International Congress 2018

Introduction: The cardiovascular diseases (CVDs) are the principal causes of morbidity and mortality in the world, it’s can to be previne with health promotion, through of the protagonist paper of the nurse. Objectives: Analyse like the nurse act in the prevetion of the cardiovascular diseases in adults. Methodology: The present study is a revision of integrative role, whose reviewed articles were captured through database analysis: BDENF, LILACS and SciELO. The descriptors utilized were: Cardiovascular diseases, Health education, Nursing. This analysis were realized on september 25th to 27th, 2017; the criterions of the included were published articles in portuguese and english, in 2011 to 2017, being excluded all that haven’t adequation at thematic of study. By means of the criterions defined were found 120 publisheds, but, only 7 articles met the criterions of the principal objective. Results and Discussions: The modifiable factors propitiate the advent, the maintenance e progression of the CVDs, being an aspect of major influence to the appear of the patology than the non-modifiable, genetic, race, sex and age, that possibility thus the intervention preventive of the nurse, in control the dyslipidemia, systemic arterial hypertension, tabagism, among others, starting at the Health Basic Unit, integrand the actions that proporcions a major quality of life to the patient. Conclusion: According to what was mentioned, is possible to observe the importance of the nurse like health educator, enabling the prevetion of the CVDs, since, this professional can to conscientize the community and through of this change comportaments accentuating the quality of life.

Introduction: Health education in Primary Health Care (PHC) services is characterized by a set of knowledges and guidelines, both aimed at health promotion and disease prevention. The nurse, along with the other professionals that make up the APS, need to have a specific knowledge about the assigned area, since the act of educating will require the educator knowledge of the reality of his student. Objectives: To analyze nurses’ practice in relation to their educational role in promoting health for chronic noncommunicable diseases. Methodology: Integrative review study, in the databases LILACS, SciELO, BDENF. The descriptors used were: Chronic Disease; Health education; Nursing; Role of the Nurse, Health Promotion. The collection took place on September 22 and 24, 2017. The following inclusion criteria were used: articles published between the years 2010 to 2016, in full text and written in Portuguese language, being excluded all those findings that did not contemplate the proposed theme, editorials and revisions. Results and Discussion: We identified 27 publications, but only 10 met the inclusion criteria. In the studies analyzed, the nurse is seen as a key point in the prevention and promotion of health .. Its performance is of total relevance, since it performs its interventions mainly by educational actions, due to its holistic perception. The nurse acts in the health education of the population, providing other actions for them to have adequate conditions for improvement, such as the stimulation of healthy habits and the use of specific and differentiated care, thus contributing to improve quality of life. Conclusion: It was verified that the nurse through his scientific technical knowledge is qualified to act in the health education of the population, possessing satisfactory characteristics to exercise the function of educator.

Introduction/Objective: The present study is part of an educational sciences PhD program and aims to evaluate the educational process that can result from the suffering process experienced by oncological patients. The main purposes of the study are: (1)build up in the oncological patients the capacity to acquire knowledge due to their suffering experience related to the disease; and (2) be able to transfer the obtained knowledge to formal and informal caregivers. Methodology: Cancer patients were selected that met the criteria defined in the research. Questionnaires were given following the method of narratives beyond the questionnaire of Coherence Sense proposed by Antonovsky. Results and Discussion: We found that patients do not always know their ability to manage their difficulties about the disease and its real care needs, a situation which results in a lack of knowledge on the part of formal caregivers, about the experience that patients have of their disease, with order consequences technical and ethical. In this paper, the salutogenic perspective Antonovsky; and the ethics of care in the health context are the theoretical assumptions. Conclusion: We consider that each oncological patient has an educator status, as he/she can teach and is, more over, the one who can teach not only the possible direction of the disease, but the specifics of the illness; these specifics as the possible direction of the disease, are inextricably linked to what Antonovsky appointed as internal sense of coherence, for which evaluation he built the SOC questionnaire. For their turn, the ethics of care, according to Kemp and Rendtorff, defines four ethical principles in the context of health and medical research: autonomy, dignity, integrity and vulnerability. These principles are inseparable and must be understood in a general framework of solidarity and responsibility.

Introduction: The sexually transmitted infections are a worldwide concern. The rates of some infections are increasing in groups of people that were not affected by them in the past, therefore, this increase demonstrates many vulnerabilities in those groups, even though that are a circumstantial number of promotion and prevention of health in the actual health system. Objetive: To describe an action of education in health about sexually transmitted infections (Syphilis and Human Papillomavirus – HPV) to young adults from a public school of the state of Pará. Methodology: This study is a descriptive experience report, developed by a multiprofessional team of Women’s and Children’s Health residents. The education in health action was performed using a pretest with closed questions about syphilis and HPV. These questions were about clinical epidemiological information about the diseases. After this pretest, a lecture was performed for the students about the diseases and the correct methods of preventing those. The students were divided into groups and they were told to make a poster with images about what they have had understood about the lectures, the clinical aspects of the diseases. Results and Discussion: The students had a satisfactory perception of the sexually transmitted diseases, which was demonstrated by the answers of the pretest and the poster they had made. The action showed that students were receptive and aware that even with lectures and campaigns, the risks of infection were still a risk, and so they sought preventive methods that would protect them regularly. Conclusion: Health orientation in schools is a good method to aware young adult’s students about the health-disease process. The action could improve the relationship between the multiprofessional residents and spread substantial information about the sexually transmitted diseases to students from the education in health program.

