Good Practices in Transitional Care: continuity of care for patients undergoing liver transplantation.

Laísa Fischer Wachholz,Aline Lima Pestana Magalhães,Neide Da Silva Knihs,Bartira De Aguiar Roza,Suyan Sens,Sibele Maria Schuantes Paim

doi:10.1590/0034-7167-2020-0746

Laísa Fischer Wachholz, Aline Lima Pestana Magalhães + Show 4 more

Open Access

https://doi.org/10.1590/0034-7167-2020-0746

Copy DOI

Abstract

to develop a guide of care recommendations for good practices in care transition for adult patients undergoing liver transplantation. a methodological study, based on the Appraisal of Guidelines for Research & Evaluation in the updated version, II. Care recommendations were sustained by conducting an integrative literature review and qualitative research. from evidence, three topics emerged: Care Transition Planning; Health Education for Self-Care; Care Management. Each of the central topics has respective subtopics, totaling six, giving rise to 30 care recommendations. Concerning evaluators' scores, in all domains the scores were higher than 90%. the proposed guide assists professionals in conducting care transition in liver transplantation, ensuring greater safety for patients in continuity of home care.

Highlights

In the last five years (2015-2019), in Brazil, there was a 22% increase in the number of adult liver transplantations (THx) performed, going from 1,660 to 2,087
It is essential that the health staff gradually make the information feasible so that patients and family adapt to the new reality.[5]
During analysis of the study’s findings, both in terms of evidence and patient participation and participant observation, it is clear that the health staff becomes a promoter and responsible for safe care, especially with regard to some care to be developed at home[21,22]

Summary

Introduction

In the last five years (2015-2019), in Brazil, there was a 22% increase in the number of adult liver transplantations (THx) performed, going from 1,660 to 2,087. This awakens in the multidisciplinary staff the need to search for evidence that can help professionals to plan and develop a practice of excellence in their actions, providing safe and quality assistance[1,2]. The most frequent complications involve rejections and opportunistic infections Such situations, when not identified and treated in a timely manner, can lead patients to other comorbidities, frequent readmissions or even death[2,4]

Objectives

Results

Conclusion