UTILIZAÇÃO DA MEDICINA FÍSICA E REABILITAÇÃO PARA O CONTROLE DA DOR NA FIBROMIALGIA

Fibromyalgia is a chronic condition characterized by widespread pain, fatigue, sleep disturbances, and increased sensitivity in painful areas of the body. Fibromyalgia treatment often involves a multidisciplinary approach, and physical medicine and rehabilitation plays a key role in controlling pain and improving patients' quality of life. Objectives: Explore the role of Physical Medicine and Rehabilitation as a non-drug approach in controlling pain in patients with fibromyalgia. Methodology: Data collection was conducted through the following databases: Nursing Database (BDENF), Scientific Electronic Library Online (SCIELO), PubMed, Latin American Caribbean Literature in Health Sciences (LILACS). Various types of publications were consulted, including scientific articles, monographs and magazines, with the aim of obtaining relevant information on the topic.Results and Discussions: The treatment process is fundamental in managing symptoms and improving patients’ quality of life. Interventions such as therapeutic exercise, physical therapy, occupational therapy, massage, and relaxation techniques have been associated with a significant reduction in pain, improved physical function, and increased overall well-being in individuals with fibromyalgia. Additionally, the multidisciplinary approach to physical medicine and rehabilitation allows for a comprehensive assessment of each patient's needs, allowing for customization of treatment to meet their specific needs. These results highlight the importance of integrating this approach into the fibromyalgia treatment plan, providing patients with a range of therapeutic options that aim to not only manage pain but also promote a better long-term quality of life.Conclusion: In summary, the use of physical medicine and rehabilitation to control pain in fibromyalgia represents a valuable and effective approach to managing this chronic condition. The interventions offered by this discipline provide pain relief, improved physical functionality and increased patients' general well-being.A fibromialgia é uma condição crônica caracterizada por dor generalizada, fadiga, distúrbios do sono e sensibilidade aumentada nas áreas doloridas do corpo. O tratamento da fibromialgia geralmente envolve uma abordagem multidisciplinar, e a medicina física e reabilitação desempenha um papel fundamental no controle da dor e na melhoria da qualidade de vida dos pacientes. Objetivos: Explorar o papel da Medicina Física e Reabilitação como abordagem não medicamentosa no controle da dor em pacientes com fibromialgia, Materiais e Métodos: A coleta de dados, foi conduzida por meio dos bancos de dados: Base de Dados em Enfermagem (BDENF), Scientific Electronic Library Online (SCIELO), PubMed, Literatura Latino-Americana do Caribe em Ciências da Saúde (LILACS). Foram consultados diversos tipos de publicações, incluindo artigos científicos, monografias e revistas, com o objetivo de obter informações relevantes sobre o tema. Resultados e Discussões: O processo do tratamento é fundamental no manejo dos sintomas e na melhoria da qualidade de vida dos pacientes. Intervenções como exercícios terapêuticos, fisioterapia, terapia ocupacional, massagem e técnicas de relaxamento têm sido associadas a uma redução significativa da dor, melhoria da função física e aumento do bem-estar geral dos indivíduos com fibromialgia. Além disso, a abordagem multidisciplinar da medicina física e reabilitação permite uma avaliação abrangente das necessidades de cada paciente, permitindo a personalização do tratamento para atender às suas necessidades específicas. Esses resultados destacam a importância de integrar essa abordagem no plano de tratamento da fibromialgia, fornecendo aos pacientes uma gama de opções terapêuticas que visam não apenas controlar a dor, mas também promover uma melhor qualidade de vida a longo prazo. Conclusão: Em suma, a utilização da medicina física e reabilitação para o controle da dor na fibromialgia representa uma abordagem valiosa e eficaz no manejo dessa condição crônica. As intervenções oferecidas por essa disciplina proporcionam alívio da dor, melhoria da funcionalidade física e aumento do bem-estar geral dos pacientes.&nbsp

