A Conduta Do Tratamento Medicamentoso Por Cuidadores De Uma Instituição De Longa Permanência Para Idosos

Abstract

A conduta do tratamento medicamentoso por cuidadores de uma instituição de longa permanência para idosos ABSTRACTMedicines are an important health technology in geriatric care. In this context, the purpose of this study is to analyze and discuss the medication therapy management from the perspective of elderly caregivers in a long term care facility located in the Federal District, Brazil. According to obtained data by conducting a qualitative study which adopted the interview technique with eight caregivers of the Institution, the complexity of pharmacotherapy, work overload, the non-acceptance of drug use by the aged and the lack of knowledge by caregivers are factors that undermine the rationale and operation of the treatment regimens. Caregivers, along with the health team of the institution, have developed coping strategies not to be forgotten in the administration of medication doses, and there are the provision and regular access to those technologies by users. Although pharmaceutical service topic of discussion in institutions is scarce in the literature, due to the aging population and expansion of the supply of these types of services, it is remarkable the need to maintain this issue on the research agenda and technical-scientific production.

Nutrição parenteral: contribuições do cuidado farmacêutico

“…Também são citadas ações educativas envolvendo pacientes, cuidadores, familiares e profissionais de saúde, em prol da prevenção, da detecção imediata e do tratamento das complicações associadas à NP e ao uso de medicamentos (Barros, Silva & Leite, 2015;Katoue & Al-taweel, 2016;Katoue, 2018;Reber et al, 2019). Research, Society andDevelopment, v. 9, n. 10, e9299109311, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i10.9311 Os farmacêuticos clínicos envolvidos na educação em saúde devem ofertar treinamentos aos cuidadores, principalmente na transição dos pacientes para os cuidados domiciliares (Barros et al, 2016;Barros, Silva & Leite, 2019). Ademais, para apoiar essa prática, é indispensável a elaboração e a validação de materiais educativos que ofereçam sustentação teórica sobre o uso seguro da nutrição parenteral (Katoue, 2018).…”

Fatores relacionados à adesão ao tratamento sob a perspectiva da pessoa idosa

“…Given the above, in addition to individually investigating treatment preferences, the whole issue of the user's daily life must be explored. The literature demonstrates that administering medications does not seem to be a hindrance to TA when you have a well-established routine [3][4][5][6][7][8][9][18][19][20] . Thus, the management of drug treatment by the old person should be the result of an agreement in which the health professional and the user align how the incorporation of therapy will occur in the day-to-day health care 2,12,[18][19][20] .…”

“…Thus, considering the use of medication as an important instrumental activity of daily living 12,18,19,21 , the following reflection is also identified: following the dynamics of life, it is understandable that old people self-adjust the way of managing treatments. In this sense, challenges arise and, in parallel, strategies are developed, which despite being similar for some old people, such as administering medications at meals, at bedtime, among others, within the micro clinical, social and emotional reality of each individual, the consumption of pharmacotherapy is not identical and can have several outcomes 19 .…”

“…In this sense, challenges arise and, in parallel, strategies are developed, which despite being similar for some old people, such as administering medications at meals, at bedtime, among others, within the micro clinical, social and emotional reality of each individual, the consumption of pharmacotherapy is not identical and can have several outcomes 19 . Therefore, it is essential that the old person is instrumentalized in consolidating the practical and effective management of medicines in the routine, to guarantee the continuity of pharmacological care, as well as the therapeutic success of the treatment 2,12,18,19 .…”

“…Although taking medication is a common health intervention, its long-term use has repercussions for individuals, especially when therapeutic schemes are complex and framed in the context of polypharmacy 12,[18][19][20] .…”