International Congress 2018

Introduction: One of the increases in life expectancy in HIV seropositive elderly is attributed to the success of antiretroviral therapy (ART), but it may present metabolic alterations along with the aging of the HIV seropositive population, which increases the risk of thromboembolic events. Associated with this, the biological aging imposed by the virus and the inadequate urban feeding routine can evolve to a more rapid and deteriorated senescence. Objectives: To identify cardiometabolic risks in elderly HIV seropositive patients and to seek measures that promote an improvement in health as a whole. Methods: We analyzed 10 articles in the scientific data base PubMed “fulltext” with the age group from 65 years, both sexes, from 01/01/1990 to 09/22/2017. Results and Discussion: 55.7% of comorbidities were observed in HIV seropositive patients with cardiovascular diseases, the most prevalent was Diabetes. The relevant cardiometabolic risks were increased systolic (21%), diastolic (10%), LDL (31-49%) and Framingham risk score. White males were more prevalent and the median age was 60 years. In the analyzed studies, diabetes was the most frequently mentioned, although HIV infection is not a risk factor for it, since there is a higher incidence among those who are not infected. It has been shown that dyslipidemia and insulin resistance are probably due to antiretroviral treatment, which, associated with LDL, can cause coronary diseases more frequently. Nevertheless, an unbalanced diet aggravates cardiometabolic risks. Conclusion: Among the main cardiometabolic risks associated with HIV infection is the increase in blood pressure and LDL. Treatments should be effective for HIV, with full adherence to ART medications. To institute treatments with low or no drug interaction and with minimal adverse effects. The main cardiometabolic risks should be clarified to the patients so that their routine helps in the prevention of more complications and stabilizing the already existing ones.

Introduction: Population aging is a fast-paced world phenomenon that causes profound consequences for societies. Sexuality is part of the life of any individual at any age, but, when related to the elderly population, it is surrounded by myths and beliefs. Active sexual activity brings benefits to maintaining their quality of life, but also makes them vulnerable to sexually transmitted diseases. Objective: To determine the demographic profile of elderly people living with HIV/AIDS in Brazil, based on a bibliographical survey. Methodology: This is a research of type bibliographic review carried out in the SciELO database. Were considered as inclusion criteria: complete scientific articles, in the Portuguese language, published in the period from 2011 to 2015, that presented in the title some of the descriptors: elderly, sexuality, Aids, and in their results they approached demographic data (sex, age, skin color, years of study, and marital status) of the participants. Results and Discussion: A total of 178 articles were found, of which 10 were selected for review, since the others did not present detailed demographic data of the participants, were duplicates and did not fit the other inclusion criteria. It was observed that the demographic profile of the elderly infected with HIV/AIDS in Brazil is predominantly male, aged 60 years and over, white in color and less than 8 years of schooling. There was no difference in marital status. Conclusion: It is observed that HIV/AIDS infection do not present age among the elderly and no specific civil status and there is a greater vulnerability of infection among men and among individuals with low level of schooling, which makes essential the care in health and investment of actions that focus the sexuality in these individuals who are in the process of aging.

Introduction: Mamamasculin cancer is rare, affecting about 1% of cases, resulting from these also have breast tissue. Since breast cancer has a higher incidence in women, the development of this disease is unnoticed in men. This leads to a delayed diagnosis that results in the discovery of advanced or late stage male breast cancer. The conscientization of men to seek the mastologist as the perception of some change is essential, in order to abolish prejudice and male resistance. Objective: Describe health education strategies and disseminate knowledge of the topic addressed. Methodology: Narrative bibliographic review, using electronic databases: Scientific and Technical Literature of Latin America and the Caribbean (LILACS), Scientific Electronic Library Online (SCIELO) and Virtual Health Library (VHL) .Through the following keywords found in the Descriptors in Sciences (DeCS): breast cancer, male breast cancer. The original articles published in the last eight years were evaluated. Results and Discussion: Male breast cancer affects men from 60 to 70 years old, being rare before the age of 30. In Brazil, the southern states of the country, especially Rio Grande do Sul, this disease occurs in higher incidence. The male mammary gland, usually atrophied, with low production of female hormones, resembles females when cancer is present, such as: appearance of nodules in the region of the breasts and below the armpits, as well as secretion in the nipples. The etiology is unknown, being associated with genetic factors, environmental factors, hormonal factors and others. Understanding of the disease and self-care and self-examination awareness are instruments that have avoided mastectomy. Conclusion: Consult a mastologist immediately when presenting any lumps or changes in the chest area, as it is important to diagnose the cancer early for successful treatment.

