Proposal for a pharmaceutical orientation at hospital discharge based on an overview and professional experiences
Abstract
The pharmaceutical orientation in hospital discharge can contribute to patient health management, especially in the rational use of medications. It seeks to improve treatment adherence, reduce adverse reactions, and decrease hospital readmissions and mortality. This study aims to describe the pharmaceutical discharge orientation process, identifying the phases and materials used in hospital discharge. It is characterized as an overview, including systematic reviews studies on hospital discharge orientation and action by pharmacists. And exclusion criteria adopted: studies that specifically addressed a health problem or specific population or did not describe the discharge process. We did a workshop with authors with professional experience in the theme to describe the orientation. It was observed that for discharge orientation, it is necessary to contextualize the patient in their home environment both before and after hospitalization. The discharge service includes several activities, such as medication reconciliation, hospital discharge advice (health education), and pharmacotherapy review. Medication lists and their scheduling, discharge summaries, and reconciliation forms were adopted as strategies for the pharmaceutical discharge service. It was possible to observe that many authors refer to the need for post-discharge follow-up by adopting strategies such as phone calls, home visits, text messages, and e-mails exchange. Based on the results, it was possible to systematize a proposal for a pharmaceutical process for hospital discharge orientation and conclude that communication between health professionals and patients or caregivers during or after hospital discharge can promote better results.
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PDF (Português (Brasil))DOI: http://dx.doi.org/10.14450/2318-9312.v35.e3.a2023.pp407-422
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Copyright (c) 2023 Raiane Cavalcante Lima, Evelin Soares de Brito, Dayani Galato
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Infarma - Ciências Farmacêuticas
ISSN - 2318-9312 (Versão eletrônica)
ISSN - 0104-0219 (Versão impressa)
Conselho Federal de Farmácia - CFF
SHIS QI 15 Lote "L" - Lago Sul - Brasília - DF
CEP: 71635-615 - Fone: (61)3878-8751
e-mail:infarma@cff.org.br
Diretoria
Walter da Silva Jorge João, Presidente do Conselho Federal de Farmácia
Lenira da Silva Costa, Vice-Presidente do Conselho Federal de Farmácia
João Samuel de Morais Meira, Tesoureiro do Conselho Federal de Farmácia
Luiz Gustavo de Freitas Pires, Secretário-Geral do Conselho Federal de Farmácia