SEGURANÇA DO PACIENTE EM ANESTESIA E ESTRATÉGIA PARA PREVENÇÃO DE EVENTOS ADVERSOS

Patient safety during anesthetic procedures is a fundamental pillar in medical practice, aiming to mitigate risks and prevent adverse events. In this context, the implementation of effective strategies plays a crucial role in ensuring patient well-being. Objectives: Implement effective strategies in anesthesia to prevent adverse events, ensuring patient safety during surgical procedures. Methodology: The articles found were read, upon reading the articles were subjected to inclusion and exclusion criteria, within the inclusion criteria original articles were considered, which addressed the topic researched and allowed full access to the content of the study, published in the period of 2015 to 2023, in Portuguese and English, totaling 22 articles for the present study. The research was carried out through online access to the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Literature in Health Sciences (LILACS) databases in March 2024. Results and Discussions:  Consistent application of safety protocols significantly reduced the incidence of adverse events in anesthesia. The effectiveness of these strategies such as the checklist before the procedure, during and after the procedure is highlighted, emphasizing the continuous importance of monitoring and improving practices carried out in the surgical environment during the anesthesia process, further improving patient safety. Conclusion: In summary, the implementation of preventive strategies proves to be crucial in reducing adverse events in anesthesia, strengthening patient safety. The constant evaluation and improvement of these approaches are essential to ensure increasingly safe and effective anesthetic practices.A segurança do paciente durante procedimentos anestésicos é um pilar fundamental na prática médica, visando mitigar riscos e prevenir eventos adversos. Nesse contexto, a implementação de estratégias eficazes desempenha um papel crucial na garantia do bem-estar do paciente. Objetivos: Implementar estratégias eficazes na anestesia para prevenir eventos adversos, garantindo a segurança do paciente durante procedimentos cirúrgicos. Metodologia: Foi realizada a leitura doas artigos encontrados, mediante a leitura os artigos foram submetidos a critérios de inclusão e de exclusão, dentro os de inclusão foram considerados artigos originais, que abordassem o tema pesquisado e permitissem acesso integral ao conteúdo do estudo, publicados no período de 2015 a 2023, em português e em inglês, totalizando 22 artigos para o presente estudo. A pesquisa foi realizada através do acesso online nas bases de dados National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) no mês de março de 2024. Resultados e Discussões: A aplicação consistente de protocolos de segurança reduziu significativamente a incidência de eventos adversos em anestesia. Destaca-se a eficácia dessas estratégias como o checklist antes do procedimento, durante e a pós, enfatizando a importância contínua da vigilância e aprimoramento das práticas realizadas no ambiente cirúrgico mediante ao processo de anestesia melhorando ainda mais a segurança do paciente. Conclusão: Em síntese, a implementação de estratégias preventivas demonstra ser crucial na redução de eventos adversos em anestesia, fortalecendo a segurança do paciente. A constante avaliação e aprimoramento dessas abordagens são essenciais para garantir práticas anestésicas cada vez mais seguras e eficazes

