas para o controle da DM junto ao paciente, família e comunidade são de extrema importância, tendo em vista que um dos maiores problemas no controle da doença é a dificuldade de acesso ao Centro de Saúde (14) . Nosso trabalho também mostra que há maior impacto no domínio social e no de meio ambiente, especialmente nos pacientes considerados "mais graves" (com pior AV).…”

Limits and strategies of health professionals on adherence to treatment of diabetes: integrative review

“…14 In contrast, other aspects argue that the role of the nurse is to empower his team of helpers in carrying out activities, consultations and to identify risk factors for non-adherence forwarding to the doctor when needed. 15 In both situations, may be found to limit the scope of practice of the team should be called team integration, but in practice nothing but a team grouping, since little is the articulation of the actions and interactions of agents, ethical commitment and respect each other. 16 This practice inevitably brings up the concept traditionally widespread that membership represents the tracking of medical guidelines, where the "patient" is compliant passive and when these guidelines are not adhered deviant or resistant.…”

“…33 Beyond Empathy, the host was cited as an important tool in the service and is a determinant in the consequent user satisfaction therefore also associated with a listening RF allows all health professionals to better understand the problems faced by the user, making this pose a mechanism for reasoning guidelines pipeline alternatives that are viable. 13,15,21 Thus, the trader needs to make room for the patient to express his doubts, difficulties and conflicts and thus to understand the context in which both are inserted, and understand the impact that each factor has on the individual's life and, from this, make adaptations whether nutritional, pharmaceutical or related to the sharing of information. 14,21,26,30 A space for the expanded scope of the assumptions described above finds support in the development of group actions, admittedly mechanism of positive influence in the accession process, since it allows the individual to find people exposed to the same conditions, decreasing feelings of anxiety and loneliness, raising self-esteem and valuing the knowledge about the care of their own health, creating an enjoyable learning environment, sharing with family and community members a learning process maximized by group dynamics and the less conventional way of relaying life stories and Health guidelines.…”

“…14,21,26,30 A space for the expanded scope of the assumptions described above finds support in the development of group actions, admittedly mechanism of positive influence in the accession process, since it allows the individual to find people exposed to the same conditions, decreasing feelings of anxiety and loneliness, raising self-esteem and valuing the knowledge about the care of their own health, creating an enjoyable learning environment, sharing with family and community members a learning process maximized by group dynamics and the less conventional way of relaying life stories and Health guidelines. 13,15,21,30,32 3) Aspects of the relationship with the user: it was observed in relation to this topic, the articles selected for this review elements portrayed not only concerning settings normative functioning of health services and the scope of practice of each health professional, but much more the symbolic dimension and immaterial labor on action, representing the moment when two people (the health professional and the service user), intersubjectively act on one another and where creates complicity, reliability, hopes, eavesdropping and interpretations host. 34 In this perspective, it was noted that health professionals should expand the capacity of choice these individuals forward to the arsenal of possible therapeutic actions, aiming at coping with diabetes and sustain adherence to their treatment through "Therapeutic Alliances".…”

“…Interest in the work and the impact of their actions 13 Commitment and accountability 13,14,19 Articulation of technical knowledge and popular 15,19 Accessible language 14,19,31,32 Incorporating knowledge into practice 15,26 Training and professional development 13,14,21,28,30,32 Expanded understanding of the disease process [13][14][15] Searching for links between sectors 13,14…”