Introduction: Neuralgia is a pain that stretches along the path of a nerve. As regions of the head and neck are more affected places and a trigeminal neuralgia is more common among facial neuralgias. Objective: To review the literature on the concept, diagnosis and treatment of trigeminal neuralgia. Methodology: An integrated review was carried out in the MEDLINE, LILACS and SCIELO Virtual Library databases, using the following documents: Neuragia and Trigêmeio. The results of the research were published in all cases, in Portuguese, Portuguese and Portuguese. Results and Discussion: The search resulted in 6,205 articles, these, 30 were separated by amount of subject matter, however, only Nine meeting the inclusion criteria. A trigeminal neuralgia belongs to the group of chronic pain conditions and is classified as primary and secondary. It has a predominance of females, between 50 and 70 years of age and almost always is unilateral. Pain is characterized as paroxysmal, acute, superficial, triggered by the estimation of trigger zones, most of the life born and the skin of the middle region of the face. The patient may present hyposthesia or paraesthesia of a certain area and paralysis of one or more masticatory muscles. The diagnosis is clinical, as well as complementary tests in cases of neuropathic pain. The initial treatment is done by non-invasive methods, with the use of carbamazepine medicines. It can be surgically tested, which is success in 70 and 85% of cases. Conclusion: The articles presented, of facial neuralgias, one that is a bit slower and more common. It has a variable and prolonged clinical course regarding the frequency and intensity of pain. The treatment can be medicated or surgical.

Introduction: Cervical cancer is the second most frequent neoplasm in the female population. Among its range of symptoms, pain is one of the most exceeded. Total pain is a set of physical, psychic, social, and spiritual problems that may be present at any time of illness. More precisely in cervical neoplasia in young patients, this type of pain may be present due to falling ill in the productive phase. Objective: to discuss the presence of total pain in patients with uterine cervix cancer in palliative care. Methodology: This is an integrative review of the literature. The LILACS and SciELO databases were used. The following descriptors were used: Cancer pain; Nursing care and cervical neoplasias. From this, 45 articles were found. Contextualizing the inclusion criteria, which were: available text, language in Portuguese and year of publication from 2011 to 2016, 18 articles emerged. With the reading, it was noticed that 10 of these met the objective of the research. Results and Discussion: It was verified that all articles bring the definition of pain according to the National Association for the Study of Pain, in which it is a sensitive and emotional experience, which may be associated with actual or potential tissue damage. 40% demonstrate that poor pain relief is a reality for many patients. Already 30% report that the tendency to focus only on the physical aspect of pain and to exclude the other components is a great obstacle to the management of pain in palliative care. Conclusion: Total pain in patients in palliative care is influenced by several factors, necessitating a multidimensional approach. It has been realized that it is not possible to control physical pain, nor any other symptom, without the simultaneous control of all other aspects that cause suffering to patients.

Introduction: According to the International Association for the Study of Pain (IASP), pain is an unpleasant sensation or emotional experience associated with actual or potential tissue damage.1 Furthermore, pain involves psychological and social factors, so it is a multidimensional, complex, subjective and perceptive phenomenon. Pain in chronic wounds is a concern for both the patient and the health care team. This is a complex approach and requires a multidisciplinary approach. Objective: To describe the experience of a resident nurse within the multidisciplinary team in the care of patients with chronic wounds. Methodology: This is an experience report of a resident nurse during the care of patients with impaired skin integrity at the university hospital of Aracaju. The nurse worked with a multiprofessional team, consisting of psychologist, physiotherapist, speech therapist, nutritionist, pharmacist, social worker and dentist. Results and Discussion: Several approaches were used in the treatment, to mention: adequacy of technique and coverage in dressings, intensification of decubitus changes and movement in bedridden patients, besides the execution, adequacy and orientation of basic human needs. Interventions with the medical team consisted of a crucial and difficult point for the improvement of the pharmacological management of pain. In addition, daily humanization has become a key element in the best response to the treatment and its consequences. Thinking about the patient as a biopsychosocial and spiritual being, we use specialized psychological support, interventions that encompass social issues, involvement of religious beliefs when recognized as a comfort point in the suffering process, and music therapy during multidisciplinary care. Conclusion: The developed activities promoted better results in pain management and evidenced the importance of the performance of the multiprofessional team as a determinant for this improvement. In addition to exposing the best model of approach and humanization to the patient and family.

