| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.7 MB | Adobe PDF |
Orientador(es)
Resumo(s)
O presente relatório pretende descrever as atividades desenvolvidas durante o Estágio de Natureza Profissional integrado no Mestrado em Nutrição Clínica, realizado no período compreendido entre 16 de outubro de 2013 e 28 de março de 2014 na cidade de Niterói-Estado do Rio de Janeiro (Brasil) em três instituições: Ambulatório de Nutrição Renal da Faculdade de Nutrição da Universidade Federal Fluminense (UFF), Enfermaria da Clínica Médica e Unidade de Pesquisa Clínica do Hospital Universitário Antônio Pedro (HUAP). As atividades realizadas consistiram na intervenção nutricional e acompanhamento de rotina de pacientes atendidos no Ambulatório de Nutrição Renal da UFF e internados na Enfermaria da Clínica Médica do HUAP, através de anamneses clínica e alimentar, avaliação de parâmetros antropométricos e bioquímicos, prescrição de planos alimentares e orientações nutricionais, acompanhamento da adesão à dieta pelos pacientes e da sua evolução nutricional e clínica. Paralelamente pude colaborar em duas investigações, nas quais foram avaliados os efeitos de um programa de treino de força em doentes renais crónicos em hemodiálise, através da aferição de parâmetros antropométricos, registo da ingestão alimentar, aplicação de dois inquéritos que avaliaram o consumo alimentar e fatores que afetaram o apetite nestes pacientes e, da realização de análises clínicas de parâmetros bioquímicos. Desenvolvi, ainda, um trabalho de investigação que avaliou os efeitos de uma única sessão de exercícios físicos de força sobre a resposta de marcadores de stress oxidativo e inflamação, bem como dos níveis plasmáticos de irisina em pacientes renais crónicos durante a sessão de hemodiálise; do qual resultaram, dois artigos originais que aguardam aprovação para publicação. As atividades realizadas permitiram-me desenvolver novas competências e adquirir experiência em diversas áreas - nutrição renal e hospitalar e, investigação clínica -, para além de reforçar a importância do papel do Nutricionista na prevenção, recuperação ou no retardamento da progressão de comorbilidades.
ABSTRACT - This report aims to describe the activities developed during a Professional Internship integrated into the Master of Clinical Nutrition, conducted from October 16, 2013, until March 28, 2014, in Niterói, State of Rio de Janeiro (Brazil). This internship was held in three institutions: Ambulatory of Renal Nutrition at School of Nutrition at Federal Fluminense University (UFF), Ward of Medical Clinic, and Clinical Research Unit of the University Hospital Antônio Pedro (HUAP). The activities undertaken consisted of nutritional intervention and routine follow-up of patients treated at the Ambulatory of Renal Nutrition of UFF, and hospitalized patients in the Medical Clinic of HUAP, through food and clinical case histories, assessment of anthropometric and biochemical parameters, dietary plans and prescription nutritional guidelines, monitoring of adherence to the diet by patients and their nutritional and clinical evolution. During this period I had the chance to work in two investigations, in which we assessed the effects of a program of strength training in chronic kidney disease patients on hemodialysis by measurement anthropometric parameters and recording food intake. Additionally, we also applied two surveys that assessed dietary intake and factors that affected appetite in these patients, as well as a clinical analysis of biochemical parameters. Moreover, I also developed research that evaluated the effects of a single session of strength physical exercise on the oxidative stress and inflammation markers response, as well as plasma levels of irisin in chronic kidney disease patients during hemodialysis sessions; which resulted in two unique articles, awaiting approval for publication. These activities allowed me to develop new skills and gain experience in several fields - renal and hospital nutrition and clinical research - in addition to reinforcing the important role of the Nutritionist in the prevention, recovery, or delaying progression of comorbidities.
ABSTRACT - This report aims to describe the activities developed during a Professional Internship integrated into the Master of Clinical Nutrition, conducted from October 16, 2013, until March 28, 2014, in Niterói, State of Rio de Janeiro (Brazil). This internship was held in three institutions: Ambulatory of Renal Nutrition at School of Nutrition at Federal Fluminense University (UFF), Ward of Medical Clinic, and Clinical Research Unit of the University Hospital Antônio Pedro (HUAP). The activities undertaken consisted of nutritional intervention and routine follow-up of patients treated at the Ambulatory of Renal Nutrition of UFF, and hospitalized patients in the Medical Clinic of HUAP, through food and clinical case histories, assessment of anthropometric and biochemical parameters, dietary plans and prescription nutritional guidelines, monitoring of adherence to the diet by patients and their nutritional and clinical evolution. During this period I had the chance to work in two investigations, in which we assessed the effects of a program of strength training in chronic kidney disease patients on hemodialysis by measurement anthropometric parameters and recording food intake. Additionally, we also applied two surveys that assessed dietary intake and factors that affected appetite in these patients, as well as a clinical analysis of biochemical parameters. Moreover, I also developed research that evaluated the effects of a single session of strength physical exercise on the oxidative stress and inflammation markers response, as well as plasma levels of irisin in chronic kidney disease patients during hemodialysis sessions; which resulted in two unique articles, awaiting approval for publication. These activities allowed me to develop new skills and gain experience in several fields - renal and hospital nutrition and clinical research - in addition to reinforcing the important role of the Nutritionist in the prevention, recovery, or delaying progression of comorbidities.
Descrição
Mestrado em Nutrição Clínica
Palavras-chave
Nutrição clínica Intervenção nutricional Avaliação nutricional Doença renal crónica Hemodiálise Hospitalização Brasil Universidade Federal Fluminense Hospital Universitário Antônio Pedro Clinical nutrition Nutritional intervention Nutritional assessment Chronic kidney disease Hemodialysis Hospitalization Brazil
Contexto Educativo
Citação
Esgalhado MG. Atendimento no ambulatório de nutrição renal da Faculdade de Nutrição da Universidade Federal Fluminense e Hospital Universitário Antônio Pedro: efeitos de um programa de treino de força intradialítica em pacientes renais crónicos [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Faculdade de Medicina da Universidade de Lisboa; 2015.
Editora
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa