scholarly journals O cão como coterapeuta e os cuidados para a sua atuação em ambiente hospitalar

2022 ◽  
Vol 1 (1) ◽  
pp. 2-27
Author(s):  
Thiago de Mello Corrêa ◽  
Luis Carlos Oliveira Gonçalves ◽  
Aníbal Monteiro de Magalhães Neto ◽  
Adriana da Roza Chaves de Melo
Keyword(s):  
Cerebral Palsy ◽  
Patient Care ◽  
Multidisciplinary Team ◽  
Psychiatric Patients ◽  
Hospital Environment ◽  
Therapeutic Modality ◽  
Pet Therapy ◽  
The Face ◽  
The Impact ◽  
Length Of Hospitalization

Este estudo teve por objetivo abordar a cinoterapia como modalidade terapêutica capaz de promover uma maior humanização do atendimento ao doente, atuando como ferramenta efetiva no tratamento do assistido, dando ênfase aos cuidados necessários para o emprego do cão no ambiente hospitalar. A humanização da saúde, hoje já bem discutida, apoia iniciativas que visem à transformação do ambiente hospitalar. Acredita-se que, através de pequenas ações, podemos amenizar a dor de muitos, contribuir para o sucesso dos tratamentos e para a diminuição do tempo de hospitalização. A Cinoterapia, apoiada por uma equipe multidisciplinar, tem assistido crianças e adultos hospitalizados por diferentes patologias, pacientes cardíacos, psiquiátricos, portadores de Alzheimer, Parkinson, AIDS, paralisia cerebral, acidente vascular cerebral, câncer entre outras. Mesmo diante da tendência mundial e do reconhecimento da importância da terapia, a implantação de projetos ainda tem sido dificultada pela carência de estudos que demonstrem o impacto do cão no ambiente hospitalar. O desconhecimento dos riscos inerentes à terapia, principalmente no que diz respeito à transmissão de doenças, assim como a falta de protocolos com normas específicas para a sua implantação, são alguns dos entraves para uma maior disseminação da técnica.   The aim of this study was to approach Pet therapy as a therapeutic modality capable of promoting a greater humanization of patient care, acting as an effective tool in the treatment of the assisted, emphasizing the necessary care for the use of the dog in the hospital environment. The humanization of health, now well discussed, supports initiatives aimed at transforming the hospital environment. It is believed that, through small actions, we can ease the pain of many, contribute to the success of the treatments and decrease the length of hospitalization. Pet therapy, supported by a multidisciplinary team, has assisted children and adults hospitalized for different pathologies, cardiac patients, psychiatric patients with Alzheimer's, Parkinson's, AIDS, cerebral palsy, stroke, cancer, among others. Even in the face of the worldwide trend and recognition of the importance of therapy, the implementation of projects has still been hampered by the lack of studies that demonstrate the impact of the dog in the hospital environment. The lack of knowledge about the risks inherent to the therapy, especially regarding the transmission of diseases, as well as the lack of protocols with specific norms for its implantation, are some of the obstacles for a greater dissemination of the technique.

scholarly journals COVID-19 Pandemic and the Impact on the Cardiovascular Disease Patient Care

2020 ◽  
Vol 16 (3) ◽  
pp. 173-177 ◽  
Author(s):  
Prashanth Kulkarni ◽  
Manjappa Mahadevappa ◽  
Srinivas Alluri
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Disease Patient ◽  
Hospital Environment ◽  
Cardiovascular Patients ◽  
Increased Risk ◽  
Care Health ◽  
Global Threat ◽  
The Impact

: The COVID-19 pandemic has emerged as a serious global threat causing a large number of fatalities and putting enormous strain on the health care resources across the world. This has resulted in preferentially triaging the coronavirus infected patients and placing others, especially cardiovascular patients at increased risk for adverse complications. The effective management of cardiac patients in the hospital environment during this COVID-19 pandemic has emerged as a real challenge. We try to address this issue and also highlight the interplay between COVID-19 and cardiovascular diseases. We hereby review the available literature and emerging guidelines about cardiovascular implications related to COVID-19 which will have a bearing on the patient care, health care professionals and cardiac centres.

Assessing the Impact of a Clinical Pharmacist in a Postsurgical Inpatient Population

2020 ◽  
pp. 089719002093819
Author(s):  
Farrah C. Tavakoli ◽  
Victoria L. Adams-Sommer ◽  
Lynn S. Frendak ◽  
Nicole D. Kiehle ◽  
Stacy E. Dalpoas
Keyword(s):  
Adverse Events ◽  
Patient Care ◽  
Clinical Pharmacist ◽  
Multidisciplinary Team ◽  
Patient Population ◽  
Improve Patient Safety ◽  
Care Patient ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
The Impact

Objective: To quantify the number and type of clinical pharmacist interventions with an impact on patient care in a postsurgical nonintensive care patient population. Background: Studies have shown that pharmacists are able to improve the quality of patient care; however, the pharmacist role in postsurgical nonintensive care areas is not well defined. Methods: A clinical pharmacist provided care for 2 postsurgical floors for 2 weeks and collected information about the number and type of interventions made and adverse events avoided. In addition, the study team conducted an anonymous survey amongst the multidisciplinary team who collaborated with the pharmacist at the end of the trial period to understand the perception of having access to a clinical pharmacist who was designated to their floor. Results: In a 2-week time period, the clinical pharmacist was able to make 218 interventions, including 38 recommendations for optimization of antimicrobials, 26 recommendations for anticoagulation optimization, and providing education for 20 patients planned for discharge on high-risk medications. Interventions made by the clinical pharmacist helped decrease adverse events, improve patient safety and knowledge, and potentially avoid readmissions and reduce hospital length of stay. The survey results revealed that 100% strongly agreed that a clinical pharmacist should be a member of the multidisciplinary team for the postsurgical floors. Conclusion: This data signifies that having a clinical pharmacist dedicated to the postsurgical patient population allows for optimization of antimicrobial and anticoagulant use, improves outcomes for patients through medication education, and enhances provider satisfaction.

scholarly journals Dietitians can improve accuracy of prescribing by interacting with electronic prescribing systems

2019 ◽  
Vol 26 (1) ◽  
pp. e000019 ◽  
Author(s):  
Susan De Waal ◽  
Laurie Lucas ◽  
Simon Ball ◽  
Tanya Pankhurst
Keyword(s):  
Electronic Health Records ◽  
Patient Care ◽  
Multidisciplinary Team ◽  
Electronic Prescribing ◽  
Health Records ◽  
Improve Accuracy ◽  
Before And After ◽  
Improving Accuracy ◽  
The Impact ◽  
To Receive

BackgroundDietitians increasingly interact with electronic health records (EHRs) and use them to alert prescribers to medication inaccuracies.ObjectiveTo understand renal dietitians’ use of electronic prescribing systems and influence on medication accuracy in inpatients. In outpatients to determine whether renal dietitians’ use of the electronic medication recording might improve accuracy.MethodsIn inpatients we studied the impact of dietetic advice on medical prescribing before and after moving from paper recommendations to ePrescribing. In outpatients, when dietitians recommended changes in dialysis units, we assessed the time to patients receiving the new medications. We trained dietitians to use the ePrescribing system and assessed accuracy of medication lists at the start and end of the study period.ResultsInpatients: before the use of EHRs, 25% of proposals were carried out and took an average of 20 days. This rose to 38% using an EHR and took an average of 4 days.Outpatients: in dialysis units dietitians recommend initiating and stopping medications and advise on repeat medications. Most recommendations were during multidisciplinary team (MDT) meetings; the average time to receive medications was 10 days. Drug histories updated by dietitians increased after the start of the study and accuracy of medication lists improved from 2.4 discrepancies/patient to 0.4.ConclusionDietitians can make medication suggestions directly using EHR, delivering more timely change to patient care and improving accuracy of patients’ medication lists. Allowing the whole of the MDT to contribute to the EHR improves data completeness and therefore patient care is likely to be enhanced.

scholarly journals The THE MULTIDISCIPLINARY TEAM'S PERFORMANCE IN DYSPHAGIC PATIENTS CARE IN THE HOSPITAL ENVIRONMENT: integrative review of literature

2019 ◽  
Vol 7 (5) ◽  
pp. 382-395
Author(s):  
Marcos Ribeiro ◽  
Fabiola Hermes Chesani ◽  
Carina Nunes Bossardi ◽  
Juliana Vieira de Araújo Sandri ◽  
João Pedro Euriques Batista
Keyword(s):  
Patient Care ◽  
Multidisciplinary Team ◽  
The Elderly ◽  
Patient Care Team ◽  
Integrative Review ◽  
Hospital Environment ◽  
Exclusion Criteria ◽  
Study Objective ◽  
Dysphagic Patient ◽  
Dysphagic Patients

This article is an integrative review of the literature aiming to gather and synthesize the results of studies and research in order to know the productions of scientific knowledge related to the performance of the multidisciplinary team for the dysphagic person care in the hospital environment. The research was performed during the month of November of 2017, using BIREME, PUBMED and SCIELO databases, in Portuguese, English and Spanish. The following keywords were used in combination: hospital, dysphagia and patient care team. As exclusion criteria were determined: articles not related to the theme and not fully available in the databases. After going through the keywords, languages and period of publication (2007-2017) criteria, there were 89 publications remaining, and after the exclusion criteria only (n = 75) were left, of which only 14 publications were selected for the present review. The present study contemplated information concerning authors, Journal, research title, type of study, objective and conclusion. Before the publications analyzed, it is noticed that there is little scientific material that reports the performance of a multidisciplinary team in the dysphagic patient care, and there is a need for more research in this area, since today dysphagia is increasingly present within the intensive care unit, especially in the elderly patient

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

VASA ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Christian-Alexander Behrendt ◽  
Tilo Kölbel ◽  
Thea Schwaneberg ◽  
Holger Diener ◽  
Ralf Hohnhold ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Invasive Treatment ◽  
Cross Sectional ◽  
Hospital Outcomes ◽  
Vascular Intervention ◽  
Medical Specialties ◽  
Team Decision ◽  
The Impact

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

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