https://repositoriobce.fepecs.edu.br/handle/123456789/1392 2026-03-10T02:01:00Z 2026-03-10T02:01:00Z Morais, Luiza Karla de Souza do Carmo https://repositoriobce.fepecs.edu.br/handle/123456789/1593 2025-12-15T19:21:20Z 2025-10-09T00:00:00Z

Título: Desenvolvimento de tecnologias educacionais em cirurgia metabólica para o Sistema Único de Saúde (SUS): livro didático e vídeo audiovisual como ferramentas de aprendizagem Autor(es): Morais, Luiza Karla de Souza do Carmo Primeiro Orientador: Fortes, Renata Costa Abstract: Introduction: Obesity and type 2 diabetes mellitus (T2DM) are serious public health problems in Brazil and worldwide, directly associated with increased morbidity and mortality and reduced quality of life. The Unified Health System (SUS) has faced significant challenges in meeting the growing demand of patients with chronic noncommunicable diseases, requiring specific and innovative care strategies. In this context, metabolic surgery is emerging as an effective therapeutic alternative for controlling T2DM in obese patients, with proven benefits in improving the glycemic profile and reducing associated complications. However, there is still a lack of educational materials that can inform the public and healthcare professionals about the procedure, its restrictions, risks, benefits, and impact within the SUS. Objectives: This study aimed to develop health education strategies on metabolic surgery, outside the SUS context, in order to provide accessible, high-quality, and scientifically based information. We also sought to contribute to improving communication between the multidisciplinary team, managers and users, promoting the dissemination of knowledge and strengthening informed decision-making. Methods: Initially, the project envisioned the creation of a digital application that would bring together educational content on metabolic surgery. However, given technical and structural limitations, it was decided to reformulate the proposal, culminating in the development of two complementary educational products: an educational video and a question-and-answer e-book. Both were developed based on a review of the updated scientific literature and national and international guidelines on metabolic surgery and obesity. Furthermore, health communication aspects were considered to adapt the language to the target audience, maintaining clarity and accessibility of the information without compromising technical rigor. The educational video was produced to explain, in a didactic manner, the main concepts related to metabolic surgery, including indication criteria, types of surgical procedures, expected clinical benefits, potential risks, and postoperative care. Its visual and narrative structure was designed to capture the attention of lay audiences, while also proving useful for healthcare professionals seeking a clear and objective overview of the topic. The e-book, in turn, was developed in a question-and-answer format, addressing frequently asked questions by patients and their families regarding metabolic surgery. The material included explanations of the difference between bariatric and metabolic surgery, eligibility criteria within the Unified Health System (SUS), preoperative preparation, necessary lifestyle changes after the procedure, as well as information on long-term clinical and nutritional monitoring. This resource aims to both support the patient education process and serve as reference material for healthcare professionals involved in care. Result: The development of educational Technologies through complementary audiovisual and written resources allows for reaching different audiences and fostering different learning styles. Furthermore, the fact that the materials were developed based on scientific evidence reinforces their practical applicability, potentially contributing to the improvement of care provided by the SUS (Unified Health System). Among the main contributions of this study is the production of health education strategies that can be incorporated by investors, professionals, and health institutions as tools to support health promotion and the management of obesity and T2DM. The materials developed: Textbook: QUESTIONS AND ANSWERS IN METABOLIC SURGERY: A Comprehensive Guide for Patients with Type 2 Diabetes Mellitus: The material includes explanations about the difference between bariatric and metabolic surgery, eligibility criteria in the SUS, preoperative preparation, lifestyle changes necessary after the intervention, as well as information on long-term clinical and nutritional monitoring, published by Coleta Científica, in 2024, ISBN: 978-65-999558-8-4, DOI: 10.29327/5427448. It is available in e-book format on the portal: https://portalcoleta.com.br/index.php/editora/article/view/170. Or through the link: DOI: https://doi.org/10.29327/5427448.Educational video entitled “Metabolic Surgery” addresses the necessary guidelines for patients to understand how it is possible to adhere