A INFLUÊNCIA DO AMBIENTE FAMILIAR NA MANIFESTAÇÃO DO TRANSTORNO DE PERSONALIDADE NARCISISTA

The manifestation of Narcissistic Personality Disorder (NPD) is often influenced by various factors, with the family environment being an important component. Family dynamics play a crucial role in the development of this disorder, impacting the formation of the individual's self-image and patterns of interpersonal relationships. In this context, understanding the influence of the family environment on the expression of NPD is fundamental to effectively address this complex psychological condition. Objectives: To investigate and understand the specific influence of the family environment on the manifestation of narcissistic personality disorder, exploring interaction patterns, parental styles, and family dynamics that may contribute to the development of this disorder. Methodology: Articles found were read, and inclusion and exclusion criteria were applied. Within the inclusion criteria, original articles addressing the investigated topic and allowing full access to the study's content were considered, published between 2016 and 2023, in Portuguese and English. The research was conducted through online access to the databases of the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Health Sciences Literature (LILACS) in February 2024. Results and Discussions: The complexity of treating narcissistic personality disorder (NPD) is highlighted. Psychopharmacological treatments have shown limited efficacy, being more useful in comorbidities with other conditions. Several psychotherapeutic approaches were explored, with Dialectical Behavioral Therapy and Schema-Focused Therapy standing out, as well as psychoanalytic approaches such as Transfer-Centered Psychotherapy and Mentalization-Based Therapy. However, regardless of the approach, narcissistic patients are challenging to treat due to difficulty in accepting the diagnosis and lack of empathy. Motivation for change often arises from external crises, making therapeutic commitment fragile. Therapists' countertransference is also a challenge, with difficult-to-manage negative feelings that, when understood, can provide valuable information about the patient's internal world. In summary, the results highlight the need for therapeutic strategies adapted to the complexity of NPD, considering the specific characteristics of narcissistic patients and the inherent challenges in the therapeutic process. Conclusion: In conclusion, addressing Narcissistic Personality Disorder (NPD) demands a deep understanding of therapeutic nuances. The results underscore the complexity in the effectiveness of psychopharmacological treatments and the importance of specific psychotherapeutic approaches. Difficulty in accepting the diagnosis, lack of empathy, and challenges in countertransference emphasize the need for adapted therapeutic strategies. Amidst these challenges, the pursuit of realistic treatment goals and the creation of therapeutic contracts are crucial. These findings underline the importance of continuing research and refining therapeutic approaches to effectively manage NPD.The manifestation of Narcissistic Personality Disorder (NPD) is often influenced by various factors, with the family environment being an important component. Family dynamics play a crucial role in the development of this disorder, impacting the formation of the individual's self-image and patterns of interpersonal relationships. In this context, understanding the influence of the family environment on the expression of NPD is fundamental to effectively address this complex psychological condition. Objectives: To investigate and understand the specific influence of the family environment on the manifestation of narcissistic personality disorder, exploring interaction patterns, parental styles, and family dynamics that may contribute to the development of this disorder. Methodology: Articles found were read, and inclusion and exclusion criteria were applied. Within the inclusion criteria, original articles addressing the investigated topic and allowing full access to the study's content were considered, published between 2016 and 2023, in Portuguese and English. The research was conducted through online access to the databases of the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Health Sciences Literature (LILACS) in February 2024. Results and Discussions: The complexity of treating narcissistic personality disorder (NPD) is highlighted. Psychopharmacological treatments have shown limited efficacy, being more useful in comorbidities with other conditions. Several psychotherapeutic approaches were explored, with Dialectical Behavioral Therapy and Schema-Focused Therapy standing out, as well as psychoanalytic approaches such as Transfer-Centered Psychotherapy and Mentalization-Based Therapy. However, regardless of the approach, narcissistic patients are challenging to treat due to difficulty in accepting the diagnosis and lack of empathy. Motivation for change often arises from external crises, making therapeutic commitment fragile. Therapists' countertransference is also a challenge, with difficult-to-manage negative feelings that, when understood, can provide valuable information about the patient's internal world. In summary, the results highlight the need for therapeutic strategies adapted to the complexity of NPD, considering the specific characteristics of narcissistic patients and the inherent challenges in the therapeutic process. Conclusion: In conclusion, addressing Narcissistic Personality Disorder (NPD) demands a deep understanding of therapeutic nuances. The results underscore the complexity in the effectiveness of psychopharmacological treatments and the importance of specific psychotherapeutic approaches. Difficulty in accepting the diagnosis, lack of empathy, and challenges in countertransference emphasize the need for adapted therapeutic strategies. Amidst these challenges, the pursuit of realistic treatment goals and the creation of therapeutic contracts are crucial. These findings underline the importance of continuing research and refining therapeutic approaches to effectively manage NPD