Communications and Networks

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.