Open Journal of Physiology and Pathophysiology

The importance of the nutritionist in the multidisciplinary team in the treatment and rehabilitation of the Huntington carriers

Review Article of Open Journal of Physiology and Pathophysiology The importance of the nutritionist in the multidisciplinary team in the treatment and rehabilitation of the Huntington carriers Caires A.S¹, Mareco L.A2, Mercês Z.C2, Santos M.R.N.S3, Simões D.V3 ¹Biomédico Mestre em Ciências da Saúde pela Universidade Federal do Amapá, UNIFAP. 2Acadêmicas de Bacharel de Nutrição da Faculdade Estácio de Macapá; 3Docentes/Pesquisadores do Curso de Bacharel de Nutrição da Faculdade Estácio de Macapá, Amapá, Brasil; ³Professor Orientadora Introduction: Huntington’s disease (DH) is characterized by being triggered by genetic alterations in chromosome 4, being hereditary and autosomal dominant, having as characteristic involuntary movements, intellectual deterioration, change in behavior, difficulty in feeding due to dysphagia, and psychiatric disorders, these are caused by the progressive death of neurological cells. This disease presents difficulties in the nutrition process, causing weight loss and worsening of health, with the development of pneumonia due to bronchoaspiration, resulting from diversions of liquids and other foods to the lungs and frequent suffocations. The role of the dietitian is to help the sufferer achieve the recommended daily intake of vitamins and minerals by providing the necessary dietary planning for DH patients with a view to the rehabilitation of body weight through the adequate intake of all nutrients, which may improve the spasms, the state of attention and interest of the patient, using auxiliary way nutritional supplements. Objective: To demonstrate the importance of the nutritionist and its functions in the multidisciplinary team responsible for monitoring, rehabilitation and quality of life control of patients with Huntington’s disease. Methodology: Qualitative research, through a bibliographic review subsidized in databases such as: Scielo, ABH (Associação Huntington Brasil), scientific journals, case studies and Bireme. Results and Discussion: The study evidenced the need to integrate the nutritionist professional to the multidisciplinary team in Huntington’s disease, seeking to improve the ...

Participation of a multidisciplinary team to treat patients with Parkinsons disease

Review Article of Open Journal of Physiology and Pathophysiology Participation of a multidisciplinary team to treat patients with Parkinson's disease Araújo M.L.S1, Inácio M.L.G.T2, Inácio A.V.G.T3, Maia L.M.S.S4. 1,2,3Estudante do Curso de Medicina da Universidade Federal de Pernambuco - UFPE; 4Docente/Pesquisadora do Departamento de Histologia e Embriologia do Centro de Biociências da Universidade Federal de Pernambuco - UFPE Introduction: Parkinson’s disease is neurodegenerative, chronic and affects motor and non-motor domains. Its individualized spectrum of symptoms and its slow progression favor the abandonment of treatment. Teams composed of neurologists, physical educators, speech therapists, nutritionists, psychologists and other professionals are increasingly important in the care of this pathology. Objective: To evaluate the importance of a multidisciplinary treatment in Parkinson’s disease. Methodology: An integrative review was performed on the PubMed and BVS databases, using the descriptors “Parkinson’s Disease”, “Patient Care Team” and “Therapeutics” between the years of 2013 and 2017. Review articles and in animals were excluded. Results and discussion: From the 18 studies located, only three were in agreement with the inclusion criteria. Although multidisciplinary intervention is beneficial in the treatment of chronic patients, evidence of its effectiveness in Parkinson’s disease is still limited, due to the lack of standardization in interventions and heterogeneous results. But studies indicate that the insertion of a multidisciplinary team in the care of patients with Parkinson’s disease can bring benefits in the motricity, the emotional state and the quality of life itself. An integrative approach may also have substantial consequences when compared to invasive treatments. It is even recommended that there be prolonged multicenter follow-up to assess the emotional state and the psychic safety of these patients preceding invasive therapies. Conclusion: In multidisciplinary care, there is an interrelationship between different professionals gathering different knowledge, in a more humanized and holistic approach. Allowing more effective care of ...

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Open Journal of Physiology and Pathophysiology