| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.56 MB | Adobe PDF |
Authors
Abstract(s)
Um futuro farmacêutico, pelo seu nível de conhecimento técnico e científico, deve demonstrar ser capaz de se integrar em equipas multidisciplinares, com as quais interage, visando o bem-estar do utente.
Neste âmbito, e atendendo à pluralidade de áreas em que o farmacêutico pode exercer, foi relevante a realização do estágio curricular em duas vertentes distintas. Se, na perspectiva hospitalar, foi possível um relacionamento com terapias farmacológicas exclusivas; o contacto directo com o utente na farmácia comunitária permitiu um acompanhamento continuado da sua evolução patológica. Em ambas, está inerente um constante desafio, no sentido de satisfazer as necessidades do doente, aliando o profissionalismo, à sensibilidade e rigor científico.
O projecto de investigação conciliou o interesse por uma determinada temática, com a possibilidade de produzir inferências após análise de uma amostra e relacionando o estudo realizado com trabalhos publicados. A síndrome de abstinência neonatal é consequente do consumo abusivo de drogas pela progenitora, durante a gestação. Este quadro clínico foi avaliado nos recém-nascidos do Centro Hospitalar de Trás os Montes e Alto Douro, cujo processo clínico assim o descrevia. Embora com uma amostra de dimensão reduzida, foi possível determinar uma predominância no consumo de heroína (42%). Contudo, a adesão das mães a programas de reabilitação foi notável no segundo período do estudo (1,5 vezes superior).
As opções terapêuticas consideradas demonstraram eficácia superior quando usada morfina (16%) como terapia de primeira linha, tanto ao nível do tempo que demorou a produzir efeitos favoráveis no neonato (8,14 dias), como no que respeita ao Índice de Finnegan (3,12) no momento da descontinuação.
A future pharmacist, due to his technical and scientific knowledge, must demonstrate the ability to integrate multidisciplinary teams, with whom should interact, always considering the well-being of the patient. In this context, given the plurality of areas in which the pharmacist may practice, it became important to experiment two distinct areas during the curricular internship. . On the one hand, in the hospital perspective, there was the possibility to contact with exclusive pharmacological therapies; on the other hand, the direct contact with the patient in the community pharmacy allowed a personal attendance of his/hers pathological progression. In both cases, there is a constant intrinsic challenge, in order to meet the patient’s needs, combining professionalism, sensitivity and scientific accuracy. The research project combined the interest in a particular area with the possibility of drawing conclusions after analyzing a population sample and relating the study to previously published works. The neonatal abstinence syndrome is a consequence of the mother’s abusive behavior concerning illicit substances during pregnancy. This clinical condition was evaluated in newborns of Centro Hospitalar de Trás os Montes e Alto Douro, as described in the clinical files. Despite the reduced dimension of the sample, one was able to determine the predominance of heroin use (42%). Nevertheless, the adherence of the mother to a rehabilitation program was significantly higher in the second period of the study (1,5 times greater). The therapeutic options demonstrated greater efficacy for morphine (16%), as first line therapy, both considering the time it takes to produce favorable effects on newborns, and the Finnegan scores (3,12) upon discontinuation.
A future pharmacist, due to his technical and scientific knowledge, must demonstrate the ability to integrate multidisciplinary teams, with whom should interact, always considering the well-being of the patient. In this context, given the plurality of areas in which the pharmacist may practice, it became important to experiment two distinct areas during the curricular internship. . On the one hand, in the hospital perspective, there was the possibility to contact with exclusive pharmacological therapies; on the other hand, the direct contact with the patient in the community pharmacy allowed a personal attendance of his/hers pathological progression. In both cases, there is a constant intrinsic challenge, in order to meet the patient’s needs, combining professionalism, sensitivity and scientific accuracy. The research project combined the interest in a particular area with the possibility of drawing conclusions after analyzing a population sample and relating the study to previously published works. The neonatal abstinence syndrome is a consequence of the mother’s abusive behavior concerning illicit substances during pregnancy. This clinical condition was evaluated in newborns of Centro Hospitalar de Trás os Montes e Alto Douro, as described in the clinical files. Despite the reduced dimension of the sample, one was able to determine the predominance of heroin use (42%). Nevertheless, the adherence of the mother to a rehabilitation program was significantly higher in the second period of the study (1,5 times greater). The therapeutic options demonstrated greater efficacy for morphine (16%), as first line therapy, both considering the time it takes to produce favorable effects on newborns, and the Finnegan scores (3,12) upon discontinuation.
Description
Keywords
Síndrome de abstinência neonatal Índice de Finnegan Recém-nascido - Progenitora toxicodependente Farmácia hospitalar Farmácia comunitária
Citation
Publisher
Universidade da Beira Interior