Por que o uso racional de medicamentos deve ser uma prioridade?

Aquino, Daniela Silva L de

doi:10.1590/s1413-81232008000700023

Cited by 105 publications

(108 citation statements)

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“…Even though a prescription for the sale of OTCs is not required, they can be harmful, creating risks to patients when used in incorrectly. It is noteworthy that in Brazil, 35% of medicines are marketed through self-medication (Aquino, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Responsible self-medication: review of the process of pharmaceutical attendance

Galato

Galafassi

Alano

et al. 2009

Braz. J. Pharm. Sci.

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This article presents a review, based on a qualitative study, of pharmaceutical orientation in the management of minor illness. Action research methodology was used by a group of faculty members responsible for the community pharmacy internship and by postgraduates in clinical pharmacy, to carry out the study with the objective to present a standard service for this kind of procedure. The interaction with the individual starts with a welcoming reception, at which point the pharmacist should be receptive and show empathy. Subsequently, data from the history of the patient are collected to obtain relevant information. Based on this information, the pharmacist must develop a line of clinical reasoning and make a decision, taking the context of the patient into account. After this analysis, the most appropriate intervention is performed. This intervention could indicate the need for referral to another health professional, the use of a non-pharmacological therapy or the provision of sound advice on medicines available without prescription. The next step is monitoring the patient in order to identify the effectiveness and safety of treatment. The standardization process of pharmaceutical attendance in the management of minor disorders contributes to the rational use of medicines.Uniterms: Self-medication. Community pharmacy. Drugs/rational use. Pharmaceutical orientation. Responsible self-medication. Minor illness.A reflexão apresentada neste artigo representa um estudo de abordagem qualitativa baseada na pesquisaação da prática do atendimento farmacêutico no manejo de transtornos menores, realizada pelo grupo de professores do Estágio em Farmácia Comunitária e por farmacêuticos pós-graduados em Farmácia Clínica, com o objetivo de realizar uma proposta de atendimento padrão para este tipo de procedimento. A interação com o indivíduo é iniciada pelo acolhimento, momento no qual o farmacêutico deve ser receptivo e empático. A seguir, se executa a coleta de dados sobre a história do paciente, para obtenção de informações relevantes. Com base nas informações, o farmacêutico deve desenvolver um raciocínio clínico e tomar uma decisão, levando em consideração o contexto do paciente. Após esta análise é realizada a intervenção mais adequada ou o conjunto dessas que podem ser: procurar outro profissional de saúde, utilizar uma terapia não-farmacológica ou auxiliar na escolha de um medicamento de venda livre. O próximo passo é o acompanhamento do paciente com vistas a identificar a efetividade e segurança do tratamento. A padronização do processo de atendimento farmacêutico no manejo de transtornos menores, contribui para o uso racional de medicamentos.

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Section: Introductionmentioning

confidence: 99%

“…In addition to these risks, it should be emphasized that the momentary relief of symptoms may actually mask the underlying disease (Vilarino et al, 1998;Aquino, 2008).…”

Section: Introductionmentioning

confidence: 99%

Responsible self-medication: review of the process of pharmaceutical attendance

Galato

Galafassi

Alano

et al. 2009

Braz. J. Pharm. Sci.

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“…In Brazil, an estimated 35% of drugs are self-administered, which accounts for 27% of intoxications and 16% of deaths caused by drug-related intoxications. Furthermore, 50% of all medication is prescribed, sold or used inappropriately (12) .…”

Section: Discussionmentioning

confidence: 99%

Health care for women over 50: programmatic vulnerability in the Family Health Strategy

Pasqual

Carvalhães

Parada

2015

Rev. Gaúcha Enferm.

