Prescrição de dieta na insuficiência cardíaca crônica: por que não fazemos?

Latado, Adriana Lopes

doi:10.1590/s0066-782x2009001100003

Arq. Bras. Cardiol.

2009

DOI: 10.1590/s0066-782x2009001100003

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Prescrição de dieta na insuficiência cardíaca crônica: por que não fazemos?

Adriana Lopes Latado¹

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Cited by 4 publications

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“…However, the way the educational measures are carried out and the resources used represent the differential in the apprehension of the content offered to patients and their family members, favoring better results in the implementation of the necessary care for the well-being, achieving the expected quality of life. 29 Continuing education provided to patients and family members, with focus on multidisciplinary actions, is important to guarantee their comfort and well-being. It is known that one of the reasons for readmissions is the lack of adequate preparation of patients and family members for hospital discharge.…”

mentioning

confidence: 99%

The art of caring for patients with heart failure at hospital discharge: considerations for nursing healthcare practice

Souza¹,

Queluci²

2014

R.pesq.:cuid.fundam.Online

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A arte de cuidar em pacientes com insuficiência cardíaca na alta hospitalar: considerações para a prática assistencial na enfermagem El arte de cuidar en pacientes con insuficiencia cardíaca en el alta hospitalaria: consideraciones para la práctica asistencial en enfermería Objective: To analyze the nursing care provided to patients with heart failure at hospital discharge reported by the nurses. Method: Qualitative and descriptive study conducted in a university hospital with assistant nurses as subjects of the research. The data were obtained through interviews with the nurses and for the analysis we used the method of content analysis according to Bardin, through which we analyzed the art of nursing care provided to patients with heart failure at hospital discharge. The research was based on Ordinance 196/96 of the National Health Council, and approved by the Ethics Committee under Opinion 310/11. Results: The following aspects of the art of caring stood out: pharmacological therapy in patients with heart failure; guidelines on symptoms of decompensation of the disease; and stimulus for autonomy and self-care. Conclusion: we emphasize that nurses must perform nursing actions aiming at achieving full and effective care, so that patients with heart failure can continue performing their daily activities with quality and balance. Descriptors: Nursing care, Heart failure, Hospital discharge, Nursing.Objetivo: Analisar os cuidados de enfermagem aos pacientes com insuficiência cardíaca na alta hospitalar relatados pelos enfermeiros. Método: Estudo descritivo qualitativo, realizado em um hospital universitário, tendo como sujeitos enfermeiros assistenciais. Os dados foram obtidos por meio de entrevistas com os enfermeiros e para análise utilizou-se o método de análise de conteúdo conforme Bardin, no qual analisamos a arte de cuidar de enfermagem ao paciente hospitalizado com insuficiência cardíaca na alta hospitalar. A pesquisa fundamentou-se na Resolução 196/96 do Conselho Nacional de Saúde, com aprovação do Comitê de Ética sob parecer 310/11. Resultados: Na arte de atuar da enfermagem destacaram-se aspectos sobre: terapia farmacológica dos pacientes com insuficiência cardíaca; orientações sobre sintomas de descompensação da doença; e estímulo para autonomia e autocuidado. Conclusão: Enfatizamos que os enfermeiros devem realizar ações de enfermagem visando uma assistência integral e eficaz, para que os pacientes com insuficiência cardíaca continuem realizando suas atividades diárias com qualidade e equilíbrio. Descritores: Cuidados de enfermagem, Insuficiência cardíaca, Alta hospitalar, Enfermagem.Objetivo: Analizar la atención de enfermería en pacientes con insuficiencia cardíaca en el alta hospitalaria informada por los enfermeros. Método: Estudio descriptivo y cualitativo, realizado en un hospital universitario, siendo los enfermeros asistentes los sujetos de la investigación. Los datos fueron obtenidos a través de entrevistas con los enfermeros y para el análisis fue utilizado el método de análisis de contenido ...

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mentioning

confidence: 99%

The art of caring for patients with heart failure at hospital discharge: considerations for nursing healthcare practice

Souza¹,

Queluci²

2014

R.pesq.:cuid.fundam.Online

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The Role of Nutritional Status in Elderly Patients with Heart Failure

Wleklik

Uchmanowicz

Jankowska‐Polańska

et al. 2018

The Journal of nutrition, health and aging

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Evidence indicates that malnutrition very frequently co-occurs with chronic heart failure (HF) and leads to a range of negative consequences. Studies show associations between malnutrition and wound healing disorders, an increased rate of postoperative complications, and mortality. In addition, considering the increasing age of patients with HF, a specific approach to their treatment is required. Guidelines proposed by the European Society of Cardiology (ESC) for treating acute and chronic HF refer to the need to monitor and prevent malnutrition in HF patients. However, the guidelines feature no strict nutritional recommendations for HF patients, who are at high nutritional risk as a group, nor do they offer any such recommendations for the poor nutritional status subgroup, for which high morbidity and mortality rates have been observed. In the context of multidisciplinary healthcare, recommended by the ESC and proven by research to offer multifaceted benefits, nutritional status should be systematically assessed in HF patients. Malnutrition has become a challenge within healthcare systems and day-to-day clinical practice, especially in developed countries, where it affects the course of disease and patients' prognosis.

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Nutritional Aspects in Heart Failure

Cps¹,

Ac²

2014

Journal of Nutrition and Health Sciences

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The HF is a multifactorial disorder that involves multiple organ systems in its pathogenesis and strongly affects the quality of life of affected patients [6], causing functional limitation and requiring immediate therapeutic intervention [5]. It represents a serious and growing public health problem worldwide, both for its high prevalence and the severity of its clinical manifestations, being the final common pathway of most diseases [7][8][9].Clinical manifestations in patients with HF include fatigue, dyspnea during daily activities and paroxysmal nocturnal dyspnea, hepatomegaly, intolerance to physical exertion, night cough and water retention, which can cause pulmonary congestion and peripheral edema [9,10]. In recent decades, with a better understanding of the disease process, it became clear that the pathological changes involve not only the cardiovascular system but also the neuroendocrine, immune, musculoskeletal, hematologic, renal and gastrointestinal systems as well as the nutritional status [11].Undernutrition is commonly found in patients with HF, mainly in the most advanced stages of the disease, being related with an enhanced risk of complications and mortality [12]. The implementation of effective nutritional strategies in HF remains a therapeutic challenge in clinical practice. In this review the nutritional aspects will be addressed for HF, with emphasis on the implications and nutritional recommendations. Undernutrition and HFUndernutrition is a classic manifestation and is often associated with HF. Within the list of common manifestations of the disease, varying degrees of protein-calorie depletion can be found, as well as extreme cases, generically called cardiac cachexia [13].

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Prescrição de dieta na insuficiência cardíaca crônica: por que não fazemos?

Cited by 4 publications

References 8 publications

The art of caring for patients with heart failure at hospital discharge: considerations for nursing healthcare practice

The art of caring for patients with heart failure at hospital discharge: considerations for nursing healthcare practice

The Role of Nutritional Status in Elderly Patients with Heart Failure

Nutritional Aspects in Heart Failure

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