Reiki e meditação mindfullness no manejo do paciente com dores crônicas: uma revisão de literaturaReiki and mindfullness meditation in the management of patients with chronic pain: a literature review
Brazil has been experiencing a process of population aging, which has led to an increase in the number of elderly people, as well as an enhancement of the importance of Long-term Institutions for Elderly People (LIEP). Based on this approach, this study aimed to know the health medical conditions and the medications used by the elderly people institutionalized in the city of Anápolis (GO). It was a descriptive and quantitative cross-sectional typology with pre-structured questionnaires used for analysis of medical records and reports of a population composed by 101 elderly people hosted in five LIEP. The results of this research were a higher prevalence of institutionalized elderly people over 76 years old, female, who suffer from high functional dependence, concomitantly with the decompensation of their chronic diseases, such as hypertension and diabetes, as well as worsening of acute aggravations, such as falls, and gastrointestinal disorders. It was also evaluated the prevalence of the medication classes used by the group, highlighting the usage of antihypertensive, in accordance with the most prevalent chronic disease. In addition, it was reported some difficulty in accessing adequate medical treatment. Finally, most of these places present socioeconomic characteristics of low financial conditions, conflicting family contact, absent leisure activities, with acute aggravations and decompensation caused by chronic diseases, and restricted medical care. However, all visited institutions were interested in the search for improvements that culminate in quality of life for the elderly people and fit the requirements recommended by the Ministry of Health.
Analisar o conhecimento e as percepções dos médicos atuantes na Atenção Básica à Saúde (ABS), na Equipe de Saúde da Família (ESF), sobre a Medicina Integrativa (MI) e as Práticas Integrativas e Complementares (PIC’s) se faz imprescindível, para que mudanças sejam realizadas em prol da melhoria da atenção à saúde. A MI é uma estratégia adotada por vários países que enfrentaram um colapso em seu sistema de saúde. No Brasil, a realidade vivida é o domínio da MI pelos hospitais da rede privada e a falta de investimentos na rede pública, além do tímido desenvolvimento e inclusão dessa vertente no âmbito acadêmico e científico. Partindo do princípio da MI, como uma área da medicina reconhecida pelo Ministério da Saúde desde 2006, entender os motivos que estão levando a esse atraso na efetivação da MI, na percepção dos médicos, foi realizada esta pesquisa, utilizando-se de entrevistas qualitativas aplicadas a 10 médicos e questionários quantitativos a 43. Os resultados mostraram a falta de conhecimento por parte dos médicos sobre a MI e as PIC’s, decorrentes da ausência de contato com tal conteúdo na formação acadêmica e pela precária capacitação destes na ABS. Demonstrou, também, um descrédito por parte dos médicos no emprego das PIC’s, em virtude do reduzido número de evidências científicas. Entretanto, as PIC’s foram reconhecidas como estratégia de melhoria da qualidade do atendimento, fortalecimento da relação médico-paciente e redução dos custos, sendo expressos fortes anseios para a sua adoção.
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