Gestão de alta hospitalar ao usuário com doenças crônico-degenerativas: relato de experiência odontológico

Abstract

The Unified Health System (SUS) has principles to guarantee universal, equitable and integral access to the user. It is organized into Health Care Networks (RAS) that articulate the levels of primary, secondary, and tertiary care. Primary care is the preferred gateway to the HCN and tertiary care comprises the set of therapies and procedures that characterize high complexity. The integration of the dentist in the hospital environment provides comprehensive patient care, as oral health conditions can be associated with systemic health conditions. Thus, this experience report aims to collect data and information on oral health of hospitalized patients with chronic-degenerative diseases and propose the implementation of a dental referral form after hospital discharge, as a form of articulation with the RAS. The oral health of patients with chronic degenerative diseases has characteristics related to self-care and the individual's oral condition before hospitalization, repercussions of metabolic and functional changes resulting from the diseases, and related to medication side effects. Therefore, the importance of multidisciplinary teams in the construction of a comprehensive therapeutic plan, associating the care received in tertiary care with the continuity of work in primary care. From this, the adequate monitoring of the oral health of these patients will bring benefits to their general health, through a complete evaluation, identifying oral manifestations allowing an adequate treatment. Finally, the multiprofessional residency makes us experience a continuous teaching-learning process, enabling an expanded view of comprehensive patient care.