to metabolic surgery through the Unified Health System (SUS). It has been registered with ANCINE under protocol number B25-001181-00000. It is available on the eduCAPES Portal, in addition to being accessible through the link: http://educapes.capes.gov.br/handle/capes/1000631, as well as on YouTube through the address: https://youtu.be/BgjnJftrltw?si=844K9RO-q7F2DCOt. It is currently under review by reviewers. Scientific article: "Validation of mobile applications in the health area: an evidence-based study", analyzed studies available in the literature, highlighting methodological aspects related to application validation, including usability, being. was published in the JRG Journal of Academic Studies in 2023, under ISSN: 2595-1661, DOI: 10.5281/zenodo.7549230. It is available in open access digital format on the journal's portal: https://revistasaudedigital.com.br/index.php/artigo/view/xxx. It can also be accessed directly through the link: https://share.google/OXX54M8Jc6AyuaNRM.These products represent a breakthrough in the field of health education in metabolic surgery, serving as tools that promote the democratization of knowledge and the appreciation of patients as protagonists in their own care process. Conclusion: This dissertation concludes that the development of health educational materials, using diferente formats and languages, has the potential to expand access to information and improve understanding of complex topics, such as metabolic surgery. The development of a textbook and audiovisual video on metabolic surgery constitutes a viable, relevant, and potentially impactful learning strategy for the SUS (Unified Health System). These products provide support for clinical practice and health management and can be used in educational campaigns, professional training, and in the monitoring of patients undergoing metabolic surgery for remission of T2DM. Future studies recommend implementing and evaluating the impact of these materials with patients and healthcare teams to assess their effectiveness in improving understanding, treatment adherence, and clinical outcomes. Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação

2025-10-09T00:00:00Z Crepalde, Natália Carolina Gonçalves https://repositoriobce.fepecs.edu.br/handle/123456789/1557 2025-09-11T14:30:57Z 2025-06-27T00:00:00Z

Título: Avaliação do programa de terapia nutricional enteral domiciliar do Distrito Federal no ano de 2022 e elaboração de material educativo para a população Autor(es): Crepalde, Natália Carolina Gonçalves Primeiro Orientador: Salomon, Ana Lúcia Ribeiro Abstract: Introduction: Nutritional therapy consists of a set of nutritional therapeutic procedures that employ specific methods and techniques with the aim of maintaining or recovering individuals at risk of malnutrition or with nutritional problems. It is indicated for cases of special dietary needs, whether temporary or permanent, caused by metabolic or physiological changes in the food intake pathway or in the biological use of nutrients. Home Enteral Nutrition Therapy (HENT) is characterized by the provision of enteral nutrition at home, allowing reintegration into the family nucleus, discharge from hospital and hospital bed turnover. Thus, it is an integral part of home care, an element of continuity of health care after discharge from hospital. The State Department of Health of the Federal District has a program for the provision of formulas for special purposes called the Home Enteral Nutrition Therapy Program (HENTP). The program serves patients with an indication for HENT via tube or ostomy and specific cases of oral supplementation. Although the importance of HENTP is recognized, in the experience of the profession and after research in documents related to HENTP and in scientific databases, a lack of literature that focuses on the population's access to the program and enteral diets was observed. There is a lack of research focusing on estimating the time to execute the steps of the process, so that there is an estimate for the population of how long the process lasts on average, and how long HENTP users need to wait until they are allowed to take the enteral diets. Objectives: General: to identify the influence of factors on the waiting time until receiving enteral formulas. Specific objective 1: to characterize the steps related to user access to the HENTP, estimate the time interval between each step of the registration process in the program, as well as the total time elapsed between the first request for inclusion of the patient in the HENTP and the withdrawal of the formulas at the Home Nutrition Center, in addition to identifying factors that are associated with the time elapsed between the request for registration of the patient in the program and the beginning of the receipt of enteral formulas. Specific objective 2: to outline the sociodemographic, epidemiological and nutritional profile of the population studied. Specific objective 3: to develop an information channel for the population, with general information about the HENTP, guidelines on scheduling the withdrawal of enteral formulas on the Agenda DF website, on the management of enteral diets at home, storage and handling care, as well as care with feeding devices (nasoenteral tube, gastrostomy or jejunostomy). Method: Descriptive, quantitative study, with retrospective collection of administrative and clinical data from public sources, from the Alphalinc systems, the electronic information system of the Health Department of the Federal District, and physical files stored in the Home Nutrition Center. 