Experiência da residência de medicina de família e comunidade no teleatendimento pelo monitora Covid-19

Marcus Viniicius Sacramento França
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Abstract

INTRODUCTION: SARS CoV 2 infection causes COVID-19, characterized by flu-like symptoms such as cough, fever, odinophagia, gustatory and olfactory changes, which may complicate pneumonia, severe acute respiratory syndrome, sepsis, and thrombotic events. Since march, it has been happening community transmission in Brazil, then several non-essential services were closed and elective procedures postponed.  The temporary legalization of telemedicine proved to be convenient for the COVID-19 pandemic, allowing telemonitoring and teleconsultations, it occurs by Monitora COVID-19 application. OBJECTIVE: this article aims to report the potentialities of this application for development of skills in the postgraduate course in Family and Community medicine in the follow-up of cases of COVID-19. EXPERIENCE REPORT: through the work process in this application, principles of integrality, multidisciplinarity and the person-centered clinical method, so important for family health, were reinforced. The integral follow-up of patients required knowledge of subjectivities, disease, illness and sometimes bonding. The improvement of communicative skills and cultural competence were very important for good relationship and dialogue with the patient in this application. CONCLUSION: this application allowed remote follow-up of patients with flu syndrome, guiding self-care and resolutive referral in severe cases. The role of family and community medicine, its principles and practices are important for improving care practices in this tool. 
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通过监测Covid-19,家庭和社区医学住院医师在电话护理方面的经验
简介:SARS冠状病毒2感染导致COVID-19,其特征是流感样症状,如咳嗽、发烧、厌食、味觉和嗅觉改变,这可能使肺炎、严重急性呼吸综合征、败血症和血栓事件复杂化。自3月以来,它一直在巴西发生社区传播,然后关闭了一些非必要的服务,并推迟了选择性程序。远程医疗的暂时合法化为COVID-19大流行提供了便利,可以通过Monitora COVID-19应用程序进行远程监测和远程会诊。目的:本文旨在报告家庭与社区医学研究生课程在COVID-19病例随访中的技能发展潜力。经验报告:通过这次应用的工作过程,完整性原则、多学科原则和以人为本的临床方法对家庭健康非常重要,得到了加强。患者的整体随访需要了解主体性、疾病、疾病,有时还需要联系。在这个应用中,沟通技巧和文化能力的提高对于与患者建立良好的关系和对话非常重要。结论:该应用程序可以实现流感综合征患者的远程随访,指导自我护理和重症患者的果断转诊。家庭和社区医学的作用、其原则和做法对于改善这一工具中的护理做法非常重要。
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