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Publication
Circuito do medicamento em instituições de cuidados geriátricos da região do Algarve
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| 1.76 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
O envelhecimento da população resulta numa maior incidência de comorbilidades, e consequente recurso à terapêutica farmacológica. Esta situação tem levado à necessidade de utilização de serviços de suporte à população, incluindo as estruturas residenciais para a população idosa, serviços de apoio domiciliário, centros de dia, entre outros. Esta monografia teve como objetivo a caraterização e análise do circuito do medicamento em instituições de cuidados geriátricos da região do Algarve.
Foi elaborado um questionário online, e enviado às diferentes instituições na região do Algarve (n=128), onde constavam as variáveis indispensáveis para a avaliação do circuito do medicamento. A análise estatística dos dados obtidos foi efetuada por recurso ao SPSS versão 22.
Do total de 128 instituições de apoio a idosos na região do Algarve, apenas 17.18% (n=22) responderam ao questionário. Relativamente aos profissionais envolvidos no circuito do medicamento, o enfermeiro é aquele que apresenta um papel mais relevante em todo o processo, sendo responsável por etapas como o armazenamento, registo e preparação da medicação. Verificou-se ainda que existem aspetos em que são cumpridas as boas práticas como: existência de zona reservada para o armazenamento de medicamentos, registo e verificação periódica dos prazos de validade. No entanto, existem ainda pontos a melhorar: armazenamento inapropriado de medicamentos de conservação no frio, ausência de registos e respetivo controlo da humidade relativa e temperatura no local de armazenamento, ausência de notificação de reações adversas a medicamentos.
Apesar do enfermeiro ser o principal responsável pela gestão da medicação nas instituições analisadas, existem outros intervenientes que não têm habilitações adequadas para essa área. Sendo o farmacêutico um profissional com competências adequadas às necessidades associadas ao circuito do medicamento, este poderia ter um papel mais ativo nestas instituições, através de programas interventivos que incluam atividades como a revisão e reconciliação da medicação.
The aging of the population results in a higher incidence of multiple comorbidities, and consequent recourse to pharmacological treatment. This situation has led to the need for population support services, including the use of care homes for older people, home support services, day care centers, among others. This monograph aimed to characterize and analyze the medication management in care homes in the Algarve region. An online questionnaire was elaborated, and sent to the different institutions of the Algarve region (n=128), where there were included indispensable variables for the achievement of evaluating the medication management. All data obtained from the questionnaire responses were converted to SPSS version 22, where it was possible to perform a descriptive statistical analysis of the data. Of the 128 elderly support institutions in the Algarve region, only 17.18% (n=22) answered the questionnaire. Regarding the professionals involved in medication management, the nurse is the one who plays a more relevant role in the entire process, being responsible mainly for steps such as storage, registration, and preparation of medicines. It was possible to verify if there are aspects that meet the good practices, such as storage area for drug storage, registration and periodic verification of expiration dates. However, there are still improvements, such as cold storage medicines, lack of adequate storage, loss of records, local humidity and temperature control at the storage location and no reports of adverse drug reactions. Although nurses are primarily responsible for medication management in the analyzed care homes, there are other figures who do not have adequate qualifications for this area. As the pharmacist is the professional with the most competence in the medicine circuit, we think that he should play a more active role in this institutions through intervention programs that include activities such as medication review and reconciliation
The aging of the population results in a higher incidence of multiple comorbidities, and consequent recourse to pharmacological treatment. This situation has led to the need for population support services, including the use of care homes for older people, home support services, day care centers, among others. This monograph aimed to characterize and analyze the medication management in care homes in the Algarve region. An online questionnaire was elaborated, and sent to the different institutions of the Algarve region (n=128), where there were included indispensable variables for the achievement of evaluating the medication management. All data obtained from the questionnaire responses were converted to SPSS version 22, where it was possible to perform a descriptive statistical analysis of the data. Of the 128 elderly support institutions in the Algarve region, only 17.18% (n=22) answered the questionnaire. Regarding the professionals involved in medication management, the nurse is the one who plays a more relevant role in the entire process, being responsible mainly for steps such as storage, registration, and preparation of medicines. It was possible to verify if there are aspects that meet the good practices, such as storage area for drug storage, registration and periodic verification of expiration dates. However, there are still improvements, such as cold storage medicines, lack of adequate storage, loss of records, local humidity and temperature control at the storage location and no reports of adverse drug reactions. Although nurses are primarily responsible for medication management in the analyzed care homes, there are other figures who do not have adequate qualifications for this area. As the pharmacist is the professional with the most competence in the medicine circuit, we think that he should play a more active role in this institutions through intervention programs that include activities such as medication review and reconciliation
Description
Keywords
Circuito do medicamento Envelhecimento Estruturas de apoio residencial Farmacêutico Idoso.