Navegando por Palavras-chave "Pharmaceutical Care"

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    A percepção de farmacêuticos na implantação do Cuidado Farmacêutico na Atenção Básica em uma região do município de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2019) D’Andréa, Renato Dias [UNIFESP]; Schveitzer, Mariana Cabral [UNIFESP]; Wagner, Gabriela Arantes; http://lattes.cnpq.br/2359496498484717; http://lattes.cnpq.br/7760859120743069; http://lattes.cnpq.br/9370546003158694; Universidade Federal de São Paulo (UNIFESP)
    The Pharmaceutical Care constitutes the integrated action of the pharmacist for the promotion, the protection, the health recovery and the prevention of diseases. It aims to the education in the health field and to the promotion of a rational use of drugs through the pharmaceutical clinical services and through the pedagogical-technical activities directed to the individual, the family, the community, and the health team. Objective: Describing the perception of the Primary Care pharmacists who participated in the process of pharmaceutical care implementation in a region of the township of São Paulo. Method: A qualitative research with a descriptive approach. The data collection was carried out with ten pharmacists who participated in two focus groups in May and August 2018 (CEP UNIFESP 2.480.641/ CEP SMS 2.587.651). The data were submitted to the Bardin’s Content Analysis. Results: Starting from 52 record units and 10 categories, 3 syntheses about the process of pharmaceutical care implementation were realized: Synthesis 1- The positive aspects and the facilitators highlighted by the pharmacists concerned the care practice, such as the consultation and the listening time, looking beyond the pharmacotherapy and the specific instruments; the insertion in the Basic Health Unit (BHU); the formation and the training; the expansion of the scope of activities such as household visits and educational groups. These aspects responded to the pharmacists’ expectations, besides responding to the managers’ support and to the demand for the implementation of goals, flows and protocols to optimize the pharmaceutical care; Synthesis 2- The negative aspects and the barriers highlighted by the pharmacists intertwine when related to the sensations and feelings about the execution capability of the service; the demand for goals and the lack of support in the management; Synthesis 3- The Primary Care pharmacists highlighted the influence of the user in the implementation of the pharmaceutical care; the team role in the execution of the project with moments of recognition and strangeness; the profile and the skills required for the pharmacist, such as the pro-activity, empathy, and auto-valorization extended the concept of Pharmaceutical Care, besides the prescription, so differentiating it from the Pharmaceutical Care. Conclusion: With the results obtained, it was possible to describe the perception of the pharmacists in the Pharmaceutical Care implementation through the positive and negative aspects and through the necessary advances reported by the pharmacists. Thus, all the actors involved in this practice – the users, the health team, the managers, and the pharmacists - are expected to recognize their role and to value new forms of care in the National Health System.
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    Resultados da intervenção farmacêutica em um hospital de ensino: O intercâmbio terapêutico como ferramenta de gestão
    (Universidade Federal de São Paulo (UNIFESP), 2018-06-18) Suda, Nadia Takako Bernardes [UNIFESP]; Ferraz, Marcos Bosi [UNIFESP]; http://lattes.cnpq.br/3215647218615742; http://lattes.cnpq.br/1703278655401351; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Pharmaceutical care in hospitals involves critical management processes, especially by the high costs related to medications. Pharmaceutical Interventions (PI) with the aim of promoting the rational use of medication have been described worldwide. However, there are few reports on therapeutic exchange (TE) as a management tool in Brazilian university hospitals. Objective: Assess whether the PI improves the quality of pharmaceutical care provided to the patient hospitalized and reduces the purchase cost of not standardized medication. Methods: We describe the requests of nonstandardized medications received in two phases of four months each. In the first, we carried out a situational analysis. In the second phase, pharmacists have evaluated the requests whenever the possibility of substitution was given, and then physicians suggested alternatives to them. We analyzed the data from the pharmacy center of Universitary Hospital and applied questionnaires to register the performed PI. Results: Pharmaceutical interventions (PI) with the suggestion of therapeutic exchange (TE) resulted in savings of R$88,764.14. Even with an increase in the number of patients hospitalized in the second period of study, there was a reduction of 4% in the number of requests. More than 60% of these requests were destined to patients with more than 30 (thirty) days of hospitalization. The pediatric units were responsible for 72% and 61.5% of the requests in the first and second study phases, respectively. Pharmacists at the Pharmaceutical Division performed 142 (31.8%) PIs. The rate of acceptance of suggestion by interns was 76%. Of the PIs accepted, 48% were replaced by standardized medications. Although there has been an increase of 3.4% in the waiting time for receiving the medication requested, the answering of requests increased in 16.8% in the PI period. Conclusion: The effects of PI were positive and connected to the objectives proposed in this study.
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    A sacola de medicamentos: reflexões sobre as práticas de assistência farmacêutica em unidades de saúde da atenção básica
    (Universidade Federal de São Paulo (UNIFESP), 2019-09-13) Souza, Rosana Neves Marques De [UNIFESP]; Maximino, Viviane Santalucia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: the pharmacist's work in Primary Care has traditionally aimed more at the pharmacies logistics and supply issues in Health Units rather than the user needs regarding the use of their medicines. This gap was gradually noticed, not only by the pharmaceutical professionals, but also by other professionals of the health teams, as reports emerged of users with great difficulty in handling and understanding their drug treatment. There was a demand and a space that the pharmaceutical professional could occupy. The approach of this professional to the teams of Primary Care, as responsible for the shared care of these users, was facilitated in the Family Health Support Centers. Therefore, the Pharmaceutical Assistance actions have expanded to those related to Pharmaceutical Care, considered as a model of pharmaceutical practice and that is attentive to attitudes, ethical values, behaviors, skills, commitments and co-responsibilities in disease prevention, health promotion and recovery, in an integrated manner to the health teams. This requires a direct interaction with the user through qualified hearing, aiming at gaining users autonomy with regard to medication use. In addition to be a hearing space, the group experience can offer opportunities for the exchange of ideas and experiences in this direction. Objectives: To monitor a group experience, which uses the GAM strategy – Autonomous Medication Management in a Family Health Unit of the Municipality of Santos, with users who have chronic non communicable diseases, observing their effects on medication management. Identify barriers and facilitators in the medication use, the importance of the medication for these users and the effects of the group on their autonomy and prominent role. Method: a qualitative study using the intervention research with a group of users with chronic diseases who use polymedication with reference to the Brazilian Autonomous Medication Management Guide .Autonomous Medication Management Guide initially created in Canada with users of Mental Health services and subsequently adapted to the Brazilian context proposes a co-management of medication among teams, users, family and community. Results and Discussion: it was found the importance of ensuring spaces for discussion and learning among users with chronic diseases and workers, enabling a better understanding of drug treatment, which contributes to the pharmaceutical care process, generating increased possibility of negotiation and consequently autonomy for the user. The GAM themes are important triggers for these reflections. The "bag" of medicines points to the medication as a commodity and incentive to consumption, as well as a criticism of the way drugs are being dispensed, causing in many cases non-adherence to treatment. As barriers were encountered, difficulties arose in the formation of the groups and in the presence of a larger number of professionals from the teams to increase co-management. As a suggestion for new studies the topic of medicalization can be more discussed in the teams as a way of overcoming the assistance model, which has so far been established especially with regard to the use of medicines.