Ciencias de la Salud

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    EL MANEJO DE SÍNTOMAS RESPIRATORIOS EN CUIDADOS PALIATIVOS PARA PACIENTES CON EPOC
    (2025-06-16) Manzano Pérez Johanna Michelle; Cruz Castillo Yessenia Magaly; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
    Chronic obstructive pulmonary disease (COPD) is a complex progessive and irreversible condition of the respiratory system that affects millions of people in the world, in recent years it is disproportionate increase has been predicted, recognizing that many patients do not receive adequate treatment in the final stages of life. Although the potential benefits are recognized, access is deficient, generating uncertainty for those who require this intervention. Objetives: We analyzed updated scientific evidence on the management of respiratory symptoms in patients with advanced COPD in need of palliative care. Material and methods: A review of the literature was carried out, including scientific articles, systematic reviews and metaanalyses of the last 5 years, as well as documents from scientific societies with expertise in the subject, through scientific databases of impact such as Pubmed, Science Direct, Scopus and Google Scholar. Results: Four studies were included which deduced the importance and individual benefit of palliative care in relation to symptom buerden, probability of hospitalization and mortaly, as well as level of quality of life. Conclusion: Palliative care is a tool for symptomatic, emotional and social support according to the eligibility criteria individuals with advanced COPD can benefit from this type of therapy, however, it is limited scope generates a challenge in its implementation.
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    “Síndrome de hipoventilación y obesidad (síndrome de pickwick)”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) Chucuri Yachimba, Evelyn Alexandra; Guarnizo Briceño, José Abdón Dr.
    The syndrome of hypoventilation and obesity (Pickwick syndrome) It is important to address this syndrome, given the low frequency of patients with this pathology in our environment, it will be essential to know about the triggers of the same position that constitutes A problem related to high morbidity and mortality to those who suffer, being frequent this problem in primary care. It is a pathology is growing in developed countries, according to the World Health Organization there are currently in the world 1.6 trillion obese. Although the prevalence of this syndrome remains unknown. On the contrary, it was reported that the prevalence is slightly higher in males than in women in this pathology. Pickwick Syndrome appears to be associated with increased morbidity and mortality related to severe respiratory and cardiac compromises. Therefore, to be able to identify the risk factors, the clinical manifestations, to interpret the laboratory data and examinations of cabinet are so essential to be able to make the accurate diagnosis and a correct treatment. All this in order to avoid the impact on important organs such as lungs and heart, which would decrease the quality of life, increasing morbidity and in the worst cases coming to trigger death. Understanding the consequences of this syndrome is carried out this work in order to estimate the degree of obesity in the diagnosed case, to determine the presentation of complications during the evolution, to estimate the behavior according to the interpretations and establishes Prognostic scales for an important disease prevention. We present a female patient of 31 years of age, free union, born in Ambato and resident in Tisaleo, Catholic religion, complete primary education, right-handed, with a history of Obesity since age 17, poliglobulia diagnosed 3 weeks ago in treatment with phlebotomy 200cc without replacement, without relevant surgical history and as important family pathological antecedents: mother dies due to acute myocardial infarction that presents for 3 weeks tendency to drowsiness without apparent cause, accompanied by dyspnea of moderate efforts that reach the optician . The first therapeutic behaviors used in this case were: oxygen therapy, antibiotic therapy, in addition to taking general care.