439 first-time registration processes of patients between 18 and 59 years old in 2022 were analyzed. The project was approved by the Research Ethics Committee. As the study involves secondary and retrospective data, a waiver of the application of the Free and Informed Consent Form (FICF) was requested. Due to the time between approval and development of the research, a partial report was sent to the Research Ethics Committee with some preliminary results. For the 1st objective, which resulted in article 1, the following were calculated: the time interval between the preparation and signing of the social, nutritional, and medical reports; the time interval between the signing of the last professional report issued to the nutrition management sector and the document dispatching the inclusion of the participant in the HENTP; the time interval between the signing of the first report and the document of inclusion in the HENTP; the time interval between the date of signing of the last professional report and the date of the patient's inclusion in the program; the total time from the first report issued until the withdrawal of the enteral diet by the participant; and the time between the entry into the program and the withdrawal of the product by the participant. All of these metrics were calculated through the difference in days between each of the dates. These variables were treated as continuous, being summarized with median and interquartile range (25th percentile and 75th percentile) due to the non-normality observed in most of the data. The data were analyzed using the R 4.2.2 program (R Core Team, Vienna, Austria), with an alpha of 5%. For the second objective, which resulted in article 2, epidemiological, social and health data were collected. The variables collected were divided into 2 main groups. The first group included socioeconomic data, consisting of variables such as age, sex, place of residence, region of origin of the reports from the doctor, social service and nutrition, type of housing, participation in social assistance programs, need for a caregiver, among others. The second group included epidemiological and nutritional data, encompassing clinical diagnosis, feeding route, types of devices used for feeding, nutritional diagnosis according to BMI, among others. The clinical diagnosis data were initially grouped, for study purposes, into 11 groups according to the international classification of diseases (ICD-10): diseases of the circulatory system; neoplasms; endocrine, nutritional and metabolic diseases; diseases of the nervous system; diseases of the respiratory system; diseases of the digestive system; diseases of the skin and subcutaneous tissue; diseases of the genitourinary system; injuries, poisonings, and some consequences of external causes; congenital malformations, deformities and chromosomal anomalies; infectious and parasitic diseases. To enable statistical tests to analyze the association between the qualitative variables clinical diagnosis and sex, clinical diagnosis and feeding route, nutritional diagnosis and sex, the clinical diagnoses were regrouped into 5 categories, combining clinical affinity and ensuring adequate sizes of each group. The new diagnostic categories after regrouping were: Chronic noncommunicable diseases (diseases of the circulatory system; neoplasms and endocrine diseases; nutritional and metabolic diseases), Neurological and musculoskeletal diseases (diseases of the nervous system), Infectious, inflammatory and immunological diseases (diseases of the respiratory system; infectious and parasitic diseases; diseases of the skin and subcutaneous tissue and diseases of the genitourinary system), Gastrointestinal and metabolic diseases (diseases of the digestive system), External causes and malformations (injuries, poisoning and some consequences of external causes and congenital malformations, deformities and chromosomal anomalies). The Statistical Package for the Social Sciences (SPSS) version 20 was used for data analysis. Descriptive statistics were performed, with frequency measures of the variables, in addition to the chi-square test to assess associations between variables. For the continuous variables age and BMI, the median and interquartile range (25th percentile and 75th percentile) values were obtained due to the non-normality observed in