RESUMO Objetivo: Relatar as principais dificuldades dos familiares em cuidar dos pacientes com transtorno mental a partir da experiência de acadêmicas de enfermagem. Metodologia: a pesquisa é do tipo relato de experiência, vivenciado no período de 19 a 21 de outubro de 2016. Realizado dinâmica e perguntas a um grupo de cinco familiares de pacientes atendidos em um Centro de Atenção Psicossocial. Resultados: a experiência das acadêmicas identificou as principais dificuldades dos familiares no processo de cuidar dos pacientes com transtorno mental, entre estas, a dedicação exclusiva do familiar nesse cuidado é um fator limitante para a dinâmica familiar. Conclusão: O trabalho proporcionou compreender a relação da família com o paciente, evidenciando desse modo a importância do conhecimento do cuidador sobre o transtorno do paciente para adaptar-se às terapias e assistência proporcionada pela equipe multiprofissional, ofertando assim, melhora na qualidade de vida e reinserção na sociedade. Descritores: Saúde Mental, Cuidadores, Enfermagem.
Alert to the high prevalence and familial association between schizophrenia and mental retardation. Methods: Review relevant literature after the description if a clinical case example; additional diagnostic exams. Results: Description of a clinical case: Man with 25 years old with mental retardation and first episode of pchicosys. He and his all family works in the fire department. In his family history there is a mother with pchicosys, father with mental retardation, sister with a post partum depression, aunt with bipolar affective disorder, and two uncles who comet suicide. In January of 2008, he begins to hear voices, in his work, that call him and ask for help; then he begin to see an old lady in his bedroom's window; he stop sleeping and eating. The family brings him to the emergency room and he´s started diazepam (15 mg/day) and olanzapina (20 mg/day) and the symptom remit. Three days later, he stops the medication and the symptoms came back. He gets very scared and begin to take the medication every day. He did a brain computerized tomography that excludes organic diseases and psychological tests that confirms mental retardation. Conclusions: It is well established that prevalence of schizophrenia is around three times greater in those with mild mental retardation and the co-association between mental retardation and schizophrenia is highly familial. Both bipolar illness and major depressive disorder have also increased prevalence in the mental retarded. The prognosis is directly linked with family and social support.
IntroductionKnowing the impact that religious beliefs can have on the etiology, diagnosis and course of psychiatric disorders will help psychiatrists better understand their patients, assessing when the religious or spiritual beliefs are used to cope with mental illness and when they may be exacerbating this disease.ObjectivesAlert to the importance of religion in clinical practice.MethodsRelevant literature review.ResultsSeveral studies have demonstrated the influence of spirituality on physical, mental and health. In 1988, the World Health Organization (WHO) has given rise to the interest in further investigations in this area, with the inclusion of a spiritual aspect of the multidimensional concept of health. The spiritual well-being can be considered a protective factor for psychiatric disorders.Although it is not possible to determine with accuracy, the mechanisms of interaction of spirituality on health, especially mental health, several studies suggest that exercise can influence the spiritual activities, psychodynamically, through positive emotions. Furthermore, these emotions may be important for mental health in terms of possible psychophysiological and psychoneuroimmunological mechanisms.Anthropological sources suggest that beliefs in demons, black magic and evil spirits as cause of mental illness and distress are common. They may be less prevalent in western countries but even in Europe it's possible to see patients thought that their condition have been caused by evil and occult possession.ConclusionsClinicians should understand the negative and positive roles that religion plays in those with mental disorders and use this in clinical practice.
Objetivo: avaliar como é realizado o atendimento às gestantes pelos profissionais das Unidades Básicas de Saúde (UBS) da cidade de Santarém - PA, considerando as orientações do Programa de Humanização no Pré-natal e Nascimento (PHPN), tanto na visão da clientela quanto na dos profissionais. Metodologia: adotou-se a abordagem quantitativa, qualitativa, descritiva e observacional, sendo a análise temática, combinada a princípios da hermenêutica e dialética, utilizada no tratamento e interpretação dos dados. Participaram 56 pessoas, das quais 50 são gestantes e 6 são profissionais. Resultados: ainda que a clientela das UBS tenha qualificado majoritariamente o atendimento em “bom” e “ótimo”, percebeu-se que o significado de “humanização” ainda é conflituoso para as participantes, além disso, são recorrentes queixas quanto a falta de infraestrutura e de educação continuada. Conclusão: a falta de esclarecimento sobre o conceito “humanização” - de recursos materiais e humanos – limitam, na prática, a ofertada do atendimento humanizado às gestantes.Descritores: Gestante. Atenção Básica. Humanização.
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