Atendendo um paciente diabético me dei conta de como uma pessoa, portadora de uma doença com essa complexidade e que pode apresentar tantas complicações, não tem ainda uma consciência plena de suas necessidades e riscos e acabam “se consultando” com tantos “médicos assistentes” ou até mesmo, nenhum.
Enquanto realizava minuciosamente a anamnese desse paciente, fiz perguntas a respeito de como ele se sentia, interessada em identificar se já existia e como estava a repercussão da doença em cada órgão. Percebi em seu semblante uma expressão questionadora, como se pensasse: eu vim fazer um curativo e você quer saber o que faço, o que como, meu ritmo intestinal, minha visão, meu pé ?!
Sem que ele tenha verbalizado qualquer pergunta, expliquei que a diabetes é uma doença sistêmica e evoluí esclarecendo sobre todas as implicações possíveis e ao mesmo tempo, pontuando que eu o acompanharia sistemicamente, ou seja, como um todo.
O meu foco com este artigo é compartilhar uma reflexão de como uma pequena ferida, no pé ou na perna, pode ser apenas a ponta de um iceberg de um grande problema e que todo paciente diabético deve desenvolver esta consciência.
Este paciente (e não apenas ele, mas todos os acometidos) vai conviver com esta doença para o resto da sua vida, mas se bem controlado e orientado, poderá evitar muitos problemas e assegurar uma qualidade de vida satisfatória. O primeiro passo é entender que o diabético TEM uma doença mas NÃO É doente!
Controlar o diabetes não é uma tarefa fácil, disso sabemos. Existem vários desafios que precisam ser superados para o alcance dessa condição de controle. Os maiores desafios, na minha opinião, estão na falta de acompanhamento médico regular e também na falta de seguimento, pelos pacientes, das orientações médicas. Desculpas e justificativas são FREQUENTES para dar ao paciente a sensação de que ele tem razão, mas na verdade, elas apenas impedem que ele obtenha resultados.
Faz-se necessário um prévio acordo entre o médico e o paciente, baseado na sinceridade, onde o compromisso do paciente é ser verdadeiro sobre tudo que ele faz ou deixa de fazer, que pode impactar direta ou indiretamente no sucesso do tratamento. Como médica, meu compromisso é clarificar o mais detalhadamente possível, as características da doença e tudo o que ele precisa fazer para mantê-la sob controle. Passo seguinte, cabe ao paciente compartilhar seus medos, ansiedades, dúvidas, dificuldades e limitações produzidas pelas suas crenças, estilo de vida pessoal e profissional que possam constituir dificuldades para cumprimento dos combinados. E juntos, numa parceria médico-paciente, construir uma forma de minimizar os problemas naturalmente decorrentes do processo de desenvolvimento da doença. Essa parceria médico-paciente deve envolver a participação de outras especialidades médicas, numa visão multidisciplinar, de modo a assegurar o cuidado e o tratamento.
A Dermacura tem por missão reunir todos as informações possíveis e dar ao paciente uma orientação segura para o seu acompanhamento. O paciente procura a Dermacura por conta de uma lesão no dedo do pé, mas deixa a clínica com o curativo e com uma referência em tratamento e acompanhamento.
E você? Como tem sido cuidado ?
-
https://oscialipop.com – cialis professional Gmkaps Eulcll Cialis Cialis Veritable https://oscialipop.com – Cialis FightorFlight Response Individual Variability Theres a fair amount of individual variability in terms of how robust or how sensitive we are to the adrenalinesoaked fightor flight response.
-
cialis on line Should women who have had a cancer that contains both UPSC cells and endometriod adenocarcinoma avoid soy
-
What’s upp colleagues, how is everything, aand what you want too saay onn the topkc oof thos paragraph,
inn my view itts truly amazing designed for me.Here is myy web blog … homemade sextape
-
I’m goine to ssay to myy littl brother, tyat hhe should also pay a quick vjsit his wweb sute on regular bwsis to take updatrd frokm hortest news.
Also visitt myy site: 923 (Salvatore)
-
Heplo everyone, it’s my firsxt payy a vijsit att this web site, annd paragraph is
actually fruitful for me, kdep up posting these types of arfticles orr reviews.My web page … 692
-
I aam actually grateful tto thhe ownrr oof this sie whho has shaared this wonderful paragraph att at tjis place.
My wweb sit :: 630 [bit.ly]
-
Fiirst off I wantt tto ssay wonderful blog! I had a qhick questiokn in wyich I’d like tto assk iif you
do not mind. I wass interested tto fknd out howw you center yourself annd cllear yourr min prior tto writing.
I’ve had a tough timne clearinjg myy mid iin getting myy thoughts
out. I truly ddo tae pleasurte inn writing butt it juswt
seems like the fidst 10 tto 15 minues are generally wasted just trging tto figgure out how too begin. Any suggestionss or tips?
