Author: Ordin et al.1212 Ordin YS, Karayurt Ö, Wellard S. Investigation of adaptation after liver transplantation using Roy’s Adaptation Model. Nurs Health Sci. 2012;1(15):31-8. http://dx.doi.org/10.1111/j.1442-2018.2012.00715.x. PMid:23094933. http://dx.doi.org/10.1111/j.1442-2018.20...
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Understand the health needs individually for each patient, considering their social environment. |
Year: 2013 |
Use simple, clear and sequential language to guide. |
Level of evidence: 5 |
As for possible complications, patients should be alerted to increased appetite, diarrhea or constipation, nausea and vomiting, changes in relation to body image, body sensation and sexuality. |
Author: Musgrave et al.1313 Musgrave CR, Pilch NA, Taber DJ, Meadowns HB, Mcgilicuddy JM, Chavin KD et al. Improving transplant patient safety through pharmacist discharge medication reconciliation. Am J Transplant. 2013;13(3):796-801. http://dx.doi.org/10.1111/ajt.12070. PMid:23332093. http://dx.doi.org/10.1111/ajt.12070...
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The pharmacist’s participation in the discharge plan leads to safety by significantly reducing medication errors, especially when it involves the orientation of doses, storage, adverse reactions and other situations. |
Year: 2013 |
Level of evidence: 5 |
Author: Garcia et al.1414 Garcia AMC, Veneroso CE, Soares DD, Lima AS, Correia MI. Effect of a physical exercise program on the functional capacity of liver transplant patients. Transplant Proc. 2014;46(6):1807-8. http://dx.doi.org/10.1016/j.transproceed.2014.05.023. PMid:25131042. http://dx.doi.org/10.1016/j.transproceed...
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Develop an exercise program capable of improving functional capacity, generating positive implications for the control of metabolic diseases, which are common in patients after LT. |
Year: 2014 |
Level of evidence: 4 |
Author: Toh et al.1515 Toh MR, Teo V, Kwan YH, Raaj S, Tan SYD, Tan JZY. Association between number of doses per day, number of medications and patient’s non-compliance, and frequency of readmissions in a multi-ethnic Asian population. Prev Med Rep. 2014;1:43-7. http://dx.doi.org/10.1016/j.pmedr.2014.10.001. PMid:26844038. http://dx.doi.org/10.1016/j.pmedr.2014.1...
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Actions/strategies between the medical and pharmaceutical team in the development of a prudent prescription, with fixed-dose combinations, combination of drugs and vigilance of treatment adherence. The pharmacist must be present at all dose changes and modifications. |
Year: 2014 |
Level of evidence: 5 |
Author: Bardet et al.1616 Bardet JD, Charpiat B, Bedouch P, Rebillon M, Ducerf C, Gauchet A, et al. Illness representation and treatment beliefs in liver transplantation: an exploratory qualitative study. Ann Pharm Fr. 2014;72(5):375-87. http://dx.doi.org/10.1016/j.pharma.2014.05.005. http://dx.doi.org/10.1016/j.pharma.2014....
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The team should systematize the guidelines in order to adapt and educate the patient for warning signs that represent possible complications, optimizing the care of these clinical situations. Educational strategies for patients undergoing LT comprise three types of intervention: individualized education; behavioral intervention and; psychological support. |
Year: 2014 |
Level of evidence: 4 |
Author: Chaney1717 Chaney A. Primary care management of the liver transplant patient. Nurse Pract. 2014;39(12):26-33, quiz 33-4. http://dx.doi.org/10.1097/01.NPR.0000456392.75876.63. PMid:25397746. http://dx.doi.org/10.1097/01.NPR.0000456...
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Primary care nurses should be provided with information about the patient’s clinical situation by the multi-professional LT team, preparing for possible complications and how to prevent them. |
Year: 2014 |
Level of evidence: 7 |
To point out the importance of using immunosuppressants. It is necessary to explain the use of these drugs, especially immunosuppressants and corticosteroids. |
Author: Wallia et al.1818 Wallia A, Illuri V, Molitch M. Diabetes care after transplant. Med Clin North Am. 2016;100(3):535-50. http://dx.doi.org/10.1016/j.mcna.2016.01.005. PMid:27095644. http://dx.doi.org/10.1016/j.mcna.2016.01...
