Presenter of 2 Presentations
COVID-19, WHAT’S NEXT? – A CLINICAL CASE REPORT
Abstract
Abstract Body
Background
COVID-19 is the disease caused by infection with the new Coronavirus (SARS-CoV-2) which, in severe cases, can justify hospitalization and often intensive care. However, after discharge, there are sometimes sequelae and situations of total or partial dependence, eventually requiring rehabilitation.
Case description
We will describe a case of a male, 78 years old, married, retired with a personal history of smoking (cessation 16 years ago) and complete bilateral hip replacement with the last surgical intervention in February 2020, complicated by DVT.
The patient went to the ER on March 31st, 2020 for dyspnea, cough and fever. Patient stayed hospitalized until May 6th, 2020 for SARS Cov2 pneumonia with possible bacterial infection. At the time of discharge, the patient had a pressure ulcer in the sacred region, myopathy associated with hospitalization, was weak and with significant motor deficits.
At home, clinical care, motor rehabilitation and training for caregivers were maintained until September 7th, 2020 with clear clinical improvements, increased autonomy and quality of life.
Discussion
Faced with a situation of convalescence, the family doctor has a central role in assessing the impact that this may have on the illness of the convalescent person and on the family dynamics, looking at the patient in his context. In this case, the intervention of the family doctor proved to be of great importance in therapeutic management, clinical guidance, articulation and collaboration with other entities, namely social services and integrated continuous care team, to provide the best possible conditions for rehabilitation.
HYPERTENSION CONTROL: BEHAVIOR OF ASK-12 ADHERENCE SCALE
Abstract
Abstract Body
1. Background and Purpose:
ASK-12 is an English validated measure to assess barriers for medication adherence and adherence-related behaviors. Our aim was to verify the behavior of ASK-12 when compared with hypertension control determined by office values and self-perception.
2. Methods
Patients with hypertension and need for drug control were recruited in 4 Centers of Primary Care in Portugal. The data collecting protocol was acquired prior medical consultation and included ASK-12, question about patient’s perception of hypertension control and registration of the last 2 blood pressure values taken by doctor. Non-control cut-offs: under 140/90mmHg if below 65y; under 150/90mmHg if equal or above 65y. This study was approved by an Ethics Committee and ASK-12’s authors.
3. Results
The study enrolled a total of 89 patients (51.7% female; 65.2% equal or above 65y). ASK-12 presented a positive correlation with office values’-controlled patients (r 0.363; p=0.001); as well as with ASK-12’s 3 subscales: Inconvenience/Forgetfulness (r 0.265; p=0.013); Health Beliefs (r 0.229; p=0.032); Adherence-related behaviors (r 0.315; p=0.003). No significant correlation was acquainted with hypertension control self-perception. From sample, 18 (20.45%) patients had uncontrolled hypertension. In 84.5% of the cases (p<0.001), was shown a concordance between hypertension control self-perception and office values.
4. Conclusions
ASK-12 demonstrated to have a positive correlation with office values’ hypertension control. It should be applied to learn potential factors where clinicians may try to intervene and possibly help achieve hypertension control.