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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.
Descrição
Palavras-chave
Síndrome de abstinência neonatal Índice de Finnegan Recém-nascido - Progenitora toxicodependente Farmácia hospitalar Farmácia comunitária
Contexto Educativo
Citação
Editora
Universidade da Beira Interior