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Clinical Research
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Wounds forbidden: implementation project of the protocol of wound prevention and treatment in the city of Sao Paulo, Brasil Elaine Costa, Maria Cristina Pimentel, Maria Eug'nia Candeloso Pereira, Soraia Rizzo, Ana Maria Amato Bergo The increase of the life expectancy of the population (IBGE, 2000), in which the average years of life increased to 68.6 years, the degenerative diseases became an important factor for the morbi-mortality data in our country. For the World Health Organization (OMS, 2002), the rate for chronic injuries in the population is of approximately 0.20% for the pressure ulcers (UP), 1.0% for the vasculogenic (UV) and 0.07% for the neuropathic (UN). But the rate for sharp injuries are around 0.2% both for the traumatic (T) as well as for the surgical (C) and 0.3% for burns (Q). Based on the DATASUS data (2002) on the population helped by SUS in the city of São Paulo, applying the OMS estimate for the calculation of the number of people with sharp and chronic injuries, there is approximately 156,615 individuals stricken by such injuries. The Health Department of the city of Sao Paulo, worried with the quality of the assistance given to the patients that have the wounds, identified the necessity to make uniform and standardize the care for these people, creating the Commission for Prevention and Treatment for Wounds, composed by professionals in the health area involved in this process. Employees of Hospitals and Basic Health Units of the City Health Department (SMS) were trained for the treatment of wounds; a prevention and treatment protocol for chronic wounds was elaborated for the network of assistance of health of the SMS. Besides the effort to standardize the patient's care and the elaboration of implementation strategies of this protocol in the network. It was not observed adherence in the number of the initial foreseen units to perform these activities. In this manner the present project was reformulated and is presently in an adaptation phase to the new health policy developed by SMS. Jorge, Angelica S, Dantas S unia Regina P.E. Abordagem multiprofissional do tratamento de feridas. Sao Paulo: Atheneu, 2003. Bryant RA. Acute and chronic wounds: nursing management. 2nd edition: Mosby, 1992. |
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