Introduction:The human immunodeficiency virus (HIV) epidemic in Brazil was modified with access to antiretroviral therapy (ART) and prevention actions, reducing morbidity and mortality in people living with HIV / AIDS (PLHA). The promotion of safe sex practices is an effective method of controlling HIV transmission and superinfection. Objective: To evaluate the use of condoms in sexual practices in PLWHA. Objective: To evaluate the use of condoms in sexual practices in PLWHA. Methodology: This is a descriptive cross-sectional study with a quantitative approach developed in the city of Recife, Brazil, in 2016, with 184 users of a Specialized Assistance Service (SAE). The study obeyed Resolution No. 466/2012 of the National Health Council, approved by the Research Ethics Committee of the Hospital Complex of the University of Pernambuco under CAEE: 17510113.8.0000.5192. Results / Discussion: There was a predominance of males (58.2%, n = 107). The age range ranged from 18 to 70 years, with a prevalence of 40 to 60 years expressed by 53.3% (n = 98) of the participants. The low level of schooling represented by the incomplete elementary school (44%, n = 81) and the unmarried (45.9%, n = 84) had a predominance of marital status. Regarding the knowledge about the path of HIV infection, 70.1% (n = 129) reported knowing the route by which they contracted HIV, with sexual intercourse being the most prevalent (95.3% – n = 123) . Regarding the use of condoms in sexual intercourse, an irregular use was observed for 17.4% (n = 32) of the interviewees. It is noteworthy that 17.9% (n = 33) stated that they did not maintain active sexual practice after diagnosis. In this sense, it is imperative to reinforce that unprotected sexual activity is a preponderant factor for the maintenance of the HIV transmission chain. Conclusion: The nurse stands out…

Introduction: Since the media is one of the main instruments of communication today, having a strong capacity to influence the construction of eating habits, especially in the children’s audience, we find pertinence in the association of these factors associated to the family nucleus. With regard to the family context, it is seen that children become more vulnerable to this technology because they spend a large part of their day surrounded by various instruments that, in most cases, allow negative access when it comes to conceptions food products, which is a consequence of the constant association of food advertisements with low nutritional content. With regard to the family context, it is seen that children become more vulnerable to this technology because they spend a large part of their day surrounded by various instruments that, in most cases, allow negative access when it comes to unhealthy conceptions food products, which is a consequence of the constant association of food advertisements with low nutritional content. Objective: Therefore, this work aims to correlate the influence of the media in the construction of eating habits in children. Methodology: This is a review study of the literature, with papers in Portuguese, researched in the period from 2011 to 2017 referenced in the Google Scholar database, having the following expressions as descriptors: Influence of Media and Eating Habits. Results and Discussion: We noticed that most publications we found claims that the media has a strong relationship in the construction of children’s eating habits since they are more susceptible to influence and manipulation, because they do not have a critical sense formed yet. Another relevant aspect is the interference of food in the family nucleus, which generates resistance to the adhesion of new healthy eating habits. Thus, we consider the importance of discussions involving media power in the…

Introduction: Multiprofessional team is the joining of efforts and interests of professionals who recognize the interdependence with other components in a cooperative work, to achieve synchronized and coordinated activity. Objectives: To establish protocols for patient care through discussion and construction of a plan of care for each patient admitted to the ward of the Oncology Service of the Hospital das Clínicas of Pernambuco (HC-PE); Promote security for the professional performance and integration between them; Stimulate the updating and constant training of the Multiprofessional Team. Methodology: Within 72 hours of hospitalization, we constructed the care guidelines for patients, in addition to preparing them for care after hospital discharge. The components of this team are social worker, doctor, nurse, speech therapist, nutritionist, psychologist, occupational therapist and pharmacist. Meetings are held on Tuesdays, Thursdays and Fridays at 10:30 am in the ward on the eleventh floor of the HC-PE. The instruments of work are forms where we record the goals of care for the current hospitalization of each patient, planning after the discharge and another where the meetings with relatives and the respective referrals are registered. Communication and dissemination takes place through an email group and drive for document sharing. Every week, each member of staff presents aspects of their area of expertise. Results and Discussion: The formation of the group started on 09/08/17 and in each meeting we divided the time in referrals and discussion of a case with registration of the therapeutic plan. The future perspective will be to present the work of the multidisciplinary group to all employees of the HC-PE Oncology Service and later to every hospital. Conclusion: The performance of this group in the oncology ward has ensured an integral care for the patients and unifying the working language of all the team, besides bringing more safety to…