the data. Categorical variables were summarized with counts and proportions (n, %). Qualitative variables were classified into classes for analysis purposes so that their quantification was possible. For the third objective, which resulted in a technical and technological product, educational material was created for the population, consisting of a channel on the YouTube website called “Information on the Home Enteral Nutrition Therapy Program of the Federal District (HENTP)”, where three videos were inserted, two with instructions on how the program works, how to schedule and withdraw enteral diets, based on the Manual of the Enteral Nutrition Therapy Program of the Federal District. For the third video, on care with enteral diets, the Home Nutrition Therapy Guide of the University of São Paulo and the Manual of Care for Enteral Nutrition Therapy at Home of the State of Pará were used as a basis. Products developed: Product 1 (Manuscript) - Assessment of the adult population's access to the Enteral Nutrition Therapy Program of the Federal District (HENTP) in 2022. The study aimed to identify factors that may interfere with patients' waiting time to receive enteral formulas. To this end, it sought to characterize and estimate the time elapsed between the steps involved in the process, as well as the total time, and identify factors that may be associated with an increase or reduction in this time. The study allowed the identification of factors that may interfere with patients' waiting time for the HENTP registration process and also that interfere with the withdrawal of enteral formulas and products. It was observed that there are factors related to the process and factors related to the social and health conditions of patients. Delays in signing reports and restitution of processes were factors related to the process that interfered with the time. Regarding patients, the factors that interfered with the process time included the need for a caregiver, type of housing, route and feeding device. It was also found that patients or guardians take a relatively long time to collect the formulas and that in 33% of cases the formulas were not collected after authorization for registration in HENTP. The study provided unprecedented data regarding the time spent in each stage of the patient inclusion process in HENTP, data that can serve as a basis for further studies on how to optimize the times between stages, think of solutions to improve the service in order to deliver efficiency results and reduce waiting times to the population. Product 2 (Manuscript) - Profile of patients in the home enteral nutritional therapy program of the Federal District in 2022. The study aimed to outline a socioeconomic, epidemiological, and nutritional profile of adult patients registered with HENTP in 2022, in order to understand this population group. The study found that the patients served by HENTP in 2022 were, for the most part, from the most populated administrative regions of the Federal District, with lower gross monthly household income, less access to health plans, and with a majority of the population in a situation of risk or social vulnerability. When evaluating the total sample, the majority of patients were female, using oral feeding, diagnosed with neoplasms, underweight, and functional independence. When analyzing by gender, a prevalence of underweight, chronic non-communicable diseases, enteral feeding, and a high degree of functional dependence was found in males. In females, the nutritional diagnosis of obesity, diseases of the digestive system, oral feeding and functional independence prevailed. Product 3 (Technical Scientific Product) – YouTube channel entitled “Information on the Home Enteral Nutrition Therapy Program of the Federal District (HENTP)”, where 3 videos were inserted, the first two with instructions to users on how the program works, how to schedule and withdraw formulas and the third with information on care with enteral nutrition. This project is aligned with the research line of Quality in Healthcare for Adults and the Elderly. Conclusions: This study provided unprecedented data on the time between the steps required to register patients in the Home Enteral Nutrition Therapy Program of the Federal District. These data can serve as a basis for new studies on the efficiency of the steps of the process, with the possibility of seeking improvements in this system, to promote optimization of the resources used for the benefit of the community that depends on this service. The research was original and innovative in nature, in the sense that no study was found in the literature that had focused on the time spent in the steps of the registration process and the factors that influence it, both in HENTP and in other HENT programs in the country, serving as an initial framework for studies focused on the topic at both the local and national levels. These data can be useful for the strategic planning of