Proposta de reorganização do serviço para atendimento aos indivíduos DM2 em uso de insulina do Centro de Saúde Túnel de Ibirité para prevenção do pé diabético

Abstract

This work went to the comments raised, initially in 2009, after running queries of nursing in individual consultations to people with diabetes mellitus type 2 forwarded for evaluation, when complaints in LL, by family health teams Health Centre Tunel Ibirité, and also through observations and surveys of industry demand reasons where they were executed the dressings of non traumatic origin. It was noted that despite being passed information, aiming at preventing grievances to the diabetic foot, and the existence of protocols to support, the scope of these had the desired impact on day to day due diligence described. With this work recuperated basic conceptual aspects on chronic non-communicable diseases, focusing on diabetes mellitus type 2, specifically insulin users proposing interventions aimed at reorganizing the service: service in education for professionals in the basic health unit, classification of diabetic foot, use of Monofilament Semmes-Weinstein (estesiometria), in nursing consultation, with its default colors, even proposing, monitoring and follow-up by setting the target of the actions, to be subsequently created the operative Group for stimulus stewardship self-care. The action plan involves all members of the family health team and follows the recommendations of the Protocol of Diabetes Mellitus and attendance in Angiology and surgery of Belo Horizonte edited in June 2010, where underscores the importance of patient education for prevention of diabetic foot complications and care plan according to risk clinical findings of patients.