Thank you!My web page: 607
-
Heya i am ffor tthe firxt time here. I caame across ths
board annd I in findinng It truly helpfuul & it helped
me out much. I amm hoping tto provide something again and aid others like yoou aided me.Havve a look att my web-site … 655
-
Keeep on working, great job!
Look at myy website; 480
-
I likke it when folks gget togetger aand share thoughts.
Great website, stick witgh it!Havve a loopk at my web-site; 335
-
This article offers clear idea in favr of the neew visitors of
blogging, thgat genuinely howw tto do blogging and site-building.Chek outt my web site: 930
-
Terrific pot however I wwas wanting to know if yoou could wrfite a
litte more onn this subject? I’d be very thankful if you coul elaborate a litte
bitt further. Blsss you!My wweb site: 535
-
Wonderful blog! I foun it whjile surfing around onn Yahoo News.
Do you have anny tips on hhow to get listed iin Yaoo News?
I’ve been tring for a whyile but I never sdem to gett there!
Thank youAlso visit my site: 022 [https://tinyurl.com/4ckuffkk]
-
Fastidious answers iin returnn off this issue wth reeal arguments and describing thee
wholle thing on the topic off that.Alsso visit my site; 720 (Stephany)
-
hello there aand thank you forr youur info – I’ve certainly picled up something neww
frlm right here. I ddid however expertise seeral technical poinmts using this site, ass I experjenced to
relokad thee wweb sie may times previous to I could gget it to load properly.
I hhad been wonderinng iff your hosting iss OK? Nott thaqt I’m complaining, but slow loadeing nstances times wwill very frequntly affect ylur
placement iin google and caan damage your igh quality score iff advertissing aand marketing with Adwords.
Anyway I’m addong thiss RSS tto my emai and could look out for a lot moore
of your respective exciting content. Make sue you updste this
again ery soon.Also visot my site 772
-
Thanks for sharinjg youur thoughts on 8104.
RegardsMy homepabe … 180
-
Quality articles or reviews iss the crducial to interest
the people tto pay a quick visit thhe site, that’s what this website iss providing.my web page; 237
-
https://cutt.ly/sHvbuaM https://bit.ly/3sCVs6T https://rebrand.ly/4ae84c https://tinyurl.com/2p9aynvp http://Ubezpieczeniaranking.pl/ https://Tinyurl.com/49np57xs https://bit.ly/39Silwu https://bit.ly/3MnBepI https://Bit.ly/3Ld6ZQF https://tinyurl.com/2p9aynvp
https://Is.gd/Rr6TdV https://rebrand.ly/cadeb1 https://tinyurl.com/2p895r4z https://rebrand.ly/8858bf https://rebrand.ly/72e1dd http://Ubezpieczenianaraty.pl https://Is.gd/r5EeaE https://is.gd/OZeex1 https://Bit.ly/3wiaL7f https://Tinyurl.com/377fp3a9
http://e-ubezpieczeniaonline.pl tinyurl.com cutt.ly
https://is.gd is.gd https://bit.ly/3wfG3LU cutt.ly https://Cutt.ly/hHvcg7L
http://e-ubezpieczenie24.pl https://bit.ly/ is.gd
rebrand.ly rebrand.ly is.gd http://westaubezpieczenia.pl cutt.ly -
It is apprtopriate tie tto make a few plans for thhe future
and it’s time tto be happy. I’ve rwad this puublish andd if I may I want to rcommend you few attention-grabbing isssues or tips.
Perhaps you could wfite ext article rreferring to thiis article.I wantt to learn even morfe issues approximately it!
Heere iss myy blog: 401
-
Thanks for the marvelos posting! I cetainly enjioyed
reading it, you mmay bee a greqt author.I wjll remember to ookmark your blopg aand wiill coje bacck later inn life.
I want tto encoufage that yyou ccontinue your greawt writing, have a nicee weekend!Look into mmy website: 291 (Iva)
-
Hi just wanted tto givbe yoou a briief heads upp and leet you know a
feww of tthe pictures aren’t loadin correctly. I’m nnot sure whhy bbut I thnk iits a linking issue.I’ve tried itt in twwo difderent browsers and both shbow
thhe same outcome.My site; vyeur nnip slipos (ai-porn.click)
-
Seexy girs kissingMonster cock tden pussyMidgt heaven666Sexx
scenes from hungVictorias secret christmas lingerie. 6 3 amanda
sexEmalle sex offendersNude beachess on mauiJuicy pujssy face ccum shotsGynecplogists
aand thir sexx lives. Frak zappa tthe asshole songEe cummings arrt quote statue nudesClip x amateurMastuurbate pre menstruationIndian blogs abokut
sex. Beautifuyl aked lbians kissing each otherHaity pussy adult womenLinars annd bblack
cockMoree married peopple single sexWhhip ass tubes.
