PP.01.41

Abstract

Objective: The chest pain is one of the most common problems in clinical medicine and is a main cause of hospitalization. Its risk factors are smoking, diabetes, uncontrolled hypertension, dyslipidemia, and others that are similar to the infarction. This study has emerged from the question: nursing consultation influence treatment adherence and clinical stabilization in patients with unstable angina?. To develop skills related to nursing care, implementing such care to the patient with Coronary Artery Disease (CAD), focusing on prevention and injury rehabilitation was the objective this study. Design and method: Case study conducted at the medical clinic women in cardiology sector of the a University Hospital in Rio de Janeiro, Brazil. Data collection was conducted by interviews, physical examination and data obtained from medical records. Case: Client 53 years old, obese, diabetic and hypertensive, with stable angina for 6 years. She reports have stopped smoking after chest pain, presents unhealthy eating habits and sedentary lifestyle. The medical records has shown that in 2011 she have had Acute Myocardial Infarction (AMI) and conducted cardiac catheterization, which found bivascular lesion in the right coronary artery and circumflex branch, Introducing occlusion of both branches. Results: After evaluation of this study was possible to understand that angina attack which led the patient to the hospital was caused by cessation of drug therapy because of related side effects. Conclusions: The nurses develops an important role as an educator. We can conclude that the nursing appointments, focused on individual empowerment can be very effective for improving treatment adherence and self-care.