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Objective:To assess the health care process for women over 50 at a Family Health Unit based on the concept of programmatic vulnerability. Method: This study is inserted in the fi eld of health care assessments. The framework proposed by Donabedian was used to analyze 90.5% of the 790 records of women registered at the unit. Results: It was observed that none of the women that did not have a diagnosed pathology attended the recommended consultations or underwent the recommended tests. Of the total number of women with hypertension or diabetes, 20.7% were registered in the Hiperdia Programme and less than 1.0% had attended the consultations and undergone the necessary tests. Only 11.9% of the women had had a gynaecological examination, a clinical breast examination and a mammography the year before data collection. Conclusion: It is concluded that women over 50 are in a situation of programmatic vulnerability in terms of the indicators established in this study. Knowledge of this reality can help nurses provide care that is best suited for this group. Keywords: Primary health care. Women's health. Program evaluation. RESUMO Objetivo:Avaliar o processo de atenção prestada a mulheres, a partir dos 50 anos de idade, em Unidade de Saúde da Família, tomando-se como referência o conceito de vulnerabilidade programática. Método: Estudo inserido no campo da avaliação de programas de saúde; utilizou-se o referencial proposto por Donabediam, sendo analisados 90.5% dos 790 prontuários de mulheres matriculadas na Unidade. Resultados: Observou-se que nenhuma mulher sem patologia diagnosticada realizou consultas e exames preconizados. Do total de hipertensas e diabéticas, 20.7% estavam inscritas no Programa Hiperdia e menos de 1.0% tinha realizado as consultas e exames necessários. Apenas 11.9% das mulheres tinham realizado exame ginecológico, exame clínico das mamas e mamografi a, no ano que antecedeu a coleta de dados. Conclusão: Conclui-se que as mulheres com mais de 50 anos estão em situação de vulnerabilidade programática, relacionada aos indicadores defi nidos neste estudo. Logo, conhecer a realidade poderá resultar no atendimento de enfermagem mais adequado para esse grupo. Palavras-chave: Atenção primária à saúde. Saúde da mulher. Avaliação de programas e projetos de saúde. RESUMENObjetivo: evaluar el proceso de atención a las mujeres a partir de los 50 años de edad en la Unidad de Salud de la Familia, tomando como referencia el concepto de vulnerabilidad del programa. Método: Estudio insertado en la evaluación de programas de salud, tuvo Donabediam como referencia, siendo analizados el 90,5% de los 790 registros médicos de mujeres inscritas en la unidad. Fueran creados indicadores de evaluación. Resultados: Ninguna mujer sin patología diagnosticada realizó consultas y exámenes recomendados. De todas las hipertensas y diabéticas, 20,7% estaban inscritas en el Programa Hiperdia y menos del 1,.0% había realizado consultas y exámenes necesarios. Sólo el 11.9% de las mujeres había realizado el examen ginecológico, ...

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“…6 However, in Brazil, the low availability of drugs, the disrespect for the mandatory presentation of medical prescription and the population's lack of information and low educational level are reasons for concern in terms of quality of self-medication. 7 In our country, at least 35% of drugs people use are bought through self-medication, 16 and approximately 80 million people have this habit. 7 Some studies concluded that fertile women are the individuals who more often use drugs without a prescription.…”

Section: Discussionmentioning

confidence: 99%

“…6 Nevertheless, several studies have demonstrated that self-medication is a reason of great concern, especially in Brazil. [4][5][6][7][8][9][10] Arrais et al 7 found the highest frequency of self-medication among Brazilian women between 16 and 45 years old, an age group with potential to breastfeed. However, the use of drugs by women during lactation was not investigated.…”

Section: Introductionmentioning

confidence: 99%

Automedicação em nutrizes e sua influência sobre a duração do aleitamento materno

Chaves¹,

Lamounier²,

César³

2009

J. Pediatr. (Rio J.)

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Objective: To investigate the practice of self-medication by nursing mothers, the main drugs used and the influence on the duration of breastfeeding.Methods: A longitudinal cohort study involving 246 women seen at the maternity unit of Hospital Manoel Gonçalves in Itaúna, state of Minas Gerais, Brazil. A monthly follow-up of mothers and newborns was performed for the first 12 months postpartum or until weaning. The effect of the practice of self-medication on the duration of breastfeeding was evaluated by multivariate analysis using Cox's regression model with time-dependent variables.Results: Self-medication was practiced by 52.4% of the nursing mothers. The most used pharmacological classes were: analgesics/antipyretics (54.5%), non-steroidal anti-inflammatories (15%), spasmolytics (6.2%), laxatives (3.5%), benzodiazepines (3%), nasal decongestants (1.4%), and antibiotics (0.9%). The most used drugs were dipyrone (31.5%) and paracetamol (17.9%). The practice of self-medication was associated with a higher probability of the use of drugs posing the risk of adverse effects for the infant or for lactation (p = 0.000). However, the practice of self-medication was not associated with weaning (p = 0.135). Conclusions:The high rates of self-medication among nursing mothers and the use of drugs posing risks of undesirable effects for the infant and for lactation reveal the need for better education on the risks of self-medication by nursing mothers. However, self-medication was not proven to be a risk factor for weaning.J Pediatr (Rio J). 2009;85(2):129-134: Breastfeeding, lactation, weaning, self-medication, pharmaceutical preparations.

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Por que o uso racional de medicamentos deve ser uma prioridade?

Cited by 105 publications

References 1 publication

Responsible self-medication: review of the process of pharmaceutical attendance

Responsible self-medication: review of the process of pharmaceutical attendance

Health care for women over 50: programmatic vulnerability in the Family Health Strategy

Automedicação em nutrizes e sua influência sobre a duração do aleitamento materno

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