FCSE - Documentos de Conferências / Conference Objects
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Browsing FCSE - Documentos de Conferências / Conference Objects by Author "Afonso, Diogo"
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- Community-dwelling elderly: ineffective management of drug regimen and risk fallPublication . Costa, Tânia; Pinto, Catarina; Afonso, Diogo; Almeida, Armando; Silva, Rosa; Coelho, Patrícia; Alves, PauloIntroduction: Drugs intake is common in the elderly, but pharmacodynamics/pharmacokinetic changes associated with multiple pathologiy amplifys the drug interactions and adverted effects. Objectives: Evaluate the management of drug regimen for the elderly residing at home (N=37), relating it to falls. Methods: Data collection was carried out by semi-structured interview (using instruments validated for the Portuguese reality) followed by descriptive/inferential analysis. Insured informed consent. Results: Average of drug ingestion was 6 drugs/day(min:2 /max:6) and 7 pills/day (min:2 /max:15),. A total of 9 prescribers were described: family physician (N=32), the hospital physician (N=26), the pharmacist (N = 6) and the elderly (N = 6). The reasons why we found that 25 elderly do not meet treatment as prescribed, was due to forgetfulness (68 %) and switching medications (23%). The management of medication regimen presents statistically significant differences compared to moderate/high risk of falling (þ=0.030), dependence in activities of daily living (þ=0.008), geriatric depression (þ=0.022), number of pills/day (þ=0.006) and number of diferent drugs (þ=0.009). The risk of falling, in other way, is related to cognitive impairment (þ=0.032), dependence in instrumental activities of daily living (þ=0.005) and number of pills/day (þ=0.043). Conclusion: Data seem indicate that there is a proportional relationship between fall risk and ineffective management of medication regimen. Considering the prevalence of falls in the elderly and it’s repercussions, highlights the need to implement nursing care of proximity/partnership, but also, integrals and integrated in both diagnoses, especially in the context of primary health care.
- Potencial das Plataformas de Avaliação e Monitorização da Saúde do Idoso à DistânciaPublication . Costa, Tânia; Pinto, Catarina; Afonso, Diogo; Laranjeira, Sara; Ferreira, Cláudia; Amado, João; Queiroz e Melo, JoãoIntroduction: Aging associated with socio-economic and family changes contributes to the emergence of challenges for elderly/informal carers. Thus, identifying the needs of the elderly and intervene in time are the most relevant advantages of this technology.
- Potential of the platforms for assessment/monitoring the healthPublication . Costa, Tânia; Pinto, Catarina; Afonso, Diogo; Laranjeira, Sara; Ferreira, Claúdia; Amado, João; Queiróz e Melo, JoãoIntroduction: Aging associated with socio-economic and family changes contributes to the emergence of challenges for elderly/informal carers. Thus, identifying the needs of the elderly and intervene in time are the most relevant advantages of this technology. Objectives: Characterize the potential of "True - Kare" service, while evaluation/ monitoring platform the health of the elderly at distance. Methods: Cross interventional pilot study, alternating "cases" and "controls" previously and intentionally selected those who met the inclusion criteria. Data collection was carried out by semi-structured interview followed by descriptive/inferential analysis. The ethics committee evaluated and approved the study. Results: From the 50 elderly studied, 28 (56 %) had 80 or more years old. All suffered, at least, one chronic disease and registered an average of 4.9 diseases per individual; 46 ingested drugs, 4 different drugs/day (minimum of 1 and maximum of 9 drugs) on average. However, last year, they acceded on average to 4 consultations (medical/family nurse) in the context of health programs; 30 seniors report that such consultations are not sufficient to eliminate the difficulties associated with the management of therapeutic regimen, highlighting the potential that the True-Kare can take on this area. Conclusion: The elderly become more dependent on health care, that is worrying in the current context.. In this sense, ensured the implementation of diagnostic activity and planning interventions gradual/custom mode (related to the evaluation of results ), the True-Kare can be assumed as a tool in managing integrated cases in the informal/professional care, contributing to one favorable cost-benefit ratio.
- Sedación em cuidados paliativos: Una revisión integradoraPublication . Coelho, Patrícia; Afonso, Diogo; Araújo, Helena; Barbas, Ana; Rodrigues, Daniela; Silva, Cristiana; Silva, Vânia; Vilhena, Alícia; Mello, Ramón Andrade de