Health Needs of Patients Undergoing Liver Transplant From the Context of Hospital Discharge

Knihs, Neide da Silva; Lorençoni, Beatriz de Pádua; Pessoa, João Luiz Erbs; Paim, Sibele Maria Schuantes; Ramos, Saulo Fábio; Martins, Marisa da Silva; Wachholz, Laísa Fischer; Bittencourt, Ivonei; Sebold, Luciara Fabiane; Amante, Lúcia Nazareth; Sens, Suyan; Lunardi, Fernanda; Santos, Juliana dos; Roza, Bartira de Aguiar

doi:10.1016/j.transproceed.2020.02.022

Cited by 8 publications

(17 citation statements)

References 9 publications

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“…Outros estudos corroboram esses achados, quando apontam que o paciente submetido ao transplante hepático vivencia, no ambiente domiciliar, a necessidade de readaptação a uma nova rotina de vida diária. Rotina esta que, devido à complexidade do procedimento, envolve a realização de inúmeros cuidados domiciliares e acompanhamentos frequentes com as equipes de saúde, demandando grande esforço e dedicação por parte dos pacientes e familiares envolvidos (2,7,(12)(13) .…”

Section: Discussionunclassified

“…Estudos apontam que pacientes submetidos ao transplante hepático precisam ser auxiliados pela equipe multiprofissional a alcançar a completa recuperação funcional, visando a reintegração psicossocial. A equipe precisa compreender que o processo deve ser gradativo e que os pacientes, em muitos casos, sentem-se cansados, desanimados e desmotivados com a continuidade do tratamento em domicílio (2,7) .…”

Section: Discussionunclassified

“…É fundamental que a equipe multidisciplinar conheça a rotina e a realidade do paciente após o transplante, considerados como fatores determinantes para o sucesso da terapêutica, além de fornecer um atendimento digno, seguro e efetivo (4,6) . Tendo como foco central a autonomia, o autocuidado, além de fortalecer a adesão ao tratamento proposto, minimiza a ocorrência de complicações pós-operató-rias, favorece o vínculo com a instituição e gera cuidado resolutivo e humanizado (4,7) .…”

Section: Introductionunclassified

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The experience of patients undergoing liver transplantation in the transition of care

et al. 2021

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Objective: to understand the experience of patients undergoing liver transplantation in the transition of care between hospital and home. Methods: study with a qualitative approach, with 20 patients undergoing liver transplantation who were interviewed using a semi-structured script. Content analysis was the selected technique to identify aspects inherent to the transition of care. Results: based on the data obtained, four thematic categories were formed: Path marked by feelings and uncertainties; Path of comings and goings to the health network to acquire supplies; Learning path to develop home care and: Itinerary between social idealization and the reality experienced after transplantation. Conclusion: difficulties of recipients and family after liver transplantation were perceived, especially in the preparation for the transition of care and in coping and adapting to daily activities.

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Section: Discussionunclassified

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The experience of patients undergoing liver transplantation in the transition of care

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“…Thus, in order to decrease the circulation of this patient and meet the care needs, the adjustments in care transition from the hospital to the home with the support of technologies were certainly relevant to minimize the risks for COVID-19 contamination and development for this patient. 19 The care transition carried out in this experience report made it possible to get closer to the scholarship fellows, patient and family, in addition to enabling safety. Since that, through the technologies, there is no concern with the exposure time, that is, the team can guide, inform, question, listen and solve doubts, without worrying about the fact that it offers any risk to the patient due to contamination.…”

Section: /11mentioning

confidence: 93%

“…Considering that this patient has difficulties and health needs regarding glycemic control, insulin application, identification of warning signs for complications and use of various medications, it is of fundamental importance that there is thorough preparation regarding home care actions, in addition to solving doubts that can to arise at home. 19 And, in this way, the use of technological tools, such as podcasts, video calls, instructional videos and even phone calls allowed recently transplanted patients to have safe access to care, even during the pandemic.…”

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confidence: 99%

Care Transition for Liver Transplanted Patients During the Covid-19 Pandemic

Knihs

Sens

Silva

et al. 2020

Texto contexto - enferm.

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Objective: to submit the experience lived in the care transition for hospital discharge of patients undergoing liver transplantation due to the COVID-19 pandemic. Method: an experience report on hospital discharge planning and care transition for patients undergoing liver transplantation at a teaching hospital. Results: after COVID-19 pandemic has been declared, several technological means were used to support self-care strategies at the time of the hospital-home transition, as well as remote care for patients focusing on doubts about the routine of care and treatments. In addition, new counterreferral strategies were structured, prioritizing safety and social isolation. Conclusion: the adjustments in care transition with the support of the technologies provided transplanted patients access to all the information that guides self-care. Likewise, they regulated the flow of the support network and the health network, decreasing the possibility for COVID-19 spread, infection and development.

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Care Technologies to Improve Treatment Adherence in Patients Undergoing Organ Transplant: A Scoping Review

Silva¹,

Knihs²,

Sens³

et al. 2022

Transplantation Proceedings

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Health Needs of Patients Undergoing Liver Transplant From the Context of Hospital Discharge

Cited by 8 publications

References 9 publications

The experience of patients undergoing liver transplantation in the transition of care

The experience of patients undergoing liver transplantation in the transition of care

Care Transition for Liver Transplanted Patients During the Covid-19 Pandemic

Care Technologies to Improve Treatment Adherence in Patients Undergoing Organ Transplant: A Scoping Review

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