Ciencias de la Salud
Permanent URI for this communityhttp://repositorio.uta.edu.ec/handle/123456789/813
Browse
5 results
Search Results
Item 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 PosgradosChronic 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.Item Entrenamiento Respiratorio y sus efectos en el índice Bodex en pacientes con Enfermedad Pulmonar Obstructiva Crónica(2025-03-17) Carvajal Escobar, María Belén; Sandoval Velásquez, Gloria Gabriela; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de PosgradosRespiratory training has emerged as a crucial strategy in the management of chronic respiratory diseases, especially in patients with chronic obstructive pulmonary disease (COPD). This therapeutic approach aims to optimize lung function and improve quality of life through specific breathing techniques and physical exercise. The effectiveness of respiratory training can be evaluated using the BODE index, a comprehensive tool that measures the severity of COPD and its impact on patient health. Given the details outlined above, respiratory training can positively influence the components of the BODE index, providing a clear understanding of its benefits and its role in the treatment of COPD. Objective: To determine the impact of respiratory training on the BODE index in patients with Chronic Obstructive Pulmonary Disease. Methods: To comprehensively evaluate the status of COPD, the BODE index was used. Lung function was measured using spirometry, while PImax was used to assess the strength of the inspiratory muscles and the elastic recoil of the lung tissue. Additionally, BMI was calculated considering the height and weight of each patient. Various scales, such as the mMRC, were used to assess dyspnea, and vital signs were monitored both at the beginning and at the end of respiratory training. Results: Respiratory training can lead to an improvement in the BODE index, with reductions in dyspnea symptoms and increased functional capacity. Patients showed an improvement in quality of life, a greater ability to perform daily activities, and a decrease in COPD exacerbations. Conclusions: Respiratory training represents an effective intervention for improving the BODE index and, consequently, the quality of life in patients with COPD. The implementation of respiratory training programs should be considered as an integral part of the management of COPD, with the aim of improving lung function, reducing dyspnea, and enhancing exercise capacity, contributing to better overall health and well-being of patients.Item Intervención educativa sobre rehabilitación pulmonar para el manejo de la disnea del paciente con Covid-19 a estudiantes de Terapia Física(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2022-02-01) Solórzano Vela, Geomara Paola Lcda. Ft; Reales Chacón, Lisbeth Josefina Dra. PhDThe current situation in the world about the pandemic, it forces to the entire health department to do the appropriate training in order to be able to attend and solve the consequences on people from the pandemic. Due to the importance of having proper personal well trained, it is necessary to educate all the new students, who get involved with all the responsibilities of the hospital, and are about to complete their degree from the University National of Chimborazo faculty of Physical Therapy and Sportsmanship. In regards to training, it is elaborated as an educational purpose which is involved at full at the pedagogy development. Despite of the method of training - online or in class - the final result will indicate the facts and values to be easily applied as part of this educational training. As part of the training, students assimilated, interpreted and applied all the lesson learned related to the symptoms of COVID-19. It is recommend to mandate this type of training to all the Universities in Ecuador that currently have a physical therapy program.Item “Vasculitis anca positivo: granulomatosis mas poliangeitis”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) Delgado Ramos, Cesar Andrés; Jurado Melo, Verónica Cristina Dra. Esp.Systemic vasculitis associated with the presence of antineutrophil cytoplasmic antibodies (ANCA) represents a diagnostic challenge due to the wide range of symptoms that it presents. In this case, a case of a 31-year-old female patient presenting with a cough is presented. purulent speculation of two months of evolution, otorrhea and weight loss, with a tentative diagnosis of tuberculosis, without caverns that are evidenced in chest CT, antifungal treatment was initiated for 21 days without improvement, I add bilateral episcleritis, hematuria and proteinuria. A renal biopsy was performed that reported capillary lumen collapse, segmental sclerosis and hypertrophic podocytes. It was diagnosed as granulomatosis-like vasculitis associated with poliangetis. It received three pulses of methylprednisolone in an iv gram, followed by cyclophosphamide one dose every three weeks with significant clinical improvement.Item “Insuficiencia respiratoria secundaria a tromboembolismo pulmonar”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) López Escobar, Maricela Emperatríz; Romo López, Ángel Geovanny Dr.A 66-year-old female patient, married, born in Quito and resident of Ambato, with a history of arterial hypertension diagnosed 28 years ago without treatment and as pathological family history of importance: mother died by arterial hypertension and brain hemorrhage, father died of gastric cancer. The patient has been presenting abdominal pain of moderate intensity for 6 months. This pain is located in the mesogastrio without irradiation. It also refers to weight loss since 3 months ago, which was not quantified, and the presence of dysphagia to solids and fluids is manifested on the part of the patient. Sporadic cough Access since 2 weeks ago. To the physical examination, the positive: patient conscious, oriented, FC 78x ', FR 24 x ', TA 90/60 mmHg, SO2 88%, 36.9 º C, skin and fanes slightly cyanotic, thyroid augmented in size to palpation with nodules of approximately 6 mm in left lobe, thorax with conserved expandability; Lungs decreased vesicular murmur and rales crackling at the level of pulmonary bases; Heart rhythmic cardiac noises, abdomen soft, destressable and painful to palpation of left hypocondal and During his hospital stay patient presented dyspnea and saturations ranging from 85% to 87%, to be applied laboratory tests evidenced a dimer D positive. In the scale of Wells patient presents a probability of 40.6% for thromboembolism lung, same that was confirmed in subsequent reviews by a angiotac lung. The evolution of the patient is favorable until the thirteenth day of her hospital stay, day in which she presents decay and, in the afternoon, vomit of fecaloide content, reason why it was made an interconsult with the area of general surgery who catalogued the picture as an acute obstructive abdomen, which was confirmed by image Examinations (CT scan of the abdomen). The next day of the clinical picture intensification, in other words, thirteen days after her admission, the patient presents, for four occasions, pictures compatible with a cardiorespiratory stop, and dies this very day because of the third event in which the cardiopulmonary recue was failed. .