Introduction: Alzheimer’s disease is characterized by multiple cognitive decline involving memory impairment and progressive loss of functional capacity, where the client needs multidisciplinary care. Objective: to evaluate the actions of caring for the elderly with Alzheimer’s disease from the perspective of the nurse. Methodology: Integrative review, where 7 articles published in the last five years that composed the study sample were identified from the Lilacs, SciELO, PubMed, Medline and Bdenf databases. Results and Discussions: The main nursing diagnoses found by Nanda patients experienced by Alzheimer patients were: chronic confusion, risk of injury, impaired communication, activity intolerance, self – care deficit, impaired social interaction and interrupted family processes. However, in one of the studies on nursing diagnoses, it was possible to identify improvement of the cognition of the patient with (DA) through the application of the Mini Mental State Examination (MMSE), which is a cognitive evaluation scale that exercises immediate memory, incidental and late. In other studies, poor knowledge was observed, assisting the recognition of learning figures and early identification of depression, aiding in the pattern of impaired sleep, the risk of loneliness and chronic sadness. The nurse, through his theoretical and technical resources, should provide means to facilitate care, among them, establish communication strategies between him and the patient, in order to delay the evolution of the disease. Conclusion: Study showed the importance of implementing the nursing process for this focus, which allows comprehensive care to the Alzheimer’s patient

Introduction: Palliative care is an approach to improve the quality of life of patients and their families facing a life-threatening illness.1 To achieve this goal, the interdisciplinary team needs to work in the process of mourning, prevention and relief of suffering, impeccable treatment of pain and other symptoms, be they physical, psychosocial and spiritual. It is a complex approach and needs a strengthened health care team that provides holistic care without value judgments, respecting the diverse beliefs and ways of coping with illness. Objective: To describe the experience of a resident nurse within the multidisciplinary team in the care of a patient in palliative care. Methodology: This is an experience report of a resident nurse during the assistance to palliative care in the inpatient unit of a university hospital in northeastern Brazil. The nurse worked with a multiprofessional team, in the first year of residence, consisting of psychologist, physiotherapist, speech therapist, nutritionist, pharmacist, social worker and dentist. Results and Discussion: There were several challenges encountered during the care, noting: The non-existence of a specialized team in palliative care or guidelines of the institution to conduct the case; Insecurity and inexperience of the professionals who make up the team, newly graduated for the most part and in the first year of residence; Inefficient communication between the interdisciplinary team, making it extremely difficult to make decisions regarding the establishment of palliative care and specific procedures for the case; and finally, difficulty empower the family for decision-making. Conclusion: It is necessary, in this way, to promote discussions and / or training on the subject, to make the population aware of palliative care, to establish guidelines and protocols for conducting cases, and especially to improve communication among medical, multidisciplinary and family teams, so that decisions are made in a shared way.

Introduction: Multidisciplinary intervention with a group of followers of the oncology ward of a school hospital in Recife. During the internment, the anxieties that emerge are broad and complex, permeated by intense feelings like fear, insecurity, anger, revolt and sadness. This symptomatology is natural from the moment of crisis, rupture, (re) adaptation, which exposes the human being in his greatest weaknesses, anxieties and anxieties. Objectives: To provide a space of collective care through the exchange of experience, expression and resignification; to improve the communication between companion and patient, companion and team; provide information and guidance that facilitates the organization of the care routine. Methodology: The meeting took place weekly from the invitation made by the team. The group started with the presentation of the facilitators and then the presentation of the companions who said their name, the patient who was accompanying and had some degree of kinship with the same. This group was open, heterogeneous, educational and therapeutic, depending on the demand brought by the companions during the individual visits during the week. Results: Emotional strengthening of the rights and duties of the companions, and choice of coping strategies more effective. Conclusion: Extended and interdisciplinary care based on the knowledge of the needs of the companions for better patient care.

Introduction: The promotion of health in the school context starts from an integral and multidisciplinary view of the human being, who considers people in their family, community, social and environmental context. Thus, health promotion actions aim to develop knowledge, skills and abilities for health self-care and prevention of risk behaviors in all educational opportunities; as well as foster an analysis of the values, conduct, social conditions and lifestyles of the individuals involved. Objective: to report on experiences in the school environment aimed at health promotion and education. Methodology: This is a descriptive study of the type of experience report of activities developed with students from a municipal school located in Jaboatão dos Guararapes in the state of Pernambuco, provided by the Health extension project at the University of Pernambuco-UPE. Throughout the project, a number of activities aimed at promoting health in early childhood education were inserted, with students from the 1st, 2nd and 3rd year of primary education during the 2016 school year. The team responsible for developing the activities was composed of academics from the health courses, linked to the extension project. Results and Discussion: In the school were developed educational activities of the type scenarios, drawings, videos, jokes and lectures with different themes such as: coexistence pact, personal hygiene, food and environment. The results acquired during the project were satisfactory, taking into account the students’ learning after each of the activities, the results were recorded and computed in an evaluation worksheet. The experiences acquired throughout the project were extremely important, thus contributing to our academic and personal training. Conclusion: The experience contributed to the practical visualization of the possibilities of interventions using children’s pedagogical strategies, allowing, in a playful way, to address the importance of health education in the school environment.