Introduction: Population aging is now a global event, determining greater growth of the elderly population in relation to the other age groups. The hearing loss due to aging is known as presbycusis, characterized by bilaterally decreased auditory acuity, generally for high frequency sounds, due to degenerative and physiological changes in the auditory system that have arisen with increasing age. Studies have shown that chronic diseases affecting the elderly may be related to hearing disorders. Among these diseases, the most frequent are diabetes mellitus and hypertension. Objective To describe the hearing loss of elderly patients with diabetes mellitus (DM) and systemic arterial hypertension (SAH) from a bibliographic survey. Methodology: This is a bibliographic review research carried out in the SciELO database. Inclusion criteria were: complete scientific papers published in the Portuguese language, published in the period from 2011 to 2015,that present in the title some of the descriptors: elderly, diabetes mellitus, systemic arterial hypertension. Results and Discussion: We found 27 articles, of which 7 were selected for the review, since the others did not present data relevant to the research, were duplicated and did not fit the other inclusion criteria. According to the research, drastic changes were observed when comparing the elderly living with DM and SAH with those without chronic diseases, also showing an adverse effect on the cochlea, resulting in the loss of hair cells that, through mechanotransition, detect the sounds. Conclusion: It can be observed that the elderly with DM and SAH presented higher hearing loss of high frequency neurosensory when compared to groups without these chronic diseases, suggesting a synergistic effect of the medications to treat the pathologies.

Introduction: The oncology has been developing rapidly and the pharmacist’s main challenge is to be up-to-date with new studies about the subject. Palliative care is involved in the protection and responsibility for the patient’s well-being. This area requires a multidisciplinary team that cares for patients suffering from serious diseases, even if there is a possibility of cure. The purpose of pharmaceutical care is to analyze prescriptions, check drug interactions, dosages and side effects. Objetive: To identify the importance of the pharmacist in the palliative care of cancer patients. Methodology: Review of published researches from 2010 to 2017 in the Google Scholar, Scielo and Bireme databases, using the descriptors pharmaceutical care and Palliative Care. Results and Discussion: The pharmacist can intervene in therapy to reduce symptoms, as often the medications may be responsible for some of these symptoms. It can also check if the therapy can be well tolerated if it is being uncomfortable for the patient to receive a particular drug or suggest to the doctor in charge to replace a drug of unpleasant taste, for example. Pharmaceutical care in palliative care is focused on informing the health team about the availability of medicines, regarding pharmacotechnical possibilities and legal aspects, as well as patients and their families, about the correct use and storage of medicines. Conclusion: The presence of the pharmacist in palliative care is extremely important both in the patient’s medical treatment and in ensuring the necessary comfort to the patient and the promotion of health in general.

Introdução: Anualmente ocorrem cerca de 350.000 internações por asma no Brasil, Os estima-se que os custos do Sistema Único de Saúde com internações por asma são da ordem de 96 milhões de reais. A asma é uma doença inflamatória crônica, caracterizada por hiperresponsividade das vias aéreas inferiores e por limitação variável ao fluxo aéreo, reversível espontaneamente ou com tratamento. Objetivo: Compreender a assistência de enfermagem aos pacientes asmáticos. Material e Métodos: Trata-se de um estudo descritiva do tipo revisão bibliográfica. Resultados e Discussão. O diagnóstico da asma deve ser baseado na anamnese, exame clínico e, sempre que possível nas provas de função pulmonar e avaliação da alergia, sintomas como: dispnéia, tosse crônica, sibilância, desconforto torácico à noite ou pela manhã e histórico familiar. Podemos aplicar uma sistematização de enfermagem em pré-consulta e pós-consulta medica. A pré-consulta será a ficha de pré-consulta que inclui: dados antropométricos, questionário de avaliação subjetiva da dispnéia, escala analógica visual de dispnéia, sinais vitais. Na pós-consulta a equipe de enfermagem treina o paciente para o uso da medicação inalatória, os pacientes participam de um programa de educação continuada onde cada paciente deverá participar de uma palestra educativa, tendo que cumprir o mínimo de seis palestras em seis meses. As etapas do tratamento, a vacinação anual antiinfluenza e a antipneumocócica deve ser indicada; a técnica de utilização de medicações inalatórias deve ser revisada regularmente, é fundamental que o enfermeiro verifique a adesão, que pode ser inadequada devido à prescrição de vários medicamentos, limitações físicas. Conclusão: A educação continuada associada ao tratamento farmacológico constitui um dos pilares fundamentais no tratamento da asma. Ajudar o paciente e os familiares na aquisição de motivações e confiança no tratamento, o que permite um impacto positivo na mudança de comportamento frente à doença, e ajuda a estabelecer vida normal, permitindo melhor controle…