Sistematização da Assistência de Enfermagem para acompanhamento ambulatorial de pacientes com esclerose múltipla

Abstract

Relato da experiência de enfermeiros na implementação da sistematização da assistência de enfermagem para acompanhamento ambulatorial em um centro interdisciplinar de atendimento a pacientes com esclerose múltipla de um hospital público de Fortaleza, Ceará. Essa implementação é baseada nas classificações da North American Nursing Diagnosis Association International, Classificação das Intervenções de Enfermagem e Classificação dos Resultados de Enfermagem. Um dos resultados diz respeito à sistematização do cuidado de enfermagem, partindo da identificação e da compreensão das respostas dos pacientes com esclerose múltipla aos problemas de saúde reais e potenciais. A sistematização enseja ampliar os conhecimentos por meio de uma prática pautada em evidências científicas, além de favorecer a atuação do enfermeiro em uma abordagem integral e fomentar outras investigações.

Atividade elétrica dos músculos masseter e supra-hióideo durante a deglutição do paciente com esclerose múltipla

“…The age range of the patients evaluated is in agreement with the literature that highlights a highest prevalence in females from 20 to 50 years old in (16,17) . MS affects mostly young adults, who are at a productive age and with the possibility of contributing to the development of the country, and therefore, generates a public health problem with great family, social and economic impact.…”

Functional and self-care capacity of people with multiple sclerosis

“…A study aimed at implementing the Systematization of Nursing Care for outpatient follow-up of patients with MS found as the most frequent nursing diagnoses, according to NANDA International, Inc. (NANDA-I), impaired physical mobility (00085), sleep pattern disorders (00198), self-care deficits, activity intolerance (00092), impaired urinary elimination (00016), risk for ineffective personal coping (00069), constipation (00011), impaired memory (00131), sexual dysfunction (00059), ineffective control of therapeutic regimen (00080), and acute pain (00132) ( 10 ) .…”

“…Therefore, nurses should act since the onset of the first clinical manifestations, by providing emotional support to the person, who will possibly be shaken, due to the possible disabilities and the changes that will occur not only in the body, but also in the lifestyle ( 8 , 26 ) . This may be conducted through motivation to preserve self-care activities, as well as through support and suggestion of alternatives for the functional disabilities ( 10 , 30 ) .…”

“…Considering this context, it is important to discuss the rehabilitation of individuals with MS, because it is an incapacitating disease that gradually affects the person’s self-care capacity and causes functional decline, evidenced by the evaluation of basic, instrumental, and advanced activities of daily living. Such activities, if compromised, may have an impact not only on self-care, but also on quality of life, social interaction, and may contribute to the isolation of the individual ( 9 - 10 ) .…”

Análise contextual da assistência de enfermagem à pessoa com HIV/Aids Contextual analysis of nursing assistance to a person with HIV/AIDS

“…16 Professionals should take care of the patient in an integral manner, going beyond physical care, considering their psychosocial complaints and electing the quality of life as a builder which includes the satisfaction of the people in their daily life, thus fulfilling one of the basic principles of health care policy in SUS, which is, comprehensiveness of health care. 17 According to experience, the team can identify and assess individual needs, intervening in biopsychosocial and spiritual aspects, in order to achieve balance and wellbeing within the limits imposed by the disease.…”