HENTP, providing important information for the management of processes, with the search for solutions to optimize each step, bringing more efficiency to the program. The results of the research contribute to the scientific community by providing updated information on the sociodemographic, epidemiological and health profile of the adult population, which has fewer studies when compared to the pediatric and elderly populations. The fact that this study focused on the Federal District is also relevant to the academic community, since it makes it possible to compare the characteristics and health conditions between states and cities, in order to identify where public policies should act with greater emphasis to promote equity in services. The technical and technological product (TTP) developed aims to contribute to the dissemination of relevant information about HENTP, as well as guidance on dietary care and enteral tubes. The focus of the TTP was to disseminate information that is easier for the population to understand, so that it can be more easily understood by people of all levels of education. With more information on monitoring the process and guidance on the steps to schedule the collection of products, it is expected that there will be a reduction in the number of formulas not collected from the Home Nutrition Center. Editor: Escola de Saúde Pública do Distrito Federal Tipo: Dissertação

2025-06-27T00:00:00Z Castro, Alany Pereira de https://repositoriobce.fepecs.edu.br/handle/123456789/1556 2025-09-11T14:33:46Z 2025-06-30T00:00:00Z

Título: Desenvolvimento do protótipo do aplicativo Diu Conecta e vídeo instrucional sobre o dispositovo intrauterino com cobre Autor(es): Castro, Alany Pereira de Primeiro Orientador: Barros, Ângela Ferreira Abstract: Introduction: The copper intrauterine device (IUD) is a non-hormonal, long-acting, reversible contraceptive method. It is practical, safe, highly effective, and works by creating local effects in the uterus to prevent pregnancy. Despite being offered for free through the Brazilian public health system (Sistema Único de Saúde), its use is limited in Brazil. This can be attributed to a lack of information and barriers to accessing the method. In May 2023, the Ministry of Health revoked its technical note that didn't recommend copper IUD insertion by nurses. In response, later that same year, the Brazilian Nursing Association – Federal District Section, offered training on IUD insertion to nurses working in primary health care. Since then, the growing number of qualified professionals has facilitated access to this contraceptive method. Based on this, we sought to learn from these nurses how to encourage greater use of this contraceptive method among women. Objective: To develop the prototype of the DIU ConecTa application and an instructional video about the copper IUD. Method: This was a methodological study for the development of technologies. The instructional design was guided by the ADDIE model, structured in the stages of definition, architecture, design, implementation, and evaluation. In the definition stage, a descriptive exploratory cross-sectional study with a qualitative approach was conducted with 14 nurses qualified to insert copper IUDs in Basic Health Units of the Federal District. The snowball technique was used to recruit the nurses. In-depth interviews were conducted, followed by transcription and textual analysis using the Iramuteq software. Thus, the research problem originated from the practice of these nurses, and in partnership with them, ideas were developed for the subsequent stages of product development for this thesis. The results of this first stage informed the definition of the products and the guiding topics for their content. In the architecture stage, we began by defining objectives, gathering sources, analyzing content/context, prototyping, and creating interface resources. In the design stage, we created images, wrote texts, and recorded the audio for the video. In the implementation stage, the textual, illustrative, and audio components were combined to create the products, followed by making adjustments. The evaluation stage will be carried out in future studies. Results: The analysis of the nurses' interviews led to the following thematic categories: (1) health education as a way to demystify the IUD; (2) structural barriers; and (3) training and professional autonomy. The basic content of the two products covered indications, contraindications, myths, side effects, information on where, when, and how the IUD insertion procedure occurs, and post-procedure care. The "DIU ConecTa" application prototype has two basic functionalities. The first is informative, with the purpose of providing clear and accessible information about the copper IUD. The second is interactive, with the goal of tracking the journey of users who utilize this contraceptive method. In this tracking, the user inputs information and the application helps with predicting