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Guide, explain and formulate care plans for pre-existing diabetes mellitus, detailing situations of hypoglycemia and hyperglycemia for each patient, considering other associated comorbidities. |
Year: 2015 |
Level of evidence: 7 |
Emphasize that the use of immunosuppressive drugs can impair renal function and that dose adjustments of diabetes drugs are often necessary to prevent this. |
Author: Mendes et al.1919 Mendes KDS, Lopes NLC, Fabbris MA, Castro-e-Silva Júnior O, Galvão CM. Sociodemographic and clinical characteristics of candidates for liver transplantation. Acta Paul Enferm. 2016 abr;29(2):128-35. http://dx.doi.org/10.1590/1982-0194201600019. http://dx.doi.org/10.1590/1982-019420160...
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It is necessary to adopt individualized conducts. |
Year: 2016; |
Adjust support/attention in relation to clinical and social conditions according to the demand of each patient. |
Level of evidence: 5 |
As for possible complications, alerting for decreased libido, altered sleep and vigil patterns and lower limbs edema. |
Author: Lima et al.88 Lima LF, Martins BCC, Oliveira FRP, Cavalcante RMA, Magalhães VP, Firmino PYM, et al. Pharmaceutical orientation at hospital discharge of transplant patients: strategy for patient safety. Einstein. 2016;14(3):359-65. http://dx.doi.org/10.1590/S1679-45082016AO3481. http://dx.doi.org/10.1590/S1679-45082016...
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The presence of a clinical pharmacist with the multi-professional team is necessary to guide the use of medications. |
Year: 2016 |
The strategy of this professional is to prevent negative results associated with pharmacotherapy, ensuring drug combination and patient safety. |
Level of evidence: 5 |
Author: Beckmann et al.2020 Beckmann S, Künzler-Heule P, Biotti B, Spirig R. Mastering together the highs and lows: patients’ and caregivers’ perceptions of self-management in the course of liver transplantation. Prog Transplant. 2016;26(3):215-23. http://dx.doi.org/10.1177/1526924816654769. PMid:27297233. http://dx.doi.org/10.1177/15269248166547...
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Assist patient and family to become acquainted with, understand and know how to perform health care, proposing that they can dominate the management of activities |
Year: 2016 |
Assist the patient and his support network to manage roles through self-care, so that together they can support each other and manage the ups and downs of emotion. |
Level of evidence: 5 |
Author: Morais et al.11 Morais EM, Corand D, Machado GC, Abreu MO, Matos EM, Cruz SAC. Postoperative complications of liver transplant: evidence for the optimization of nursing care. Rev de Pesquisa: Cuidado é Fundamental Online. 2017;9(4):999-1007. http://dx.doi.org/10.9789/2175-5361.2017.v9i4.999-1007. http://dx.doi.org/10.9789/2175-5361.2017...
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It is necessary to provide a differentiated and individualized assistance offered by the professional nurse, in the sense of a sharp and meticulous look when presenting signs and symptoms that can early identify neurological, renal, infectious and graft loss. |
Year: 2017 |
Level of evidence: 5 |
Author: Aguiar et al.2121 Aguiar MIF, Alves NP, Braga VAB, Souza AMA, Araújo MAM, Almeida PC. Psychosocial aspects of quality of life of hepactic transplant receivers. Texto Contexto Enferm. 2018;27(2):1-11. http://dx.doi.org/10.1590/0104-070720180003730016. http://dx.doi.org/10.1590/0104-070720180...
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Plan and organize a support network before hospital discharge, which can help prevent stressful situations, in addition to proposing emotional support. |
Year: 2018 |
Level of evidence: 5 |
Expand the support network so that they can help improve the quality of life. |
Author: Moayed et al.2222 Moayed MS, Ebadi A, Khodaveisi M, Nassiri Toosi M, Soltanian AR, Khatiban M. Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation. Patient Prefer Adherence. 2018;12:2425-36. http://dx.doi.org/10.2147/PPA.S180341. PMid:30510406. http://dx.doi.org/10.2147/PPA.S180341...
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Promote health education before and during hospital discharge in order to enable them to develop their own care and, thus, face the challenges of adapting to the new reality. |
Year: 2018 |
Level of evidence: 5 |