Atenção Farmacêutica na resolução de problemas relacionados à segurança no uso de medicamentos por idosos
Data
2019-06-10
Autores
Silva, Deborah Beatriz de Paiva [UNIFESP]
Orientadores
Fegadolli, Claudia [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
Título de Volume
Resumo
O aumento da expectativa de vida da população brasileira e o decorrente aumento de doenças crônicas não transmissíveis geram a necessidade de um bom planejamento do serviço de saúde voltado para essa população, incluindo a Assistência Farmacêutica no contexto da equipe multiprofissional atuando conforme definição da Política Nacional de Assistência Farmacêutica. O presente estudo descreveu a ocorrência de eventos de insegurança no uso de medicamentos entre idosos atendidos no serviço de atenção farmacêutica de um Centro de Referência de assistência ao Idoso do SUS e a atuação do farmacêutico na identificação e resolução de tais problemas. Os dados foram coletados a partir de prontuários de 204 pacientes. O motivo mais prevalente para o encaminhamento de pacientes ao serviço farmacêutico foi a polifarmácia. O PRM de maior incidência foi a Reação Adversa a Medicamento, presente em 59 atendimentos e para este problema, as intervenções farmacêuticas mais realizadas foram a interconsulta com médico, em 13 assistências, orientação ao próprio paciente, em 10 assistências, emissão de relatório a médico, em 8 assistências, além do acompanhamento do PRM em si em 15 assistências. No decorrer da atenção farmacêutica foi avaliado o estado atual do paciente, onde observou-se que 41% das intervenções realizadas tiveram como desfecho melhora do estado de saúde, porém, outros 30% não tiveram desfecho conclusivo. Os valores obtidos indicam para um resultado positivo da atuação farmacêutica no cuidado do paciente idoso, incluindo a análise da evolução do quadro de saúde dos idosos, mas, apesar do instituto contar com uma padronização dos atendimentos, a maneira como os atendimentos foram documentados dificultaram a análise.
The increase in the life expectancy of the Brazilian population and the consequent increase in non-communicable chronic diseases generate the need for good health service planning for this population, including Pharmaceutical Care in the context of the multiprofessional team acting as defined in the National Policy of Pharmaceutical Care. The present study described the occurrence of drug insecurity events among the elderly attended at the pharmaceutical care service of a Reference Center for assistance to the elderly of SUS and the pharmacist's role in identifying and solving such problems. Data were collected from records of 204 patients. The most prevalent reason for the referral of patients to the pharmaceutical service was polypharmacy. The PRM with the highest incidence was the Adverse Drug Reaction, present in 59 consultations and for this problem, the most frequent pharmaceutical interventions were consultation with a physician, 13 assistances, guidance to the patient, 10 assistances, report to physician, in 8 assistances, besides the monitoring of the PRM itself in 15 assistances. During the course of pharmaceutical care, the patient's current status was evaluated, in which 41% of the interventions performed had an improvement in health status, but another 30% had no conclusive outcome. The values obtained indicate a positive result of the pharmaceutical performance in the care of the elderly patient, including the analysis of the evolution of the health condition of the elderly, but despite the fact that the institute counts on a standardization of care, the way in which care was documented made it difficult to analyze.
The increase in the life expectancy of the Brazilian population and the consequent increase in non-communicable chronic diseases generate the need for good health service planning for this population, including Pharmaceutical Care in the context of the multiprofessional team acting as defined in the National Policy of Pharmaceutical Care. The present study described the occurrence of drug insecurity events among the elderly attended at the pharmaceutical care service of a Reference Center for assistance to the elderly of SUS and the pharmacist's role in identifying and solving such problems. Data were collected from records of 204 patients. The most prevalent reason for the referral of patients to the pharmaceutical service was polypharmacy. The PRM with the highest incidence was the Adverse Drug Reaction, present in 59 consultations and for this problem, the most frequent pharmaceutical interventions were consultation with a physician, 13 assistances, guidance to the patient, 10 assistances, report to physician, in 8 assistances, besides the monitoring of the PRM itself in 15 assistances. During the course of pharmaceutical care, the patient's current status was evaluated, in which 41% of the interventions performed had an improvement in health status, but another 30% had no conclusive outcome. The values obtained indicate a positive result of the pharmaceutical performance in the care of the elderly patient, including the analysis of the evolution of the health condition of the elderly, but despite the fact that the institute counts on a standardization of care, the way in which care was documented made it difficult to analyze.