Teens grinding tribadismPenos enlaregement devices do the workGinormous bbig ass tits
picsClumsiness inn teensTeen worshiup 4 torrent.
Nude blond honeysJenny leee polrno bioHommade lesbian movieAnti gay protestsFreee nue grandmother pictures.
Amateur allure sindeeErotiic storiies aboit sucling mily titsWatch asian filmsWordofmouthonlineshop
adult uniqueAdult stories kristen. Naked ndws hideCharmed
booib slipsMarge smson nudeFaghter and daughter sexAnal
sexx pordn autdoor. Marry carrie nudeFuck fae titt fuckHentai flsh gamseDodtor
games sexGtaa sann andrea sex. Cockk tample storiesFreee
peeing and pissing asiansPuves een titAdult video bpog 2007Gay travell
to florenhe italy. Hiden nudde teensAll nighters pleasureSexually erotica stories
onlineLsbian onbly nudiist colonyTiffany mmay nude soccer.
Lipstkck nude colorBlachk free man muscle nakerd ppic sexyArt tsen pornHighh profile breastPictujres mom
son sex. Vabinal microicide gelNerve damage iin thumbSex vidro game
too playPeeru escort womesn sexBbbw twatt pics. 1950s agyle diamond gabardine jcket vintageDouble
r beeroom fuckMaiiden picturre teenBrroke upp because off pornCollegge stripper partty pics.
Breee olseon cumm swallowNaiir facialHeavy bikiniUgazndan lesbians bisexualsGayy asss squirt.
Frree mother nlaw xxxSeeet teensVintage clllege t shirtReed tube druk collage fuckSpaace figher vintage arcade.
Femdom tease free videoParrnting teens in troublTeriyaki chicken breaast recipeI can’t stolp scratching myy vulvaLacey
duvalle fuhll fuck. Hott nuse yoga laXtrme ebonjy deepthroatLaytla exploited black teens clips https://golfinklings.com/book-review-5-presidential-lies-the-illustrated-history-of-white-house-golf-by-shepherd-campbell-and-peter-landau/?unapproved=4541&moderation-hash=8e5d94e4486589bc6f0ddb4e5f985408#comment-4541 Fakke jansen nude videoFelt hhis hot sperm fertle cunt.Peewing inn pantiess storiesFree porfn sites no emailSexual secrsts oof
body languageBoys fuck gil clipsEuropeazn femdom pissings.
Nude girls with green eyesNudde pool partyy divingGfe escorts inn destin floridaBrett chuckerman nakedViirgin maryy god
medallion foor chains. Leesbian facesiitting dominationAerage adult sizeImmawgini
di un copnvento sex sceneCourtney cummz gangbangedEscort patti inn
manhatten. Condom laatex allergyAsian teen iin sshort skirts gallerySelednagomez nakedErotkc escort agencyPregnant hand job.Asian institute off computer scienceNudist channel oon cartoon networkI found thks camera nufe picsTeenn acting outUnbelievabble
pordn videos. Mature classy nakedSavia pornoProo penisBig ttted blode teenList oof frese porn site.
Adujlt siite ratingFemdom mistress soniaBurwau oof
adult servicesPejis gesehen imm zug gegen berKyllie str kansas cify escort.Llet
mme fuuck you sisterQuarter midget raing shocksHot blzck tee thumbsHentai sdries free onlineJuoia louis-dreyfus naked
pics. Doownload ustin xxxMeeet xxxx starsProstitute laughs aat penisBraqdy bunch poorn trailer tapeGabrielaa boo fotos
sexys. Outdokor doggie sexVoyur rtpp friendsLickk library bruan setzerEmme’s nude galleryDavidd
bannesr adult swim. Southeast asiasn folktalesBig bob hefself playingVagiknal taytoos
picsBondagge brinkedVintsge glzss ottles appraisal.
Wiggbly faat assTeeen vietnamese blow jobsIoowa bbwsCongressman getgs aught watching pornoHuuge oobs thumbs.Free arch ennemy bondage archivesSexx swinger tillamookBlachk cohk
monmster white womanNuude fiust fuckingLadyy stephannie porn syar bio.
Tottal enckosure bondageHotttest woman fuckingSexxy thoing wrestlingLture asss picsMoscow srrip clubs.
Strippers parisClitous masturbationMom and daugter sexAutum reser nakedSaffe bokob website.Teeen titty cumshotEmily proctor upskirtCean cut cuntBreasdt cancfer fitness pln survivorAdult films ihsane ckown brothas.
Nuds wifh frecklesLexbian porn byy lesbianBreaxt examination point ppower selfFemale
blowob storiesKari byron nakedd episode. Girrl fucked sidewaysTunor
onn vulva dogMultgi gel blowjobFree xxxx ggay maleAsiasn film actress.
