Protocolos clínicos para farmacêuticos: guia para a tomada de decisão

Abstract

There is currently a significant demographic transition in society, with an exponential increase in life expectancy and, consequently, a higher prevalence of chronic diseases and continuous use of medications. This reflects an overload on health systems and a social demand for the inclusion of health professionals in the care process, with evidence-based clinical practice. Thus, the pharmacist, given their expertise in pharmacotherapy and their clinical skills, has the potential to improve outcomes and relieve health services. Therefore, the objective of the present work was the elaboration of clinical protocols for the management of chronic diseases by the pharmacist. For this, a literature review was carried out to identify the most prevalent diseases in primary care. After defining the diseases, an integrative review was carried out in two stages: investigation of the therapeutic protocols and guidelines in force in Brazil for the comorbidity in question and the search for recommendations for its management worldwide. All information collected was organized in a guide containing seven clinical protocols, divided into two axes: Cardiovascular and metabolic diseases (Hypertension, Diabetes Mellitus, Dyslipidemia, and Smoking Cessation) and Mental Disorders (Depression, Anxiety, and Bipolar Affective Disorder). Each protocol was organized into fourteen sessions. The preparation of this guide aims to guide the clinical practice of the pharmaceutical care clinic at UFPB and improve the quality of care provided therein, which can be expanded to other health services in the country and the world.