menstrual cycles, monitoring signs, symptoms, and discomforts related to IUD use. The user can configure important notifications, such as reminders for the monthly self-exam of the device's strings. Regarding the video, the title was "Copper IUD: an effective choice to prevent pregnancy." It had a total duration of three minutes and seventeen seconds and was made available on YouTube via this link: https://youtu.be/9OIUCgJxKnc?si=EwoU4knyA4W9bSbi. Developed Products: Product 1: Original article titled "Intrauterine device insertion by nurses in primary health care: challenges and potential." Product 2: Prototype of the DIU ConecTa Application, “A guide that informs you and connects you to your IUD,” with a registration at the National Institute of Industrial Property (protocol no. BR 512025 000961-5). Product 3: Instructional video titled “Copper IUD: an effective choice to prevent pregnancy,” with a registration at the Brazilian Book Chamber (Document Hash: 8da02bb7e0b1785dc2ce57f24a821d0ecc4185aa5b55b29fd70cc5033b9ea5a6). Conclusions: The developed products provide the key information about the copper IUD that nurses identified as common questions from the women they assist. Consequently, these products can be used by nurses to help reduce misinformation about the copper IUD, thus promoting greater access to sexual health and reproductive rights, which is a goal of the Sustainable Development Goal for gender equality. Therefore, the developed products have the potential to influence and create a national impact on public policies, demonstrating originality and relevance for scientific, technological, and social development in the field of Nursing by returning the results to the scientific community and/or health authorities. This thesis aligns with the research line on Quality in Health Care for Women, Children, and Adolescents. Editor: Escola de Saúde Pùblica do Distrito Federal Tipo: Dissertação

2025-06-30T00:00:00Z Cunha, Káttia Maria Braz da https://repositoriobce.fepecs.edu.br/handle/123456789/1555 2025-09-08T18:53:06Z 2019-04-04T00:00:00Z

Título: Intervenções farmacêuticas na farmacoterapia de idosos em unidade de terapia intensiva Autor(es): Cunha, Káttia Maria Braz da Primeiro Orientador: Novaes, Maria Rita Carvalho Garbi Abstract: Introduction: The increase in the number of elderly people and the change in the demographic profile, lead to an increase in hospitalizations and demands for hospitalizations in the Intensive Care Units (ICU). Patients hospitalized in the ICU are considered to be at high risk for medication errors and Adverse Drug Reactions (ADR). Polypharmacy is common in the elderly, which is the consumption of five or more different types of medicines. Studies point to the need for pharmacotherapeutic follow-up for the elderly, in order to minimize drug-related problems and provide a better quality of life for this population. Objectives: To evaluate the use of drugs by the elderly in ICUs, to describe the drugs and pharmacological groups most prescribed to the elderly, to analyze whether protocols are used for the safe use of drugs for the elderly, to describe the pharmacist's interventions, to analyze the acceptability of the interventions performed by the pharmacist, and to propose instruments for safe pharmacotherapy of the elderly. Methods: Observational, descriptive and prospective research was performed. The population was composed of the elderly hospitalized in the ICU, during the period between September 2017 and July 2018, for more than 24 hours, after obtaining the Free and Informed Consent Term (TCLE), by means of a census of the patients. The data were collected from electronic prescriptions and, possibly, manual and electronic medical records. They were released in Excel® 2013 worksheet. Data analysis was performed by the Statistical Package for the Social Sciences (SPSS), version 20.0 and Microsoft Excel. The level of significance of the research adopted was 5%. Statistical analyzes were performed uni- / bivariate. The Shapiro-Wilk test was used to evaluate the Normality of the sample in relation to the variables age and weight. For the relation between age and number of interventions, the Spearman's Correlation and the Fisher's Exact test were used for sex and intervention variables. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) method was used to elaborate the original article. Results: A total of 67 patients were studied, most of them female (53.7%), the majority of the elderly being between 60 and 79 years old and the mean age was 71.7 years + - 6.6 years SD, mean weight was 63 , 8% kg + - 6.2 DP. Weighted average length of hospital stay of 21 days. Main causes of hospitalization: post-surgical cancer (43.0%), digestive diseases (13.0%) and septic shock (12.0%). The majority of the elderly 43.3% (n = 29) received diet by nasoenteral tube. Regarding the outcome, 52.2% (n = 35) of the patients evolved to death. Polypharmacy was registered in all patients, and 112 drugs were prescribed, ranging from 6 to 24 medications per patient. The most prescribed pharmacological group was the alimentary tract and metabolism, followed by the group of blood and blood forming organs and third, the drugs of the nervous system group. 22 antimicrobials were prescribed. 37.0% of the patients (n = 25) received meropenem, 32.8% (n = 22) used vancomycin and 17.9% (n = 12) polymyxin B. For systemic antifungal drugs, anidulafungin 17.9% (n = 12) and fluconazole with 6.0% (n = 4). Classified by pharmacological group, carbapenems were more frequently indicated (n = 30) 21.9%, followed by glycopeptides (n = 22) and polymyxins (n = 12) 8.76%, the antimycotics together accounted for 11.6%. Eleven patients (16.4%) did not use any anti-infective and only 1 patient made use of anti-infective topical for ocular use. There were 25 drugs inappropriate to the elderly (MPI), with the most prevalent being: regular insulin, Pantoprazole, Metoclopramide, Enoxaparin, Fentanyl, Furosemide, Midazolam, Tramadol, Hydrocortisone, Amiodarone. A total of 4.5% of patients with drug allergy were registered. The interventions involved 152 pharmaceutical interventions of 15 different types. All patients received some type of intervention, and the mean intervention was 2.3 interventions per patient. All pharmaceutical interventions involved the medical staff and more than half involved the nursing team. Interventions related to monitoring laboratory tests, drug stock, drug reconciliation, drug administration, medication allergy registration and stability management were fully accepted. There was no statistical association between interventions and gender or age of the patients. As for the interventions were performed 152 pharmaceutical interventions of 15 different types. All patients received some type of intervention, and the mean intervention was 2.3 interventions per patient. All pharmaceutical interventions involved the medical staff and more than half involved the nursing team. Interventions related to monitoring laboratory tests, drug stock, drug reconciliation, medication administration, drug allergy registration and stability management were fully accepted. There was no statistical association between interventions and gender or age of the patients. Conclusion: he study showed that the characteristics of the elderly, such as age, gender, weight, reason for hospitalization, type of diet and outcomes were similar to those of the national reference studies. The polypharmacy was confirmed in the elderly. There is follow-up of the elderly by the clinical pharmacist with Pharmaceutical Interventions in pharmacoprapies. Most of the elderly used antimicrobials, the most consumed being indicated for the treatment of infections caused by multiresistant bacteria. Research has shown that all patients used at least one MPI. There is no protocol in the service that uses MPI in the elderly. All the pharmaceutical interventions involved the medical team and more than half involved the nursing team, which was a differential in the assistance to the elderly promoting greater integration of patient care with a positive impact on the pharmacotherapy. The study also showed that the types of interventions and high acceptance rate of the clinical pharmacist in the ICU is an essential professional in the care of the elderly, which is a polymodedic one, increasing patient safety and promoting greater cohesion of the health team in the pharmacotherapy of hospitalized elderly. It was evident that the medication conciliation intervention is fundamental for the continuity of the safe treatment of the elderly patient. It is important that there are very clear protocols for antimicrobial use in the elderly and in the ICU, as well as clear protocols for the use of IPM for critically ill seniors as a public health strategy. As products of this dissertation, an Original Article with the title "Pharmaceutical Interventions in the Pharmacotherapy of the Elderly in an Intensive Care Unit" was submitted to the Brazilian Nursing Journal - REBEn, under number 2019-0169. Summary with Title "Potentially Inappropriate Prescribed Medications for the Elderly in an Intensive Care Unit of a Public Hospital of the Federal District" ID 4098, approved for presentation in the form of a poster at the Brazilian Congress of Hospital Pharmacy of SBRAFH 2019. Summary entitled "Prescribed Anti-Infectious to the Elderly in Intensive Care Unit of a Public Hospital of the Federal District "approved for presentation in the form of poster at the I Congress of Pharmaceutical Sciences of the Center-West, which received a certificate of HONOR TO MERIT on the date of April 28, 2019. A model developmental form called "Model of Pharmaceutical Evolution with Intervention" was developed at HRAN and in the registration phase of the National Library under the protocol EDA / DLLLB / BSB nº 156/2019. Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação

2019-04-04T00:00:00Z