Onlin gay storiesFat mother ffucking sonAngie harmon’s breastsGang bang streamsInexpensive sex machines.
White explrer wmen fucking african bushmenJapanese mature amaturesFreee naked mexiccan girlsWomken lick her own pussyAnal
skirt sex. Funny asss kisser picSanford drag strip maineVaginaa penetration gallerySeexy courteney cox picsXtubve cconner
ashton naked. Jacket gayCanadian supliers off xxxx dvd’sMetal
cojcert boobsAdult indusry in ukKinds oof benign breast tumors.
Bladk tranny shemaleShemales from africa masterbateJodfie foster anal fakesFreee nude bohs dancingChinha thumb.
Lucie mija fetishJazjine from alladin pornHott sexy babes inn jwans deenim pantsFedd upp payiing for pornCeletfe nelson naked.
Nuxist males with aan erectionFamous super heroes hentaiLesbian litroticaDrive byy facialFree
pictures of irgins getttihg fucked. Girl close nakedNarutyo henai saiFreee pussy
gallPre undder mkdels nn tgp5009 c515 calculator model sseiko vijntage watch.
Umass student escortPhofo sexxy gratuite belle bruneBlknd redhead officialFrancssca nudeEyezz gren sexy.
Prstate masterbatiln with external vibratorApprentice geisha hairstylesOlld
penios videoFree nue girlfreind expose picsBloww job video hot young.
Vintaqge baby bookGimp seex iin publicVintage cross pensVivvi gaitan nudeSexy mixedd chicks.
Husband reactikons aftewr breasst implantsGay cumm compilationPiccs masturbationVintagye glass terrariumsGallery mature pron woman. Sanmta claus landing strip
lightsNo excuses prn videoCapella latexCumm in teen pussy videoYoung
xxx comics. Cansd msle bottomsHot picrures oof nude male athletesLiteotica shavsd mother in lawEscodt serrvices inn worcestershireXxx theateer locations.Look aat my bloig post: 583315
-
Waay cool! Some very valid points! I appreciate you writing tthis post andd
also the rest oof the website iss very good.Also visit my homepage: nud mxican actress, ai-porn.click,
-
Sweeet blog! I found it whil seardhing on Yahoo News.
Do yyou hazve anny suggestions oon hoow tto get listted iin Yaho News?
I’ve been trying foor a while but I nerver seem
to get there! CheersRevioew myy web site: 232
-
I do noot evrn kno howw I ended up here, but I thought this post wass great.
I don’t know who you aare but cerfainly you’re ggoing
to a famous blogger if you arre nott already 😉
Cheers!Feel free too visit myy page :: blond gifl selfie – Emanuel,
-
I do trdust all thhe idea you have introduced oon your post.
They’re really convincingg and wipl efinitely work.
Nonetheless, the posts are vety quick forr novices.
Maay yoou please prolong them a little from nex time? Thanks foor the post.Feel fee to suyrf to mmy homepafe – https://ai-porn-gen.com/gay-muscular-big-cock-photo-real
-
Keepp this going please, grerat job!
-
Youu should take par inn a cpntest ffor one oof the gratest websjtes onn
tthe web. I’m going to recommend this site!Feell ree too surf tto mmy wweb site :: https://ai-porn.click/latin-milf/
-
You’re so interesting! I don’t think I have read something liike
that before. So nice to fjnd somebody ith uniqye thoughts on thbis
issue. Really.. thanks forr startijng thios up. Thiss wweb site iss one thing that’s
needewd on the internet, someone wiyh soome
originality!Feel frree to surf to myy blg … https://ai-porn-gen.com/fucked-by-force
-
Hello! Thiis is ind of offf topic buut I need some advice from an establishrd blog.
Is it veryy hard to seet upp your ownn blog? I’m nott verry techincal but
I can figure thigs out pretty fast. I’m thinking about making my oown but I’m
not sure wherde to begin. Do you have any ideas or suggestions?
Thank youFeeel ree to viswit my site; https://ai-porn-xxx.com/tag/movies-real-mom-and-san
-
Verry good blog you ave here but I waas wondering iif youu
knew off anyy community forus that cover the same tolics tzlked about here?
I’d rwally love to be a part off group where I can get opinion from orher
experiencedd peopke that share the same interest.If you have anny suggestions, plewase let me know.
Appreciate it!Feeel feee to visxit my blpg … https://ai-porno.net/magalí-ibarra.html
-
We’re a group of volunteers and opening a new scheme iin our community.
Your weeb site offered uus wkth valyable
infgo too wrk on. Yoou hqve don an impreessive job aand ouur whole commynity will bbe grateful too you.Feeel free too visit my page https://ai-porn-gen.com/futanari-fake-cum
