Gestão de Cuidados na Doença de Parkinson em Internamento: Revisão e Recomendações
DOI:
https://doi.org/10.24950/rspmi.2677Palavras-chave:
Doença de Parkinson/complicações, Doença de Parkinson/tratamento, Equipa de Cuidados ao Doente, HospitalizaçãoResumo
A Doença de Parkinson (DP) é uma das doenças neurodegenerativas mais comuns, caracterizada por sintomas motores como tremor, rigidez, e alterações da marcha, além de uma variedade de sintomas não motores que impactam significativamente a funcionalidade das pessoas que vivem com este diagnóstico. A DP é mais prevalente em idosos, e à medida que a doença progride, surgem complicações como quedas, alterações neuropsiquiátricas e distúrbios autonómicos, o que frequentemente leva a internamentos hospitalares prolongados e complexos.
As hospitalizações na DP podem ser categorizadas em três grupos: complicações diretamente relacionadas à doença, como flutuações motoras e sintomas neuropsiquiátricos; complicações indiretas, como pneumonia de aspiração e traumatismos; e causas não relacionadas à DP. A gestão hospitalar destes casos é desafiante, exigindo uma abordagem multidisciplinar.
Este estudo é uma revisão da literatura sobre a gestão de pessoas com DP durante a hospitalização, com o objetivo de criar recomendações clínicas baseadas em evidências para otimizar os cuidados hospitalares. Foi realizada uma revisão sistemática de artigos sobre cuidados hospitalares em DP, abordando crises de acinésia, disfunção autonómica, síndrome confusional, quedas, infeções e gestão terapêutica. Com base nos resultados, foram desenvolvidas orientações clínicas adaptadas para a realidade portuguesa, visando melhorar a segurança e eficácia dos cuidados prestados a esta população vulnerável.
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Direitos de Autor (c) 2025 Medicina Interna
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
Direitos de Autor (c) 2023 Medicina Interna
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